Zalma on Insurance
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Insurance Claims professional presents articles and videos on insurance, insurance Claims and insurance law for insurance Claims adjusters, insurance professionals and insurance lawyers who wish to improve their skills and knowledge. Presented by an internationally recognized expert and author.
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May 23, 2022
True Crime of Insurance Fraud Video Number 78

Fire! Why Arson-for-Profit is Dangerous

Read the full article at https://lnkd.in/gu7GS9cr and see the full video at https://lnkd.in/gPEKpb7D and at https://lnkd.in/gpRbp_u4 and at https://zalma.com/blog plus more than 4200 posts.

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].

Subscribe to Zalma on Insurance at locals.com https://zalmaoninsurance.local.com/subscribe.

Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome.

Write to Mr. Zalma at [email protected]; http://www.zalma.com; http://zalma.com/blog; daily articles are published at https://zalma.substack.com.

Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma; Follow Mr. Zalma on Twitter at https://twitter.com/bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/

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February 21, 2025
No Coverage for Criminal Acts

Concealing a Weapon Used in a Murder is an Intentional & Criminal Act

Post 5002

Read the full article at https://lnkd.in/gmacf4DK, see the full video at https://lnkd.in/gav3GAA2 and at https://lnkd.in/ggxP49GF and at https://zalma.com/blog plus more than 5000 posts.

In Howard I. Rosenberg; Kimberly L. Rosenberg v. Chubb Indemnity Insurance Company Howard I. Rosenberg; Kimberly L. Rosenberg; Kimberly L. Rosenberg; Howard I. Rosenberg v. Hudson Insurance Company, No. 22-3275, United States Court of Appeals, Third Circuit (February 11, 2025) the Third Circuit resolved whether the insurers owed a defense for murder and acts performed to hide the fact of a murder and the murder weapon.

FACTUAL BACKGROUND

Adam Rosenberg and Christian Moore-Rouse befriended one another while they were students at the Community College of Allegheny County. On December 21, 2019, however, while at his parents’ house, Adam shot twenty-two-year-old Christian in the back of the head with a nine-millimeter Ruger SR9C handgun. Adam then dragged...

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February 20, 2025
Electronic Notice of Renewal Sufficient

Renewal Notices Sent Electronically Are Legal, Approved by the State and Effective
Post 5000

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Washington state law allows insurers to deliver insurance notices and documents electronically if the party has affirmatively consented to that method of delivery and has not withdrawn the consent. The Plaintiffs argued that the terms and conditions statement was not “conspicuous” because it was hidden behind a hyperlink included in a single line of small text. The court found that the statement was sufficiently conspicuous as it was bolded and set off from the surrounding text in bright blue text.

In James Hughes et al. v. American Strategic Insurance Corp et al., No. 3:24-cv-05114-DGE, United States District Court (February 14, 2025) the USDC resolved the dispute.

The court’s reasoning focused on two main points:

1 whether the ...

00:09:18
February 19, 2025
Post Procurement Fraud Prevents Rescission

Rescission in Michigan Requires Preprocurement Fraud
Post 4999

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Lie About Where Vehicle Was Garaged After Policy Inception Not Basis for Rescission

This appeal turns on whether fraud occurred in relation to an April 26, 2018 renewal contract for a policy of insurance under the no-fault act issued by plaintiff, Encompass Indemnity Company (“Encompass”).

In Samuel Tourkow, by David Tourkow v. Michael Thomas Fox, and Sweet Insurance Agency, formerly known as Verbiest Insurance Agency, Inc., Third-Party Defendant-Appellee. Encompass Indemnity Company, et al, Nos. 367494, 367512, Court of Appeals of Michigan (February 12, 2025) resolved the claims.

The plaintiff, Encompass Indemnity Company, issued a no-fault insurance policy to Jon and Joyce Fox, with Michael Fox added as an additional insured. The dispute centers on whether fraud occurred in...

00:07:58
February 07, 2025
From Insurance Fraud to Human Trafficking

Insurance Fraud Leads to Violent Crime
Post 4990

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CRIMINAL CONDUCT NEVER GETS BETTER

In The People v. Dennis Lee Givens, B330497, California Court of Appeals, Second District, Eighth Division (February 3, 2025) Givens appealed to reverse his conviction for human trafficking and sought an order for a new trial.

FACTS

In September 2020, Givens matched with J.C. on the dating app “Tagged.” J.C., who was 20 years old at the time, had known Givens since childhood because their mothers were best friends. After matching, J.C. and Givens saw each other daily, and J.C. began working as a prostitute under Givens’s direction.

Givens set quotas for J.C., took her earnings, and threatened her when she failed to meet his demands. In February 2022, J.C. confided in her mother who then contacted the Los Angeles Police Department. The police ...

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February 06, 2025
No Mercy for Crooked Police Officer

Police Officer’s Involvement in Insurance Fraud Results in Jail
Post 4989

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Von Harris was convicted of bribery, forgery, and insurance fraud. He appealed his conviction and sentence. His appeal was denied, and the Court of Appeals upheld the conviction.

In State Of Ohio v. Von Harris, 2025-Ohio-279, No. 113618, Court of Appeals of Ohio, Eighth District (January 30, 2025) the Court of Appeals affirmed the conviction.

FACTUAL BACKGROUND

On January 23, 2024, the trial court sentenced Harris. The trial court sentenced Harris to six months in the county jail on Count 15; 12 months in prison on Counts 6, 8, 11, and 13; and 24 months in prison on Counts 5 and 10, with all counts running concurrent to one another for a total of 24 months in prison. The jury found Harris guilty based on his involvement in facilitating payments to an East Cleveland ...

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February 05, 2025
EXCUSABLE NEGLECT SUFFICIENT TO DISPUTE ARBITRATION LATE

Read the full article at https://lnkd.in/gRyw5QKG, see the full video at https://lnkd.in/gtNWJs95 and at https://lnkd.in/g4c9QCu3, and at https://zalma.com/blog.

To Dispute an Arbitration Finding Party Must File Dispute Within 20 Days
Post 4988

EXCUSABLE NEGLECT SUFFICIENT TO DISPUTE ARBITRATION LATE

In Howard Roy Housen and Valerie Housen v. Universal Property & Casualty Insurance Company, No. 4D2023-2720, Florida Court of Appeals, Fourth District (January 22, 2025) the Housens appealed a final judgment in their breach of contract action.

FACTS

The Housens filed an insurance claim with Universal, which was denied, leading them to file a breach of contract action. The parties agreed to non-binding arbitration which resulted in an award not

favorable to the Housens. However, the Housens failed to file a notice of rejection of the arbitration decision within the required 20 days. Instead, they filed a motion for a new trial 29 days after the arbitrator’s decision, citing a clerical error for the delay.

The circuit court ...

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