Monthly Archives: March 2011

>Who Got Caught

>Recent convictions for insurance fraud soon to be reported in Zalma’s Insurance Fraud Letter: 75-Year-Old Retired Doctor Sentence to Two Years in Prison Dr. Fred Dweck, a retired chief of surgery at two Broward County, Florida hospitals, was sentenced Friday … Continue reading

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>CPSC and HUD Issue Updated Remediation Protocol for Homes with Problem Drywall

>PRESS RELEASE FROM CONSUMER PRODUCT SAFETY COMMISSION  WASHINGTON, D.C. – The U.S. Consumer Product Safety Commission (CPSC) and the U.S. Department of Housing and Urban Development (HUD) are issuing an updated remediation protocol (pdf) for homes with problem drywall. A … Continue reading

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>Just for Fun — A Heads I Win, Tails You Lose Story

> What a Great Country © 2011Barry Zalma ===== The story that follows is based on fact. It is, however, a work of fiction. The names, places and descriptions have been changed to protect the guilty. Any resemblance to real … Continue reading

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>Insurance Fraud Is Epidemic

>(c) 2011Barry Zalma Insurance fraud continually takes more money each year than it did the last from the insurance buying public. Estimates of the extent of insurance fraud in the United States range from $87 billion to $300 every year.In … Continue reading

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>False Swearing

> False Swearing is a Defense to an Insurance Claim The false swearing defense requires less evidence than the fraud defense. It gives the fraud investigator a basis for denial that is easier for a jury—the trier of fact— to … Continue reading

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>Arson for Profit

> Arson for Profit An E-Book Novel Only $5.00 © 2010 by Barry Zalma Have you ever wondered why people burn down their homes? Did they intend to defraud their insurer to profit from an unsaleable house? Were they about … Continue reading

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>24 Hour Jail Sentence for Multi-Million Dollar Crop Insurance Fraud

>Who Got Caught? In a case that provides more proof that it is worth stealing from a federal insurance program because it is fairly easy to run a false and fraudulent claim by the controllers and claims people and profit … Continue reading

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>CPSC and HUD Issue Updated Remediation Protocol for Homes with Problem Drywall

>WASHINGTON, D.C. – The U.S. Consumer Product Safety Commission (CPSC) and the U.S. Department of Housing and Urban Development (HUD) are issuing an updated remediation protocol (pdf) for homes with problem drywall. A study (pdf) conducted on behalf of CPSC … Continue reading

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>Zalma on California Claims Regulations — 2010

> Zalma on California Claims Regulations — 2010  Barry Zalma has updated and refined his seminal work on California Claims Regulations to be available for all insurers who must prove to the California Department of Insurance that all personnel have … Continue reading

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>Agent Independently Liable to Insured For False Statements on Application

> Agent Independently Liable to Insured For False Statements on Application The best practice for every insurance agent, insurance broker and insurance applicant is to always read every word of every document before signing the application. An applicant who embraces … Continue reading

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>Jury Finds Offer Days After Deadline — Reasonable — No Bad Faith

>As a result of a serious injury more valuable than available coverage a plaintiff’s lawyer made a policy limits demand on the responsible party’s insurer with a short time limit to accept or reject. The insurer accepted the offer plus … Continue reading

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>Failure to Cooperate Defeats Arson Fire Claim

>In Miles v. Great Northern Insurance Company; First Circuit, Nos. 10-1063, 10-1064 the First Circuit Court of Appeal defeated a claim of a claimed “innocent spouse” by finding she individually refused to fulfill the requirements of the insurance policy for … Continue reading

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>Health Insurance Fraud

>From Zalma’s Insurance Fraud Letter available free at http://www.zalma.com/ZIFL-CURRENT.htm: (c) 2011Barry Zalma 70 Month in Prison for $1.6 Million Medicare Fraud Mento Nnana Kaluanya, a 50-year-old Nigerian man living in Texas was  sentenced to almost six years in prison in … Continue reading

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>COINSURANCE

>    ©2011    Barry Zalma COINSURANCE     Coinsurance is an often misunderstood term and one that causes frequent dissatisfaction with insureds over claim settlements.    Most losses are partial losses.  It is rare that the entire building or amount of Covered Property … Continue reading

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>Just for Fun — A Heads I Win, Tails You Lose Story

>The Baseball Card Scam(c) 2011Barry Zalma The story that follows is based on fact. It is, however, a work of fiction. The names, places and descriptions have been changed to protect the guilty. Any resemblance to real people is purely … Continue reading

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>Depreciation – A Need for Direction

>     Depreciation – A Need for Direction (c) 2011 Barry Zalma A fire insurance appraisal is an inexpensive, quick, and effective method of resolving a dispute between insureds and insurers and has been the law of California and most … Continue reading

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>Failure to Comply with Conditions Precedent Defeats Bad Faith Action

>AN INSURER IS ENTITLED TO KNOW FROM THE INSURED WHAT THE INSURED CLAIMS In Hillery v. Allstate Indem. Co., 705 F.Supp.2d 1343 (2010) the District Court in Alabama found that an insured’s Failure to Comply with Conditions Precedent was sufficient … Continue reading

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>Joel M. Kunin, M.D. — RIP

>My friend, my brother-in-law, and a very good man passed away last night after a valorous battle with three different cancers. I first met Joel in the third grade and we were together daily until we went off to different … Continue reading

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