Fire! Why Arson-for-Profit is Dangerous
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The crime of arson is violent. Not only is property damaged, people die. Most arson fires are set for spite, anger, vengeance or spousal abuse. Approximately 25 per cent are set to defraud insurers. Fires set to defraud an insurer are called, by arson investigators, “arson for profit.”
Because most perpetrators do not understand uncontrolled fires, they believe arson is simple and risk free. The nascent arsonist believes all the evidence that might tie him to the crime will be consumed by the fire. He or she is mistaken.
Ben Standish was an arsonist who might have tried a less violent crime if he knew more about fire. Had he known that evidence will remain after the fire is extinguished by the fire fighters his house would not be a charred hulk. Had he known that it is difficult to avoid injury he would have filed a personal bankruptcy rather than use arson as a method to get out of debt.
Ben Standish was upside down on his mortgage and a balloon payment was due. The value of his house had decreased $200,000 in the last two years. He could not find a lender willing to lend him enough to cover the balloon payment which was $100,000 more than the fair market value of the house. He was desperate.
Ben decided that his only solution was to burn down his house and sell it to his insurance company. An honest man, faced with the shame of bankruptcy, decided that defrauding an insurance company was not criminal. He had paid them premiums for 10 years with no claims. They owed him.
Ben owned a shoe store. He was very successful and had no problem making the monthly payments on his $600,000 home loan. Ben Standish was cash poor. He couldn’t make up the difference between the amount a bank would lend and the amount he needed to pay the balloon payment. He had three weeks and, to his mind, no choice.
A graduate of Venice High School who had taken two business classes at Pasadena City College, Ben had no training, knowledge or background in the activities and uses of fire or flammable liquids. Ben had seen a movie on television called “Batteries Not Included” where a professional arsonist burned down an apartment building in the Bronx. Standish decided to emulate the person in the movie. A fire at his house would pay off the mortgage. His debt problem would be solved. He would then borrow the money needed to rebuild a house on the soon to be empty lot.
The day after his wife left for Atlanta, Ben rented, under the name George Johnson, a public storage unit approximately 12 feet by 10 feet. He carefully moved into that unit his jewelry, his wife’s jewelry (that she didn’t take to Atlanta), a new Sony 60-inch Plasma T.V., DVR and Surround Sound system. All the family DVDs. video tapes, photographs and accounting records that would be impossible to replace, he moved to the storage unit. When he was finished, the storage unit was filled. He purchased a separate policy through the facility to cover more than $150,000 of valuable goods and all of the private papers and photographs of the family he had stored at Public Storage unit.
Friday afternoon, after closing his shoe store, Ben visited his local Shell Service Station and filled a five-gallon can with gasoline. He went to the PayLess Drug Store and bought a package of balloons and at the Ace Hardware store next to the PayLess he purchased a carpenter’s staple gun.
The fire department arrived at the scene of the fire within minutes. Streams of water were placed on the scene and the fire was extinguished. Because of the flash of the explosion most of the balloons, Ben had stapled to the ceilings remained intact. The firefighters, expecting a simple residential fire sat down on the front steps and curb and shook with fear. They recognized that if one of those balloons had let loose it would have caused an explosion that could have killed any one or all of the firefighters. Their Captain, so angry at the danger his men had faced, was almost speechless as he called for an arson unit to come to the scene of the fire.
“It’s O.K. Orson. I’m calmed down now. But the sonofabitch hung balloons full of gasoline all over the ceiling. If we didn’t have the fire out immediately, we would have dead firefighters here on the grass. You’ve got to get the person who did this fire.”
“Have you done any overhaul, Captain?”
“No. As soon as the fire was out and no longer a danger to the rest of the neighborhood, I had the firefighters stand down and set up a security perimeter. No one has been in the house but the firefighters.”
Campizi grabbed his camera and slung it over his shoulder, pulled a shovel and a broom from his car trunk and walked into the house.
Four hours later Campizi had taken 72 photographs of the scene of the fire, collected four gasoline filled balloons, six one-gallon cans of cloth and carpeting Campizi believed were soaked in gasoline, a small plastic package with a label stating that it contained 10 “Happy Birthday” balloons. The bar-coded price tag was still visible and showed the balloons were purchased from a PayLess Drug Store.
The Captain, and two uniformed police officers stood next to the pumper drinking from Styrofoam cups what appeared to be coffee. As Campizi approached, they stood to attention anxiously awaiting his arrival. Behind the yellow tape there were 10 men in business suits holding clip boards. Campizi recognized them as solicitors for various firms of public insurance adjusters who seemed to appear at every fire scene. They were all talking to each other since the owner had yet to arrive.
“Mr. Standish, you are under arrest. I must inform you that you have the right to remain silent and refuse to answer any questions I pose to you; you have the right to have a lawyer present while I question you. Do you want to waive the rights I have just explained to you?”
“Sure, I will waive the rights. You’ve got me red-handed.”
“And those vultures trying to sign him up will get nothing.”
“Not really. They’ll find the mortgage holder and sign it up. Even when we prove Standish burned down his house his insurance company still must pay the mortgagee.”
“You’re kidding. You mean if he goes to jail, he still succeeds in getting out of the debt?”
“Yes. And you thought crime doesn’t pay.”
“Orson, I’ll never say anything bad about my insurance company again.”
ZALMA OPINON
Arson is the least effective and most dangerous method to defraud an insurer. Even a hot-burning gasoline fed arson for profit leaves physical evidence. A fire will seldom destroy everything.
(c) 2022 Barry Zalma & ClaimSchool, Inc.
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 practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 54 years in the insurance business. He is available at http://www.zalma.com and [email protected].
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Concurrent Cause Doctrine Does Not Apply When all Causes are Excluded
Post 5119
Death by Drug Overdose is Excluded
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Southern Insurance Company Of Virginia v. Justin D. Mitchell, et al., No. 3:24-cv-00198, United States District Court, M.D. Tennessee, Nashville Division (October 10, 2024) Southern Insurance Company of Virginia sought a declaratory judgment regarding its duty to defend William Mitchell in a wrongful death case pending in California state court.
KEY POINTS
1. Motion for Judgment on the Pleadings: The Plaintiff moved for judgment on the pleadings, which was granted in part and denied in part.
2. Duty to Defend: The court found that the Plaintiff has no duty to defend William Mitchell in the California case due to a specific exclusion in the insurance policy.
3. Duty to Indemnify: The court could not determine at this stage whether the Plaintiff had a duty to ...
GEICO Sued Fraudulent Health Care Providers Under RICO and Settled with the Defendants Who Failed to Pay Settlement
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Post 5119
Default of Settlement Agreement Reduced to Judgment
In Government Employees Insurance Company, Geico Indemnity Company, Geico General Insurance Company, and Geico Casualty Company v. Dominic Emeka Onyema, M.D., DEO Medical Services, P.C., and Healthwise Medical Associates, P.C., No. 24-CV-5287 (PKC) (JAM), United States District Court, E.D. New York (July 9, 2025)
Plaintiffs Government Employees Insurance Company and other GEICO companies (“GEICO”) sued Defendants Dominic Emeka Onyema, M.D. (“Onyema”), et al (collectively, “Defendants”) alleging breach of a settlement agreement entered into by the parties to resolve a previous, fraud-related lawsuit (the “Settlement Agreement”). GEICO moved the court for default judgment against ...
ZIFL – Volume 29, Issue 14
Post 5118
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You can read the full 20 page issue of the July 15, 2025 issue at https://lnkd.in/giaSdH29
THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
This issue contains the following articles about insurance fraud:
The Historical Basis of Punitive Damages
It is axiomatic that when a claim is denied for fraud that the fraudster will sue for breach of contract and the tort of bad faith and seek punitive damages.
The award of punitive-type damages was common in early legal systems and was mentioned in religious law as early as the Book of Exodus. Punitive-type damages were provided for in Babylonian law nearly 4000 years ago in the Code of Hammurabi.
You can read this article and the full 20 page issue of the July 15, 2025 issue at https://zalma.com/blog/wp-content/uploads/2025/07/ZIFL-07-15-2025.pdf
Insurer Refuses to Submit to No Fault Insurance Fraud
...
Rulings on Motions Reduced the Issues to be Presented at Trial
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CASE OVERVIEW
In Richard Bernier v. State Farm Mutual Automobile Insurance Company, No. 4:24-cv-00002-GMS, USDC, D. Alaska (May 28, 2025) Richard Bernier made claim under the underinsured motorist (UIM) coverage provided in his State Farm policy, was not satisfied with State Farm's offer and sued. Both parties tried to win by filing motions for summary judgment.
FACTS
Bernier was involved in an auto accident on November 18, 2020, and sought the maximum available UIM coverage under his policy, which was $50,000. State Farm initially offered him $31,342.36, which did not include prejudgment interest or attorney fees.
Prior to trial Bernier had three remaining claims against State Farm:
1. negligent and reckless claims handling;
2. violation of covenant of good faith and fair dealing; and
3. award of punitive damages.
Both Bernier and State Farm dispositive motions before ...
ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional
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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 ...