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You are here: Home / Arbitration / Court Decisions / EIGHTH CIRCUIT REVERSES SUMMARY JUDGMENT DUE TO FACTUAL ISSUES REGARDING ELECTRONIC TRANSFER OF CLAIM DATA TO REINSURER

EIGHTH CIRCUIT REVERSES SUMMARY JUDGMENT DUE TO FACTUAL ISSUES REGARDING ELECTRONIC TRANSFER OF CLAIM DATA TO REINSURER

September 30, 2010 by Carlton Fields

The Eighth Circuit has reversed the district court’s entry of summary judgment that had disposed of the U.S. Government’s suit on behalf of the crop insurance reinsurer, Federal Crop Insurance Corporation (FCIC), against a crop insurance agent. The Government alleged various violations of provisions of the Federal Claims Act, including Section 3729(a)(1), which renders liable any person who knowingly “causes to be presented” to the United States Government a fraudulent claim for payment. The district court held that because the Government alleged that the agent “caused to be presented” fraudulent claims to the crop insurer and not the FCIC, the agent could not have caused fraudulent claims to be presented to the Government. Among other holdings, the Eighth Circuit held that a genuine issue of material fact existed as to whether the insurance agent “caused to be presented” fraudulent claims to the Government when the agent facilitated the submission of fraudulent claims to the insurer, which, in turn, transmitted the fraudulent claim data electronically to the FCIC. United States v. Hawley, No. 08-2992 (8th Cir. Aug. 23, 2010).

This post written by Michael Wolgin.

Filed Under: Arbitration / Court Decisions, Reinsurance Claims

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