Mr. Biden & Mr. Putin: Exegetically Speaking Know Thy Self
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Zalma’s April 1, 2022, with no April Fools Jokes, provides information needed by every insurance claims and insurance fraud professional, all available FREE on line.
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Volume 26, Issue 7 – April 1, 2022, Subscribe to e-mail Version of ZIFL, it’s Free!Read last two issues of ZIFL here. Go to the Barry Zalma, Inc. web site here Videos from “Barry Zalma on YouTube” Go to Barry Zalma videos at Rumble.com at https://rumble.com/zalma
Quote of the Issue
“We Cannot Solve Our Problems with The Same Thinking We Used When We Created Them.”
Albert Einstein
Russian Immigrant Who was Convicted of Fraud Must Leave the U.S.
COMMIT INSURANCE FRAUD GO DIRECTLY TO JAIL AND THE BACK TO RUSSIA
Alexie Legassov, a convicted insurance fraud perpetrator, petitioned the USCA for review of a final order of removal and the denial of a motion to remand. In Alexei Legassov v. Attorney General United States of America, No. 21-2586, United States Court of Appeals, Third Circuit (February 24, 2022) the USCA decided it was time he returned to mother Russia.
FACTS
Legassov, a Russian citizen, has lived in the United States since 1993. In 2018, he was convicted in New Jersey of insurance fraud and operating a corporation for criminal purposes. He was sentenced to prison terms of four and five years, respectively, and ordered to pay over $1.2 million in restitution. After the Government initiated removal proceedings in 2019, an Immigration Judge (IJ) concluded that Legassov was removable as a noncitizen convicted of two or more offenses for which the aggregated sentences were five years or more and as a noncitizen convicted of a crime involving moral.
In August 2020, Legassov, proceeding pro se, applied for asylum, withholding of removal, and protection under the Convention Against Torture (CAT). At a hearing in January 2021, Legassov testified that he entered the United States due to fears relating to his father’s involvement in investigating the 1986 Chernobyl disaster. Although the official cause of his father’s death in 1988 was suicide, Legassov claimed that the Russian government had his father killed and he was warned to stop discussing that topic. Legassov stated that he was not harmed while in Russia, but he believed that the KGB initiated charges against him in 1996 after his departure and that he had been included on a wanted list.
The IJ ruled on several grounds that Legassov did not qualify for relief. In addition to making an adverse credibility finding, the IJ concluded that the one-year filing deadline barred the asylum application, and Legassov failed to provide a significantly changed circumstance to extend the time for filing. Even aside from the one-year bar, the IJ explained that he would deny asylum as a matter of discretion due to Legassov’s criminal history. The IJ likewise decided that Legassov had committed a “particularly serious crime” which rendered him ineligible for withholding of removal, and that Legassov did not qualify for CAT relief where he had not shown it would be more likely than not that he would be tortured upon his return to Russia. The IJ also denied voluntary departure.
On appeal, the BIA agreed with the IJ’s reasoning, rejected all grounds advanced in Legassov’s counseled brief, and dismissed the appeal. The BIA also denied a motion to remand because the evidence submitted did not rebut any of the IJ’s findings.
ANALYSIS
Notably, Legassov has not disputed that he is removable on the statutory grounds cited by the agency based on his criminal history (for committing a CIMT and for convictions of offenses carrying aggregated sentences of five or more years’ imprisonment). Also, he did not previously challenge the IJ’s conclusions that he was ineligible for asylum, withholding of removal, or CAT relief on appeal in the BIA; although he now claims, in very general terms, that he was eligible.
What remains are jurisdictional and due process arguments Legassov raised before, and the court rejected them for largely the same reasons the BIA did.
Legassov argues in his petition that the immigration court violated his due process rights by failing to adequately explain the proceedings or to develop the record. However, the record reveals no due process violation in Legassov’s proceedings.
the IJ explained to Legassov how he might retain an attorney and, after granting one continuance, the IJ was poised to grant another for Legassov to find an attorney. However, Legassov demurred and asked if the proceedings could move forward, and the IJ obliged. The IJ explained that Legassov would testify in support of his asylum application at the next hearing, and the IJ gave him time to submit documentation; Legassov did both. Legassov does not detail what else the IJ should have explained. Further, he has not shown that any deficiency prejudiced him, which is fatal to a due process claim.
Legassov did not show the requisite prejudice. In addition to the State Department report on country conditions in Russia in the record, the IJ considered statements of Legassov’s relatives and an article concerning the Russian opposition leader Alexei Navalny. Legassov does not state what other evidence that the IJ should have helped him obtain or how he was prejudiced by the absence of that material.
Finally, Legassov requested a remand so that his CAT claim could be considered in light of “new” evidence, including his birth certificate, articles about the Chernobyl disaster and his father, and articles about Russian intelligence activities. However, as the BIA explained, this evidence did not meaningfully address the shortcomings of his claims. Therefore, the BIA appropriately denied remand.
The BIA may deny a remand motion where the movant has not established prima facie eligibility for relief, fails to introduce previously unavailable, material evidence, or would not be entitled to discretionary relief even if the motion were granted.
Accordingly, the petition for review was denied.
ZIFL OPINION
In 1993 the United States allowed a Russian Criminal, Legassov, who was wanted by the then KGB, to enter the United States and enter into multiple state and federal crimes until he was finally caught, prosecuted and convicted and sentence to five years in a federal prison and an order to remove him from the U.S. back to Russia. He used the judicial system including appeals to the Third Circuit. He should never have been allowed in the U.S. and remaining in the U.S. violates the law as did his insurance fraud. He should be put on a plane and sent to the mercy of Vladamir Putin. Perhaps he will be conscripted into the Russian military.
Wisdom
“My mind rebels at stagnation... I abhor the dull routine of existence. I crave for mental exaltation.” – Sir Arthur Conan Doyle
“Truth is heavy, so few men carry it.” — Jewish saying
“Never assume the obvious is true.” — William Safire
“Learning is not attained by chance; it must be sought for with ardor and attended to with diligence.” – Abigail Adams
“All warfare is based on deception. There is no place where espionage is not used. Offer the enemy bait to lure him.” —Sun Tzu
“The simplest acts of kindness are by far more powerful than a thousand heads bowing in prayer.” ― Mahatma Gandhi
“I wish I could show you when you are lonely or in darkness the astonishing light of your own being.“ – Hafiz
“It is a fair, even-handed, noble adjustment of things, that while there is infection in disease and sorrow, there is nothing in the world so irresistibly contagious as laughter and good humor.” – Charles Dickens
“The foundation of national morality must be laid in private families.” —John Adams
“More tears are shed over answered prayers than unanswered ones.”– Teresa of Ávila
“Our doubts are traitors, and make us lose the good we oft might win, by fearing to attempt.“ – William Shakespeare
“We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home.” — Aboriginal Australian proverb
“Diligence is the mother of good fortune, and idleness — its opposite — never brought a man to the goal of any of his best wishes.” – Miguel de Cervantes
Pandemic Resulted in Less Workers’ Compensation Fraud Claims
New York State Inspector General Lucy Lang on released the 2021 Workers Compensation Fraud Annual Report, publishing results on workers’ compensation claims and fraud investigation results last year.
With New Yorkers beginning to come back to work, new workers’ compensation claims rose slightly in 2021 but continued to be reported at more than 18% lower than pre-pandemic levels, according to the report.
Additionally, while courts across New York State reopened in 2021, a significant backlog caused by closures during the pandemic resulted in the limitation or delay of criminal proceedings and the presentation of new cases to grand juries by district attorneys throughout the state, according to the IG.
Investigations conducted by the WCFIG led to criminal prosecutions resulting in seven arrests, including one arrest involving a provider/professional matter, four involving employer matters and two involving claimant matters.
Additionally, through completed prosecutions in 2021, WCFIG’s investigations facilitated the recovery of hundreds of thousands of dollars in fines and orders of restitution for New York State agencies, insurers including the New York State Insurance Fund and private insurers, and self-insured employers that were the victims of workers compensation fraud.
In 2021, WCFIG received 1,118 fraud complaints in total and dismissed 492 matters as unsubstantiated.
Even if no one was working in a job where they could be hurt, seven arrests, and the recovery of some money, is a woefully bad result for the insurance fraud investigators and prosecutors. A pandemic is no excuse for not arresting and convicting more than 600 fraud complaints that were not unsubstantiated. The workers’ compensation insurance industry in New York should be ashamed for only filing 1,118 fraud complaints, almost 500 of which were unsubstantiated. Since New York releases violent criminals with no bail to offend again ZIFL shouldn’t be surprised at the weak results.
Free Insurance Videos
Barry Zalma, Esq., CFE has published five days a week videos on insurance claims, insurance claims law, insurance fraud and insurance coverage matters at
Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He also serves as an arbitrator or mediator for insurance related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 52 years in the insurance business. He is available at
and [email protected].
Mr. Zalma is the first recipient of the first annual Claims Magazine/ACE Legend Award.
Over the last 53 years Barry Zalma has dedicated his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following library of books and other materials to make it possible for insurers and their claims staff to become insurance claims professionals.
See the more than 388 videos at https://www.rumble.com/zalma
“Insurance Fraud – Volume I & Volume II, Second Edition” Now Available
Insurance fraud continually takes more money each year than it did the last from the insurance buying public. No one knows the actual amount with any certainty because most attempts at insurance fraud succeed. Estimates of the extent of insurance fraud in the United States range from $87 billion to more than $300 billion every year. Insurers and government backed pseudo-insurers can only estimate the extent they lose to fraudulent claims. Lack of sufficient investigation and prosecution of insurance criminals is endemic. Most insurance fraud criminals are not detected. Those that are detected do so because they became greedy, sloppy and unprofessional so that the attempted fraud becomes so obvious it cannot be ignored.
No one will ever be able to place an exact number on the amount lost to insurance fraud. Everyone who has looked at the issue knows – whether based on their heart, their gut or empirical fact determined from convictions for the crime of insurance fraud – that the number is enormous. When insurers and governments put on a serious effort to reduce the amount of insurance fraud the number of claims presented to insurers and the pseudo-government-based or funded insurers drops logarithmically.
When insurers and governments put on a serious effort to reduce the amount of insurance fraud the number of claims presented to insurers and the pseudo-government-based or funded insurers drops logarithmically. The effort to stop insurance fraud against Medicare and Medicaid has increased in recent years. This book contains appellate decisions regarding insurance fraud from federal and state appellate courts across the country and full text of many insurance fraud statutes. It is available as both a legal research tool and a product to assist insurers, insurance company personnel, independent insurance adjusters, special investigation unit investigators, state fraud investigators and insurance lawyers to become effective persons involved in the attempt to defeat or reduce the effect of insurance fraud.
See the full issue of ZIFL at
Jury’s Findings Interpreting Insurance Contract Affirmed
Post 5105
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Madelaine Chocolate Novelties, Inc. (“Madelaine Chocolate”) appealed the district court’s judgment following a jury verdict in favor of Great Northern Insurance Company (“Great Northern”) concerning storm-surge damage caused by “Superstorm Sandy” to Madelaine Chocolate’s production facilities.
In Madelaine Chocolate Novelties, Inc., d.b.a. The Madelaine Chocolate Company v. Great Northern Insurance Company, No. 23-212, United States Court of Appeals, Second Circuit (June 20, 2025) affirmed the trial court ruling in favor of the insurer.
BACKGROUND
Great Northern refused to pay the full claim amount and paid Madelaine Chocolate only about $4 million. In disclaiming coverage, Great Northern invoked the Policy’s flood-exclusion provision, which excludes, in relevant part, “loss or damage caused by ....
Failure to Name a Party as an Additional Insured Defeats Claim
Post 5104
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Contract Interpretation is Based on the Clear and Unambiguous Language of the Policy
In Associated Industries Insurance Company, Inc. v. Sentinel Insurance Company, Ltd., No. 23-CV-10400 (MMG), United States District Court, S.D. New York (June 16, 2025) an insurance coverage dispute arising from a personal injury action in New York State Supreme Court.
The underlying action, Eduardo Molina v. Venchi 2, LLC, et al., concerned injuries allegedly resulting from a construction accident at premises owned by Central Area Equities Associates LLC (CAEA) and leased by Venchi 2 LLC with the USDC required to determine who was entitled to a defense from which insurer.
KEY POINTS
Parties Involved:
CAEA is insured by Associated Industries Insurance Company, Inc. ...
Exclusion Establishes that There is No Duty to Defend Off Site Injuries
Post 5103
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Attack by Vicious Dog Excluded
In Foremost Insurance Company, Grand Rapids, Michigan v. Michael B. Steele and Sarah Brown and Kevin Lee Price, Civil Action No. 3:24-CV-00684, United States District Court, M.D. Pennsylvania (June 16, 2025)
Foremost Insurance Company (“Foremost”) sued Michael B. Steele (“Steele”), Sarah Brown (“Brown”), and Kevin Lee Price (“Price”) (collectively, “Defendants”). Foremost sought declaratory relief in the form of a declaration that
1. it owes no insurance coverage to Steele and has no duty to defend or indemnify Steele in an underlying tort action and
2. defense counsel that Foremost has assigned to Steele in the underlying action may withdraw his appearance.
Presently before the Court are two ...
ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional
See the full video at https://lnkd.in/gK_P4-BK and at https://lnkd.in/g2Q7BHBu, and at https://zalma.com/blog and at https://lnkd.in/gjyMWHff.
Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the May 15, 2025 issue at http://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-05-15-2025.pdf
This issue contains the following articles about insurance fraud:
Health Care Fraud Trial Results in Murder for Hire of Witness
To Avoid Conviction for Insurance Fraud Defendants Murder Witness
In United States of America v. Louis Age, Jr.; Stanton Guillory; Louis Age, III; Ronald Wilson, Jr., No. 22-30656, United States Court of Appeals, Fifth Circuit (April 25, 2025) the Fifth Circuit dealt with the ...
Professional Health Care Services Exclusion Effective
Post 5073
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This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.
In Travelers Casualty Insurance Company Of America v. New Mexico Bone And Joint Institute, P.C.; American Foundation Of Lower Extremity Surgery And Research, Inc., a New Mexico Corporation; Riley Rampton, DPM; Loren K. Spencer, DPM; Tervon Dorsey, individually; Kimberly Dorsey, individually; and Kate Ferlic as Guardian Ad Litem for K.D. and J.D., minors, No. 2:24-cv-0027 MV/DLM, United States District Court, D. New Mexico (May 8, 2025) the Magistrate Judge Recommended:
Insurance Coverage Dispute:
Travelers issued a Commercial General Liability ...
A Heads I Win, Tails You Lose Story
Post 5062
Posted on April 30, 2025 by Barry Zalma
"This is a Fictionalized True Crime Story of Insurance Fraud that explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is designed to help everyone to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the Perpetrators than any Other Crime."
Immigrant Criminals Attempt to Profit From Insurance Fraud
People who commit insurance fraud as a profession do so because it is easy. It requires no capital investment. The risk is low and the profits are high. The ease with which large amounts of money can be made from insurance fraud removes whatever moral hesitation might stop the perpetrator from committing the crime.
The temptation to do everything outside the law was the downfall of the brothers Karamazov. The brothers had escaped prison in the old Soviet Union by immigrating to the United...