SDNY Finds Coverage for Payment Instruction Fraud Loss
Corporate Insurance Law columnists Howard B. Epstein and Theodore A. Keyes discuss a recent case where the Southern District ruled in favor of an insured that lost funds paid by an employee to a fraudster impersonating a company executive, finding coverage under both the Computer Fraud and the Funds Transfer Fraud sections within the Crime Coverage of the Executive Protection insurance policy.
September 19, 2017 at 02:05 PM
11 minute read
A fraudster impersonating either a company executive or an outside vendor communicates a request for funds, usually by email, to an employee with the authority or ability to perform the transaction. Too often, the employee falls for the scheme, fails to verify the request and the money is long gone by the time the company discovers that it has been defrauded. Call it what you will—payment instruction fraud, social engineering fraud, imposter fraud, vendor fraud, fake president fraud, business email compromise scam—there are many labels for the conduct and an even larger variety of schemes through which criminals have sought to defraud companies by persuading employees to unwittingly transfer company funds to accounts controlled by the criminals.
Where the lost funds are significant, companies have sought to recover the loss from their insurers under the computer fraud coverage section of their crime insurance policies. These insurance claims have sprouted a series of lawsuits across the country between the insurance companies and their insureds. Typically, the insurers have denied the claims if the use of the computer in the scheme was limited simply to communication by email. The insurers have taken the position that computer fraud coverage does not respond unless there is some computer activity integral to the scheme—such as hacking or other infiltration of the computer system—above and beyond mere email communications from the fraudster to the company employees. Court decisions have been less than a model of consistency, in part because the governing policy language can vary from policy to policy.
In late July, the Southern District addressed an insurance dispute over loss incurred due to a payment instruction fraud. In Medidata Solutions v. Federal Insurance, 2017 WL 3268529 (S.D.N.Y. July 21, 2017), the Southern District ruled in favor of the insured, finding coverage under both the Computer Fraud and the Funds Transfer Fraud sections within the Crime Coverage of the Executive Protection insurance policy. In so ruling, the district court relied on the specific details of the scheme as well as the specific language of the insurance policy.
Medidata Is Defrauded
Medidata Solutions provides cloud-based services for the use and storage of data related to clinical trials. In the summer of 2014, Medidata notified its finance department that its short-term business plan included a possible acquisition and that personnel should be prepared to assist with “significant transactions on an urgent basis.” Id.
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