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The SEC Reminds Us: An Ounce of Prevention is Worth a Pound of Cure

Posted: November 20th, 2015

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On November 4, 2015, Andrew Ceresney, the head of the Security and Exchange Commission’s (“SEC”) enforcement division, delivered the keynote address to the National Society of Compliance Professionals’ annual meeting.  The key takeaway from Mr. Ceresney’s remarks is that is the compliance function—and specifically the role of the Chief Compliance Officer (“CCO”)—is more important than ever in today’s highly regulated economy, and companies that short-change or ignore this function do so at their own peril.

In speaking to this gathering of compliance professionals, Mr. Ceresney explained that “the Commission is in your corner . . . and . . . you must be provided with the resources and support necessary to succeed.”  Recent SEC enforcement actions support this position.

Compliance personnel may be held liable for security law violations, but this is a rare case.  The SEC more often will charge business executives for compliance failures.  Earlier this year, in Pekin Singer, the SEC suspended an advisory’s firm’s former president for 12 months after he consistently ignored pleas for help from the firm’s CCO.  In 2013, in the Carl Johns enforcement action, the SEC filed its first-ever charge against an individual for misleading and obstructing a CCO.  According to Mr. Ceresney, the SEC “will aggressively pursue business line personnel and firms who mislead or deceive [compliance officers], or obstruct the compliance function, or who fail to support [them] in a manner that causes compliance violations.”

The SEC understands that the poorer the state of a firm’s compliance function, the more likely they are to engage in misconduct and face sanctions.  Mr. Ceresney believes that “you can predicate a lot about the likelihood of an enforcement action by asking a few simple questions about the role of the company’s compliance department in the firm.”  Are compliance personnel included in critical business decisions?  Are their views are sought and, more importantly, followed?  How visible is the compliance function to the Board of Directors and does the CCO report directly to a company’s CEO?  Does the company provide its compliance function with the resources and personnel necessary to get the job done correctly?

Mr. Ceresney’s remarks were geared toward financial services companies.  His message, however, should be heard loud and clear by companies in all sectors, especially those subject to anti-money laundering regulations, the Foreign Corrupt Practices Act, and other complex laws challenging today’s compliance professionals.  As far as the U.S. government is concerned, the compliance function is no longer a corporate backwater to be thought of only as a cost center.  Compliance is now a C-suite function that must be supported by the entire organization.

The information contained in this article is provided for informational purposes only and is not and should not be construed as legal advice on any subject matter. The firm provides legal advice and other services only to persons or entities with which it has established an attorney-client relationship.

Pay Your Attorney Now: Supreme Court Considers Legality of Seizing Untainted Money

Posted: November 20th, 2015

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The headline is not just shameless attorney self-promotion, but in fact reflects sound advice to anyone or any company facing a government investigation.  More often than not, the U.S. Attorney’s Office seizes a defendant’s assets at the same time he is placed under arrest.  In these cases, the defendant not only finds himself under arrest facing charges, but also unable to use any of his own money to hire a defense attorney of his choice to fight the charges.

This practice began in the 1970s and was ultimately sanctioned in the Supreme Court case of United States v. Monsanto, 491 U.S. 600 (1989).  Under Monsanto, the pretrial seizure of assets a defendant wishes to use to hire a defense attorney is acceptable so long as probable cause exists to believe the property will ultimately be proved forfeitable.  Probable cause is already determined by a judge who signs an arrest complaint, or by a grand jury that hands up an indictment.  Thus, federal prosecutors will start a prosecution with the ability to seize a defendant’s assets from the very beginning.  The clear advantage they gain with this tactic is devastating.

Challenges to the tactic have thus far been unsuccessful.  Last year, the Supreme Court decided Kaley v. United States, __U.S.__, 134 S.Ct. 1090 (2014), in which it rejected the defendants’ request to hold a hearing post-indictment on whether the assets the grand jury indicted as tainted assets were indeed tainted.  In its decision, the Court held that the grand jury already decided that probable cause existed to seize the assets, so revisiting the issue at a post-indictment hearing would have “strange and destructive consequences.”

As if these two Supreme Court cases don’t seem unbelievably unfair to a defendant who is “innocent until proven guilty,” last week the Court heard arguments in Luis v. United States, 14-419.  In a twist from Monsanto and Kaley, the Luis Court considered the question of whether seizure of a defendant’s untainted assets needed to retain counsel of choice in a criminal case violates the Fifth and Sixth Amendments.  The defendant in Luis was charged with Medicare fraud, and the government seized her assets.  She then sued for the right to use $15 million of her own money that all sides agree is not connected to any criminal activity in order to defend herself.  She has been denied that right.

Shockingly, comments from the justices, including Chief Justice Roberts, implied that whether assets are tainted should not matter.  He said, “I just don’t understand that if you can freeze the assets despite the Sixth Amendment when they’re tainted, why it’s not the same rule when they’re untainted.”

Justice Kennedy commented that, “This would, in effect, prevent the private bar from practicing law unless it did so on a contingent basis.”

The lesson here is this: pay your attorney early to ensure you have retained your counsel of choice the moment you learn that you are under investigation.  This will always present ethical challenges.  Consider Clarence Darrow, the legendary attorney as portrayed by Arthur Miller in his play “All Too Human.”  In the play, a client promises to pay his bill with ill-gotten gains, to which Darrow answers, “I told him I could never accept money that was stolen.  So recently.”

An attorney cannot legally or ethically help a client launder money or hide ill-gotten gains, but if a client retains counsel early in an investigation, it maximizes the chance that the attorney may get paid, and thus be available to defend the client in an ensuing prosecution.  Early retention may also allow an attorney to enforce or draft compliance plans to address the shortcoming under investigation, or to conduct an internal investigation that could convince the government that the controversy is civil, not criminal.

It remains to be seen what will happen to criminal defense if the Supreme Court decides in Luis that the government can seize even untainted assets at the beginning of a prosecution.

The information contained in this article is provided for informational purposes only and is not and should not be construed as legal advice on any subject matter. The firm provides legal advice and other services only to persons or entities with which it has established an attorney-client relationship.

Healthcare Providers with Health Republic Patients Must Act Now to Protect Ability to Receive Payment

Posted: November 20th, 2015

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Healthcare providers must proactively pursue timely payments under New York’s Prompt Pay Law and conduct credentialing verification to protect their income in the wake of the Health Republic insurance company closing.

In October 2015, the New York State Department of Financial Services (DFS) announced that Health Republic would halt coverage at the end of November 2015 due to its risk of insolvency.  This announcement started a scramble among healthcare providers.  The state Healthcare Association, an industry group representing hospitals, estimates that hospitals alone are owed at least $160 million from Health Republic.

Newsday reported that the DFS has told Magnacare that payments for many services “are on hold to conserve assets.”  While payments are placed on hold, healthcare providers are still obligated to provide services.  As a result, many providers, like Mariwalla Dermatology in West Islip, will continue to provide care, but only if its Health Republic patients pay out of pocket.  According to the practice manager, the most recent payments received from Health Republic are from February, representing a potentially serious crisis.[1]

Kemp Hannon (R-Garden City), chair of the Health Committee in the New York State Senate, has pledged to urge passage of legislation creating a funding pool from which providers can recover payments from insolvent health insurers, given the Health Republic crisis.

Healthcare providers should protect their right and ability to receive payments now.  New York’s Prompt Pay Law, Insurance Law Section 3224-a, requires an insurer to pay undisputed claims within 30 days after receipt of an electronic submission or within 45 days after receipt by other means.  Failure to pay promptly renders an insurer liable for payment of the full amount of the claim plus 12 percent interest per annum.  Thankfully for providers, a 2014 case, Maimonides Med. Ctr. v. First United Am. Life Ins.  Co., 116 A.D.3d 207 (2d Dept. 2014), held that healthcare providers possess an implied private right of action to sue under the Prompt Pay Law.  This means that, contrary to earlier court holdings, doctors can sue an insurer directly if the insurer fails to comply with the Prompt Pay Law deadlines.  Healthcare providers should take full advantage of this fact in order to protect their ability to receive payment for outstanding Health Republic claims as it prepares to shut down November 30.

Additionally, providers should confirm their credentialing status with Fidelis, Excellus BlueCross Blue Shield, and MVP Health Care.  These three insurers will be absorbing the 200,000 plus Health Republic members pursuant to assignment from New York DFS.  If Health Republic members do not sign up for alternate coverage, the DFS will automatically enroll them in one of these three insurers.  Therefore, healthcare providers who presently have a significant Health Republic patient base will want to make sure they can keep these patients as they are moved into the other plans.

Providers with questions about remedies to pursue payment from Health Republic or about their credentialing status in the other plans should feel free to contact us for assistance.

[1] “NY State puts hold on processing Health Republic medical insurance claims,” Newsday, November 12, 2015, last accessed on November 13, 2015 at [http://www.newsday.com/news/health/health-republic-medical-insurance-claims-processing-put-on-hold-by-new-york-state-1.11117985].

The information contained in this article is provided for informational purposes only and is not and should not be construed as legal advice on any subject matter. The firm provides legal advice and other services only to persons or entities with which it has established an attorney-client relationship.

Client Advisory: NYC’s “Ban the Box” Legislation Now in Effect

Posted: November 20th, 2015

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Joining state and local jurisdictions across the country, New York City has enacted a “Ban the Box” law that limits employers’ inquiries into the criminal background of job applicants and imposes stringent requirements on employers who intend to make hiring decisions based on such information.

The Fair Chance Act, effective as of October 27, 2015, prohibits employers who are based in NYC or otherwise have employees in NYC from asking candidates about their pending arrests or criminal convictions until after extending a conditional offer of employment.  Further, employers are restricted from publishing job postings that state or imply that a person with a criminal record is automatically ineligible for the position.

An NYC employer who chooses to inquire about an applicant’s criminal history at that time faces strict requirements.  An employer cannot take adverse employment action against the applicant before:

  • Providing a written copy of the inquiry to the applicant in a manner to be determined by the NYC Commission on Human Rights;
  • Performing an analysis of the applicant pursuant to the New York State Correction Law (discussed below) and providing a written copy of the analysis to the applicant specifying the basis for the adverse employment action; and
  • Giving the applicant at least three business days to respond, during which time the position must be held open.

The Fair Chance Act incorporates the New York State Correction Law, which already prohibits employment discrimination against candidates with criminal backgrounds and requires employers in New York State to consider the following factors when evaluating a prospective employee with a criminal background:

  1. New York State’s public policy to encourage the employment of individuals with prior criminal convictions
  2. The duties of the position
  3. The bearing of the criminal offense(s) on the applicant’s fitness to perform those duties
  4. The amount of time that has passed since the offense(s) occurred
  5. The applicant’s age at the time of the offense(s)
  6. The seriousness of the offense(s)
  7. Any information produced by or for the applicant regarding his or her rehabilitation and good conduct
  8. The employer’s interest in protecting property and ensuring safety

An exception to the Fair Chance Act applies when the employer is required by federal, state, or local law to conduct criminal background checks or to hire only those applicants who pass certain screening requirements.  Applicants for employment as police officers and in certain city departments and agencies are also not covered by the law.   The Act also specifies that it is not intended to prevent an employer from taking adverse action against an employee or denying employment to an applicant for reasons other than criminal background history.

The information contained in this article is provided for informational purposes only and is not and should not be construed as legal advice on any subject matter. The firm provides legal advice and other services only to persons or entities with which it has established an attorney-client relationship.

Can an E-mail Exchange Create a Binding Contract?

Posted: November 20th, 2015

Published In: The Suffolk Lawyer

By Patrick McCormick

Can an e-mail exchange create a binding contract?

The short answer is yes!

With the proliferation of electronic communications, it is not surprising that courts are increasingly called upon to address claims alleging the creation of a binding contract based upon an exchange of e-mails.

The Appellate Division, Second Department recently held that e-mail communications between parties were sufficient to create a binding contract.  Law Offs. of Ira H. Leibowitz v. Landmark Ventures, Inc., 131 A.D.3d 583, 15 N.Y.S.3d 814 (2d Dep’t 2015) involved breach of contract claims related to services provided by the plaintiff.  In examining e-mail communications between the parties, the Court found “[b]y the plain language employed” by the parties in e-mail communications, it was clear that the plaintiff made an offer to provide services for a certain fee and that the defendant accepted the offer, creating a binding contract.

The Appellate Division, Third Department addressed a similar situation in the recent case In re Estate of Wyman, 128 A.D.3d 1157, 8 N.Y.S.3d 493 (3d Dep’t 2015).  The decedent and the respondent purchased an improved parcel of real property.  After the decedent’s death, her executor commenced a proceeding against the respondent to turn over ownership of the entire parcel to the estate, claiming that a series of e-mails between the decedent and respondent had created an enforceable contract to transfer sole ownership of the property to decedent.  Upon examining the e-mails, the Appellate Division found that there was no contract because the e-mails did not establish a necessary term of the claimed contract: the price to be paid for the transfer of the property.  It appears from this decision that if the e-mails in question contained evidence of an agreement on price, the Court would have found a binding and enforceable contract in the e-mail exchange.

While communicating by e-mail may seem informal, these cases make clear that parties to an e-mail exchange must exercise care to avoid unintentionally creating a binding contract.  An otherwise valid contract cannot be undone simply by concluding with “Sent from my iPhone.”

Best of Long Island 2016 – VOTE NOW!

Posted: November 9th, 2015

BOLI 2016

October 1, 2015

The Long Island Press Bethpage Best of Long Island Awards nomination period is over, the voting is OPEN, and we’re on the ballot again!

As the winners of 2 “Bethpage Best of Long Island 2015” awards, for CMM and Joe Campolo, we’re honored to be in the running again. Please take a moment to vote for us, to help us maintain our title.

VOTE HERE!

 

McCormick and Basso Receive Leadership in Law Awards

Posted: November 6th, 2015

CMM congratulates Patrick McCormick and Jeffrey Basso on being selected to receive the 2015 “Leadership in Law” Awards. They will be honored at a gala dinner hosted by the Long Island Business News on Thursday, November 19, 2015 at Crest Hollow Country Club in Woodbury.

Patrick McCormick will receive the Partner Award.  Head of the firm’s commercial litigation and appellate practice groups, he received his J.D. from St. John’s University School of Law and his undergraduate degree from Fordham University.  Mr. McCormick serves as President of Child Abuse Prevention Services (CAPS) and as a member of the Board of Directors for Developmental Disabilities Institute (DDI).

Jeffrey Basso will receive the Associate Award.  A senior associate in the firm’s commercial litigation and labor and employment groups, Mr. Basso is also an Advisory Board member of Ronald McDonald House of Long Island.  He is a graduate of St. John’s University School of Law and the University of Delaware.

Long Island Business News created the “Leadership in Law” Awards to recognize individuals whose leadership, both in the legal profession and in the community, has had a positive impact on Long Island.

Alessi Named Innovate LI’s Innovator of the Year 2015

Posted: November 6th, 2015

CMM is proud to announce that Marc Alessi, Esq. was honored with an Innovator of the Year Award by Innovate Long Island, which MAlessi web resizerecognizes Long Island’s best and brightest ideas. Marc’s lifelong passion for entrepreneurship earned him an honor in the Biotech category for his launch of SynchroPet, a biomedical device company that has licensed three patents from Brookhaven National Lab for a new way to build P.E.T. (positron emission tomography) devices for both small animal and human medical imaging.  The inaugural Innovator Awards breakfast was held on October 21 at Crest Hollow Country Club in Woodbury.

Of counsel to CMM, Marc focuses his practice on corporate law and real estate, assisting small to mid- sized companies and the entrepreneurs that run them.  His advice to clients stems from his own experience navigating Long Island’s entrepreneurial ecosystem: he has helped launch and finance a number of early stage companies across a variety of industries, including biotechnology, information technology, construction, and real estate.  Marc is a founding member of the Hamptons Angel Network and a member of the Long Island Angel Network, previously serving as the executive director and a board member.  He also helped establish Accelerate Long Island, of which SynchroPet is a portfolio company.  Now Chairman and Founding CEO of SynchroPet, Marc raised the angel round of funding and built the team that is bringing the company’s first devices to the marketplace.

“I find it very gratifying to now have the experience to take an idea and help make it a product and build a business around it,” Marc says.  “To have the power to take something from all talk to all action and build wealth from it – it’s an empowering place to be.”