Zalma on Insurance
Education • Business
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.
Interested? Want to learn more about the community?
October 14, 2024
Perjury by Witness is a Superseding Cause of Injury

Summary Judgment for Lawyers Sued for Malpractice Reversed
Post 4910

Read the full article at https://lnkd.in/gddZ4P4g, see the full video at https://lnkd.in/gpVMqxu7 and at https://lnkd.in/g2nA2HB2 and at https://zalma.com/blog plus more than 4900 posts.

In GMG Insurance Agency v. Margolis Edelstein, No. 213,2023, Supreme Court of Delaware (October 8, 2024) reversed summary judgment in favor of lawyers faced with a claim of professional negligence relating to legal services provided to GMG Insurance Agency.

The Margolis Edelstein (“Margolis”) law firm defended GMG and Howard Wilson, a GMG employee, in a noncompete action brought by Lyons Insurance Agency, Inc. in the Court of Chancery. After GMG failed to prevail fully on its motion for summary judgment in the Court of Chancery, GMG fired Margolis and at the same time also fired Wilson.

On the eve of trial, with GMG represented by new counsel and Wilson represented by separate counsel, Wilson filed an affidavit recanting his prior testimony. Wilson’s new sworn statements were drastically inconsistent with his prior testimony and unfavorable to GMG. GMG, with its defenses obliterated by the perjured statement settled its part of the litigation for $1.2 million.

GMG then sued Margolis. GMG asserted that but for Margolis’s negligent representation in the Court of Chancery, GMG would not have been exposed to the consequences of Wilson’s eleventh-hour change in testimony. The Superior Court granted summary judgment in favor of Margolis.

FACTUAL AND PROCEDURAL BACKGROUND

The Court of Chancery Litigation

Lyons sued Wilson and GMG seeking injunctive relief and money damages. Lyons claimed that Wilson’s employment with GMG breached his non-compete agreement with Lyons, and that GMG aided and abetted that breach and tortiously interfered with the agreement between Lyons and Wilson. GMG retained Margolis to represent itself and Wilson in the Chancery Litigation.

The Court of Chancery granted summary judgment in favor of GMG on all counts except for Lyons’s tortious interference claim. The court also held that Wilson had breached his non-compete agreement with Lyons.

As predicted Wilson filed an affidavit “disavow[ing] and recant[ing] any prior sworn testimony inconsistent with” his new affidavit (the “Wilson Affidavit”). GMG paid $1.2 million to settle the claims against it in the Chancery Litigation.

ANALYSIS

To prevail on a claim of legal malpractice, a plaintiff must establish the following elements: (i) the employment of the attorney; (ii) the attorney’s neglect of a professional obligation; and (iii) resulting loss. Regarding the last element, “the plaintiff must demonstrate that the underlying action would have been successful but for the attorney’s negligence.”

The Supreme Court found Superior Court erred in three ways.

1 granting summary judgment for Margolis because there are disputes of material fact as to whether Margolis’s representation of GMG in the Chancery Litigation breached the standard of care owed by Delaware attorneys.
2 failing to address GMG’s contention that, but for Margolis’s alleged negligence, GMG would have prevailed on all claims in the Chancery Litigation.
3 concluding as a matter of law that the Wilson Affidavit was a superseding cause that broke the causal chain leading to the settlement of the Chancery Litigation.

The Court of Chancery granted summary judgment in favor of GMG. This ruling alone evidences the competence and diligent representation of GMG by Margolis prior to termination.

GMG also contends that Margolis committed malpractice by simultaneously representing GMG and Wilson in the Chancery Litigation despite a potential conflict of interest. Because the factual record and the reasonable inferences to be drawn from it could support a finding in GMG’s favor on its allegations of negligence, the Superior Court erred in granting summary judgment in favor of Margolis.

The Superior Court Erred In Concluding That The Wilson Affidavit Was A Superseding Cause As A Matter Of Law.

To break the causal chain and make an intervening cause a superseding one, the intervening act or event itself must have been neither anticipated nor reasonably foreseeable by the original tortfeasor. However, evidence did not show Margolis could reasonably foresee twenty months before the execution of the Wilson Affidavit-that Wilson would perjure himself by changing his prior sworn testimony with the Wilson Affidavit. Therefore, the Supreme Court found the Wilson Affidavit was a superseding cause that broke the causal chain leading to the settlement of the Chancery Litigation.

Margolis is not relieved from liability because it could not foresee the precise event that might lead to, or trigger, the adverse litigation result. It was sufficient that it could foresee that GMG remaining as a defendant in the Chancery Litigation could lead to an unhappy ending.

The Superior Court’s erroneous and reversible conclusion that the Wilson Affidavit was, as a matter of law, a superseding cause of GMG’s damages resulted in the Superior Court’s error in granting Margolis Edelstein’s motion for summary judgment.

Adding to the judgment with a concurring opinion Chief Justice SEITZ noted that Wilson’s pre-affidavit testimony, by itself, was most likely perjury in the Court of Chancery litigation and fraud between the parties to that case. But if GMG then used Wilson’s false testimony to prop up its separate legal malpractice action, it qualifies as a fraud on the court and GMG would be converting fraud between the parties into a fraud on the court. On remand, the Superior Court should decide whether this is the case. If so, GMG’s case should be dismissed as a sanction for its misconduct.

ZALMA OPINION

Lawyers, although they try, are neither perfect nor clairvoyant. Lawyers, judges, and every human will err. The trial judges erred and the plaintiff, GMG, tried to use Wilson’s perjury to possibly create a fraud on the court which attempt could result in a dismissal of the case for its misconduct, the case remaining is ripe for an agreed settlement to avoid a terminating sanction.

(c) 2024 Barry Zalma & ClaimSchool, Inc.

Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos.

Subscribe to my substack at https://barryzalma.substack.com/subscribe or Subscribe to my substack at https://lnkd.in/gmmzUVBy

Go to X @bzalma; Go to Newsbreak.com https://www.newsbreak.com/@c/1653419?s=01; Go to Barry Zalma videos at Rumble.com at https://rumble.com/account/content?type=all; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg

Go to the Insurance Claims Library – https://lnkd.in/gwEYk

00:10:49
Interested? Want to learn more about the community?
What else you may like…
Videos
Posts
9 hours ago
Man Bites Dog Story – Hertz Sues Alleged Fraudsters

Hertz Succesfully Refuses to Pay Alleged Fraudulent Health Care Providers

Post 5222

Read the full article at https://www.linkedin.com/pulse/man-bites-dog-story-hertz-sues-alleged-fraudsters-zalma-esq-cfe-efbgc, see the video at and at and at https://zalma.com/blog plus more than 5200 posts.

Proactive Victim of Fraud Defeats Health Care Providers

In Hertz Vehicles, LLC v. Alignment Chiropractic, P.C., et al, Index No. 157368/2024, 2025 NY Slip Op 33627(U), Motion Seq. No. 001, NYSCEF Doc. No. 46, Supreme Court, New York County (September 30, 2025) Plaintiff alleged it is not obligated to pay no-fault benefits for the medical treatment of defendants for injuries while occupants of a 2023 Hyundai, owned and self-insured by Hertz.

FACTUAL BACKGROUND

Plaintiff moved for a default judgment against defendants Alignment Chiropractic, P.C., and many other alleged health care providers.

Plaintiff also ...

00:06:28
placeholder
10 hours ago
Man Bites Dog Story – Hertz Sues Alleged Fraudsters

Hertz Succesfully Refuses to Pay Alleged Fraudulent Health Care Providers

Post 5222

Read the full article at https://www.linkedin.com/pulse/man-bites-dog-story-hertz-sues-alleged-fraudsters-zalma-esq-cfe-efbgc, see the video at and at and at https://zalma.com/blog plus more than 5200 posts.

Proactive Victim of Fraud Defeats Health Care Providers

In Hertz Vehicles, LLC v. Alignment Chiropractic, P.C., et al, Index No. 157368/2024, 2025 NY Slip Op 33627(U), Motion Seq. No. 001, NYSCEF Doc. No. 46, Supreme Court, New York County (September 30, 2025) Plaintiff alleged it is not obligated to pay no-fault benefits for the medical treatment of defendants for injuries while occupants of a 2023 Hyundai, owned and self-insured by Hertz.

FACTUAL BACKGROUND

Plaintiff moved for a default judgment against defendants Alignment Chiropractic, P.C., and many other alleged health care providers.

Plaintiff also moved...

00:06:28
placeholder
November 05, 2025
Not Nice to Shop the Federal Court to Avoid State Court

Who’s on First? State or Federal Court

Post 5222

Read the full article at https://lnkd.in/gWj97cFs, see the video at https://lnkd.in/gtS6CpUX and at https://lnkd.in/gQEAeyHc,

Conflict Between State & Federal Court Requires Abstention

See the video at https://lnkd.in/gtS6CpUX and at https://lnkd.in/gQEAeyHc,

Conflict Between State & Federal Court Requires Abstention

Hector David Campoverde was injured at a Brooklyn construction site in 2015. Campoverde was an employee of Vazquez Bro Restoration Inc., a subcontractor for C.C.C. Renovation Inc., which was itself a subcontractor for general contractor L&M Builders Group LLC. In Starr Indemnity & Liability Company v. Scottsdale Insurance Company, No. 24-CV-3309 (PKC) (TAM), United States District Court, E.D. New York (September 30, 2025) was asked to determine whether one or more of the involved insurers is obligated to indemnify Campoverde, and in what order Camporverde can receive indemnity, from one or more insurer.

Underlying Incident:

Campoverde sued the ...

00:07:43
October 31, 2025
The Zalma Philosophy of Claims Handling – Part 9

The Professional Claims Handler
Post 5219

Posted on October 31, 2025 by Barry Zalma

An Insurance claims professionals should be a person who:

Can read and understand the insurance policies issued by the insurer.
Understands the promises made by the policy.
Understand their obligation, as an insurer’s claims staff, to fulfill the promises made.
Are competent investigators.
Have empathy and recognize the difference between empathy and sympathy.
Understand medicine relating to traumatic injuries and are sufficiently versed in tort law to deal with lawyers as equals.
Understand how to repair damage to real and personal property and the value of the repairs or the property.
Understand how to negotiate a fair and reasonable settlement with the insured that is fair and reasonable to both the insured and the insurer.

How to Create Claims Professionals

To avoid fraudulent claims, claims of breach of contract, bad faith, punitive damages, unresolved losses, and to make a profit, insurers ...

post photo preview
October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail
Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.
My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
October 20, 2025
The Zalma Philosophy of Claims Handling – Part I

The History Behind the Creation of a Claims Handling Expert

The Insurance Industry Needs to Implement Excellence in Claims Handling or Fail

Post 5210

This is a change from my normal blog postings. It is my attempt. in more than one post, to explain the need for professional claims representatives who comply with the basic custom and practice of the insurance industry. This statement of my philosophy on claims handling starts with my history as a claims adjuster, insurance defense and coverage lawyer and insurance claims handling expert.

My Training to be an Insurance Claims Adjuster

When I was discharged from the US Army in 1967 I was hired as an insurance adjuster trainee by a professional and well respected insurance company. The insurer took a chance on me because I had been an Army Intelligence Investigator for my three years in the military and could use that training and experience to be a basis to become a professional insurance adjuster.

I was initially sat at a desk reading a text-book on insurance ...

post photo preview
See More
Available on mobile and TV devices
google store google store app store app store
google store google store app tv store app tv store amazon store amazon store roku store roku store
Powered by Locals