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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September 05, 2024
THE COVENANT OF GOOD FAITH IS AN ETHICAL DOCTRINE

Ethics and the Reservation of Rights

Post 4867
https://www.linkedin.com/pulse/covenant-good-faith-ethical-doctrine-barry-zalma-esq-cfe-mvcnf/

September 5, 2024

Posted on September 5, 2024 by Barry Zalma

See the full video at and at https://youtu.be/yhR2vLQ4vAc

An insurer that reserves its rights under a policy of An insurer that reserves its rights under a policy of insurance will usually raise a request by the insured for independent counsel. However, unless the reservation actually raises the need for the application of the ethical duty of an attorney to avoid representing conflicting interests, there is no obligation to retain independent counsel. If that duty exists independent counsel is required. If there is no conflict the insurer may assert its right to control the defense of the insured with counsel of its choice.

FACTUAL BACKGROUND

In Federal Insurance Company v. MBL, Inc., 219 Cal.App.4th 29, after soil and groundwater ...

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21 hours ago
Expert’s Personal Knowledge or Experience Can Assist Jury

Not All Expert Testimony must be Scientifically Reliable
Post number 5284

Read the full article at https://lnkd.in/gcS7tWC8; see the video at https://lnkd.in/g7N27nuK and at https://lnkd.in/gcYh2sZG, and at https://zalma.com/blog plus more than 5250 posts.

In Church Mutual Insurance Company, S.I. v. Chabad Of New Mexico, No. 1:24-cv-00090-MIS-SCY, United States District Court, D. New Mexico (February 10, 2026) the USDC dealt with a declaratory judgment filed by Church Mutual that it owes no duty to cover Chabad’s claims because the property was “vacant” for more than sixty consecutive days before the acts of arson, and therefore no coverage is owed pursuant to the Policy’s “Vacancy” loss condition.

FACTUAL BACKGROUND

Church Mutual Insurance Company, S.I. (“Church Mutual”) renewed an insurance policy for Chabad of New Mexico (“Chabad”) covering real property in Rio Rancho, New Mexico. The policy included a “Vacancy” loss condition, stating that if the building was vacant for more than 60 ...

00:07:40
February 13, 2026
Expert’s Personal Knowledge or Experience Can Assist Jury

Not All Expert Testimony must be Scientifically Reliable
Post number 5284

Read the full article at https://lnkd.in/gcS7tWC8; see the video at https://lnkd.in/g7N27nuK and at https://lnkd.in/gcYh2sZG, and at https://zalma.com/blog plus more than 5250 posts.

In Church Mutual Insurance Company, S.I. v. Chabad Of New Mexico, No. 1:24-cv-00090-MIS-SCY, United States District Court, D. New Mexico (February 10, 2026) the USDC dealt with a declaratory judgment filed by Church Mutual that it owes no duty to cover Chabad’s claims because the property was “vacant” for more than sixty consecutive days before the acts of arson, and therefore no coverage is owed pursuant to the Policy’s “Vacancy” loss condition.

FACTUAL BACKGROUND

Church Mutual Insurance Company, S.I. (“Church Mutual”) renewed an insurance policy for Chabad of New Mexico (“Chabad”) covering real property in Rio Rancho, New Mexico. The policy included a “Vacancy” loss condition, stating that if the building was vacant for more than 60 ...

00:07:40
February 12, 2026
A Certificate of Liability Insurance is not a Policy

Liability Insurance Provides no Coverage for Damage to Insured’s Property

Post number 5283

Read the full article at https://www.linkedin.com/pulse/certificate-liability-insurance-policy-barry-zalma-esq-cfe-mteoc, see the video at and at and https://zalma.com/blog plus more than 5250 posts.

Evidence of Contract with Plaintiff There is No Insurance

In Erica T. Itzhak v. Briarwood Insurance Services Inc., Atlantic Casualty Insurance Co., 2026 NY Slip Op 00616, Appeal No. 5791, Index No. 651193/24, Case No. 2024-06530, Supreme Court of New York, First Department (February 10, 2026) Plaintiff Erica T. Itzhak alleged that her cooperative unit was damaged during a renovation. The complaint did not specify who caused the damage, nor did it clarify the relationships between the plaintiff, Atlantic Casualty Insurance Co., and Briarwood Insurance Services Inc., or provide details regarding which party was ...

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January 30, 2026
Anti-Concurrent Cause Exclusion Effective

You Get What You Pay For – Less Coverage Means Lower Premium

Post number 5275

Posted on January 30, 2026 by Barry Zalma

See the video at and at

When Experts for Both Sides Agree That Two Causes Concur to Cause a Wall to Collapse Exclusion Applies

In Lido Hospitality, Inc. v. AIX Specialty Insurance Company, No. 1-24-1465, 2026 IL App (1st) 241465-U, Court of Appeals of Illinois (January 27, 2026) resolved the effect of an anti-concurrent cause exclusion to a loss with more than one cause.

Facts and Background

Lido Hospitality, Inc. operates the Lido Motel in Franklin Park, Illinois. In November 2020, a windstorm caused one of the motel’s brick veneer walls to collapse. At the time, Lido was insured under a policy issued by AIX Specialty Insurance Company which provided coverage for windstorm damage. However, the policy contained an exclusion for any loss or damage directly or indirectly resulting from ...

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January 29, 2026
Resolution of Coverage Issues Appropriate Under Federal Declaratory Judgment Act

Declaratory Relief Available to an Insurer from USDC

Post number 5274

Read the full article at https://www.linkedin.com/pulse/resolution-coverage-issues-appropriate-under-federal-barry-wfpoc, see the video at and at and at https://zalma.com/blog plus more than 5250 posts.

Insurer Seeks Limitation of Liability of Child Killed by Foster Dogs

In the Cincinnati Specialty Underwriters Insurance Company, an Ohio corporation v. Dennis Murphy, as Personal Representative of the Wrongful Death Estate of Avery Colin Jackson-Dunphy, Deceased; Patrick Admiral Dunphy, an Individual; Danika Thompson, an Individual; and Animal Services Center Of The Messila Valley, a New Mexico limited Liability Company, No. CIV 24-1039 JB/JFR, United States District Court, D. New Mexico (January 23, 2026) resolved the issues raised about the court's jurisdiction.

Cincinnati Specialty Underwriters Insurance Company ...

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January 26, 2026
Insurance Fraud Gets You Three Squares and a Cot

Posted on January 26, 2026 by Barry Zalma
Insurance Fraud Should Not be a Retirement Plan

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Health Insurance Providers Are Attempting Insurance Fraud to Fund Retirement

Every insurer is required by its shareholders, members, state statutes and state regulations to do everything possible to deter and defeat attempts at insurance fraud. Most insurers, therefore, have a staff of fraud investigators working under their Special Investigative Unit (SIU) and the SIU works to train the claims handlers to recognize the indicators or red flags of fraud.

Much to the surprise of...

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