True Fraud
A "Heads I
Win, Tails You Lose" Story
by Barry Zalma, Esq., CFE
The story that follows is based on fact but is
fiction. The names, places and descriptions have been changed to protect
the guilty. This story was written for the purpose of providing
insurers, those in the insurance business and the insurance buying
public sufficient information to recognize and join in the fight against
insurance fraud.
[Unlike my other "Heads I Win, Tails You
Lose" stories the names of the people involved have not been
changed. This story is, however, evidence that even when insurers win a
case of fraud perpetrated against them, the insurers continue to lose.
This is the story of an insurance criminal involved in one of the most
extensive insurance fraud schemes of the last four decades. A person who
used a license to practice law as a weapon to steal from insurers. He
was arrested, convicted and sentenced for the crimes of insurance fraud
and mail fraud. He spent time in jail. He claims he is now rehabilitated
and wants his license back. A man who now makes almost $175,000 a year
as a paralegal, after abusing his license to practice law, wants it
back. A man who, in my opinion, will use it to steal again just as a
rehabilitated drug addict, if given a needle and heroin, will use it
again.
On December 12, 2000, I appeared as an expert
witness at the request of the State Bar of California. I testified in
the State Bar Court before a State Bar judge who was hearing the
application of disbarred attorney G. Bodell to be reinstated.
The Crime
Mr. Bodell was a key member of an insurance fraud ring of
dishonest lawyers known as the Alliance. He was one of the first
contacted by the FBI and decided to turn on his co-conspirators. As a
result, although he was convicted on multiple counts of mail fraud and
other federal crimes, he was only required to make partial restitution
and spend six months in a half-way house.
The leader of the Alliance, Lynn Boyd Stites, is
serving a 14-year sentence in the federal penitentiary in San Diego,
California. He should be out of jail in about four years. Bodell, while
his mentor and boss languishes in the federal penitentiary, has earned a
good living as a "paralegal" doing everything a lawyer does
except appear in court.
The crime of the Alliance was simple, yet
brilliant. It took advantage of a decision of the California Courts of
Appeal known as the "Cumis" case. The case required that
insurers who were faced with a case that might not be covered for
indemnity but for which they must pay for a defense under a reservation
of rights to refuse to pay indemnity, the insurer was required to pay
for an independent attorney of the insured's choice. The "Cumis"
case left insurers helpless in the face of unscrupulous independent
attorneys. They had no control over what the independent lawyer did and
no means to question their conduct or billing.
In times when insurance company lawyers were billing at $50 and $75 an
hour the Alliance charged $250 per hour. charged $100 an hour for
"word processing." The Alliance ran up enormous bills.
Insurers, with no defense, paid.
Lynn Boyd Stites, and Mr. Bodell, took on work as
independent counsel and "churned" the bills. They would take
useless depositions all over the world (often paying $20 an hour
contract lawyers to sit in on the depositions in their place) for the
sole purpose of billing insurers. Often they would just bill for
services never performed. The ease with which they collected millions
from innocent and defenseless insurers amazed them.
The Crime Progresses
Stites, Bodell and the other members of the Alliance decided
that relying on chance to be appointed "Cumis" counsel was not
sufficiently lucrative. They decided to create lawsuits. They would pay
a business person $50,000 to be a plaintiff in a lawsuit drafted by
members of the Alliance. That suit would be drafted in such a way that
the insurer was required to defend under a reservation of rights. For
example, they would sue claiming both negligence and intentional torts.
The intentional torts are not covered while there is coverage for the
negligence. An Alliance member would answer on behalf of the Defendant
(also in the pay of the Alliance) and cross-complain against the
plaintiff with a mixture of intentional and negligent torts claimed. The
original Alliance member would defend the cross-complaint and both
plaintiff and defendant, cross-complainant and cross-defendant would be
represented by Alliance members paid for by the insurers.
Since work done is less profitable than work
billed the Alliance made most of the litigation a sham. They would bill
for depositions that were not taken, legal research that was not
performed, and discovery and pleadings that were never created. The
Alliance was careful. No insurer client was ever billed more than eight
hours a day. The insurers would receive the billings knowing they had no
defense, would pay and pay.
The insurers knew they were being taken advantage of by the Alliance.
They believed a scheme was being used to defraud them. They did not know
how it was being done or how much money was being stolen.
Eight of the insurers gathered, three or four
years after the Alliance began its multimillion dollar fraud, in a law
office conference room. They brought with them the computer generated
billing of independent counsel who seemed to show up regularly in "Cumis"
counsel cases. The bills for the month were put on the table and
compared. The fraud was immediately obvious.
Although the Alliance never billed an insurer for
more than eight hours in any day, when the billing was compared it
became obvious that some lawyers, like Mr. Bodell or Mr. Stites, were
miracle workers. They took depositions in Los Angeles, Boston, New York
City, London, Paris, Honolulu, New Orleans and Dallas on the same day. A
single lawyer billed, on the average, 50 to 74 hours in a single day!
Investigations were then begun in earnest. The
case was presented, through the Fraud Division of the State of
California Department of Insurance to the Los Angeles District Attorneys
Office it was rejected. It was then taken to the U.S. Attorney in Los
Angeles it was rejected. Since jurisdiction existed in most of the
state, it was next presented to the U.S. Attorney in San Diego. He
prosecuted the case and the entire ring was arrested and convicted. At
the time of the arrests the Alliance had stolen many millions in
fraudulent attorneys fee bills.
Mr. Bodell, because he testified against his
co-defendants, was convicted and allowed to resign his license to
practice law. He spent only six months in a half-way house with robbers,
rapists, and killers. He spent no time in jail. He was forced to sell
his house and buy a smaller house.
Since his first job as a lawyer was part of the
criminal enterprise he knew no honest trade or profession. He hired
himself out to lawyers as a "paralegal" and earned a much more
modest living than he earned while working as an integral part of the
Alliance. He moved his family into a smaller home, joined a church, and
gave speeches about the hazards of criminal activity.
He is presently employed as a paralegal for a Los
Angeles law firm that pays him $175,000 a year (more than most lawyers
in private practice earn). The law firm where he works as a Paralegal
has offered Mr. Bodell a partnership, if he can get his license back.
Bodell claims he has been rehabilitated. However,
only three years ago he pursued to the Ninth Circuit Court of Appeals a
suit against Walbrook Insurance Company (his legal malpractice insurer
when he was arrested) demanding that they pay the legal fees he incurred
when he was defending the criminal charges. The trial court refused
claiming that an insurer that promises to indemnify its insured for tort
damages can never, especially considering the public policy of the state
of California to not help criminals or criminal activity, be required to
pay for the defense of a criminal prosecution. The Ninth Circuit,
finding an ambiguity in the Walbrook policy wording compelled Walbrook
to pay for Bodell's criminal defense.
One justice dissented. He said about Mr. Bodell:
"Appellant, a lawyer, was once convicted for helping bilk insurance
companies out of attorney's fees. This time he gets away with it. My
colleagues find there is coverage for attorney's fees incurred in
criminal proceedings based on a clause in the policy where the insurance
company promises to defend 'any proceeding . . . brought by any
governmental regulatory agency seeking non-pecuniary relief.' This
clause covers defense costs when regulatory agencies, like the
Securities and Exchange Commission, the Federal Trade Commission or the
state bar, seek civil relief, such as an injunction, suspension of a
license or disbarment. The proceedings the insurers were asked to defend
a grand jury investigation and subsequent criminal prosecution
were manifestly not 'brought' by a 'regulatory agency.'
They were brought by a federal grand jury and by
the Attorney General acting through the United States Attorney. Not even
appellant claims that the grand jury or the United States Attorney is a
regulatory agency." [Gregory S. Boodle v, Warble Insurance Company,
et al., 119 F.3d 1411, 1420 (9th Cir. 1997).] (Italics added]
This successful theft, with the aid of the Ninth
Circuit, came only three years before Bodell applied to have his license
reinstated. Bodell brought the action to the Ninth Circuit over the
heading of the law firm where he is employed as a "paralegal."
Bodell, in his application for reinstatement, brags he ghostwrote all of
the briefs.
Expert Testimony
I testified in Mr. Bodell's case as both an insurance fraud
expert and as a California lawyer urging the State Bar Court to refuse
to reinstate Mr. Bodell's license. He actively participated in the
second most effective and expensive insurance fraud scheme to strike the
insurance industry of the state of California. He perpetrated the crime,
consistently, from his first day as a member of the bar until he
resigned his license approximately eight years later. He lived a life of
luxury while committing the crime and seemed only to regret the loss of
an excessive life style when caught rather than remorse at his crime.
I tried to explain to the judge that the crime of
insurance fraud is relatively simple. That insurance fraud criminals,
when caught, suffer little punishment, and the temptation to return to
the crime is great. Mr. Bodell, a criminal, turned on his
coconspirators. He only spent six months in a halfway house. He only
made partial restitution. By devious legal work he convinced the Ninth
Circuit to force an insurer to pay the costs expended to defend the
charge of stealing from other insurers. He continued, in my opinion, his
criminal activity after his conviction. He couched the activity in a
correct form as did the Alliance and even if he fooled two of
three justices on the Ninth Circuit, he was still a criminal.
I told the court that giving Mr. Bodell his
license to practice law again and asking him to be honest and not commit
insurance fraud again was the same as giving a heroin addict a supply of
heroin and needles and asking the addict not to use the drug.
If totally rehabilitated, as he claims, both
Bodell or the addict would live an honest life. However once the stress
of life or legal practice got to them the addict would take the drug and
Mr. Bodell would revert to some form of insurance fraud.
In my opinion as a lawyer, any lawyer who uses his
license as the weapon in a fraud scheme as massive as that conducted by
the Alliance should never receive his license back. Conviction of
insurance fraud, by statute, requires automatic disbarment. It is a
crime of moral turpitude that cannot be forgiven. Lawyers make mistakes
that cause them to be disbarred. They can cure those errors and become
useful lawyers again.
A lawyer who uses his license as a weapon to steal
should never get it back any more than an armed robber should be allowed
a license to carry a weapon after he has served his term. If
rehabilitated, he can be a useful part of society by teaching young
lawyers the punishment that is meted out to those who use the license to
steal. If he is given his license back it will dishonor the State Bar of
California, the State Bar Court and every lawyer who works hard to earn
an honest living while serving their clients.
I don't know the result yet. I will report the
decision of the State Bar Court in a future issue.