Posted on January 9, 2025 by Barry Zalma
DEFENDANT NOT ENTITLED TO OFFSET FOR VICTIMS INSURANCE
Post 4967
Insurer that Pays Insured for Damages Caused by Criminal is also a Victim Entitled to Restitution
The State charged defendant-appellant Kaliah Haskett with criminal damaging after she kicked the rear liftgate of a vehicle. Haskett pleaded guilty and the trial court ordered her to pay more than $3,000 in restitution for repairs to the vehicle, including replacing the vehicle’s bumper.
In State Of Ohio v. Kaliah Haskett, 2024-Ohio-5933, Appeal No. C-240242, Court of Appeals of Ohio (December 20, 2024) found that Haskett was required to pay restitution for her crime.
Haskett asserted that the trial court should have limited its restitution award to the value of the complaining witness’s insurance deductible. She further argued that the trial court erred by including in the restitution award the cost of replacing the bumper and by limiting her cross-examination of the complaining witness on the witness’s prior inconsistent statements.
Ohio requires a trial court to reduce the restitution award by any recovery that a complaining witness has received. However, a trial court is not required to offset a complaining witness’s restitution award due to a potential insurance claim.
Factual And Procedural History A. Haskett Pleads Guilty To Criminal Damaging
In August 2023, the State charged Haskett with criminal damaging, a second-degree misdemeanor. The complaint alleged that Haskett “rip[ed] off the fuel cap of the [complaining witness’s] van and kick[ed] the rear lift gate in a fit of rage causing a significant dent.” Haskett pleaded guilty to the offense.
Restitution Hearing And Sentencing
P.W., the complaining witness, testified at the restitution hearing that she owned a “2008 Dodge Caravan” and that Haskett damaged it by kicking the vehicle. P.W. received a $3,323.96 estimate for the repairs.
P.W. testified that she had insurance covering her vehicle, but she did not want to make a claim through her insurance “[b]ecause my insurance didn’t have anything to do with the damage that she did. And my insurance will go up. And I don’t feel like that’s fair that I have to use my insurance to pay for the damage that she did.” P.W. stated that her insurance deductible was $500.
Haskett asked P.W. about statements she made to police on the day of the incident. Haskett’s counsel noted that there were two dents on the back of P.W.’s vehicle, and that on the day of the incident, P.W. told law enforcement that Haskett caused only one of the dents. P.W. stated that Haskett caused both dents.
The trial court stated that because P.W. had not received an insurance payment, she was not required to submit an insurance claim and could recover the full value of the estimate.
The trial court awarded P.W. $3,323.96 in restitution and sentenced Haskett to 90 days in jail with 90 days suspended and two years of community control.
ANALYSIS
Restitution
Following a misdemeanor conviction, the trial court may order the defendant to pay restitution to the victim in an amount based on the victim’s economic loss. “Economic loss” is defined as any economic detriment suffered by a victim as a direct and proximate result of the commission of an offense. Restitution is limited to the actual loss caused by the defendant’s criminal conduct.
Insurance Coverage
Haskett asserted that the trial court erred because it awarded restitution beyond the amount of P.W.’s deductible. P.W. testified that her vehicle was insured but she chose not to file an insurance claim.
In Ohio courts have concluded that if a victim maintains an insurance policy covering the damages caused by a defendant and has received insurance payments, then the amount of restitution should be set at the amount of the deductible, not the amount of the damage. Ohio courts conclude that if the victim has insurance that reimbursed her for part or all of the loss that occurred as a result of the offender’s criminal conduct, the victim has not suffered an economic loss for the purposes of imposing restitution.
While these cases provide that a victim’s restitution award should be offset if the victim receives compensation from a third party, they do not state that a victim must file an insurance claim.
Ohio’s statutes do not require a trial court to limit a restitution award merely because a victim purchased an insurance policy and may submit a claim. At the time of the restitution hearing, P.W.’s “economic loss” was $3,323.96. Had P.W. received insurance payments to cover some of that amount, her actual economic loss would be reduced and transferred to her insurance company. Since she recovered nothing from her insurer and Haskett points to no statutory mechanism for forcing a complaining witness to pursue recovery from collateral sources before seeking restitution.
Haskett’s guilty plea was not an admission that Haskett caused whatever damages P.W. claimed at the restitution hearing. A defendant is permitted to dispute the amount of restitution. Because P.W. asserted damages beyond those listed in the complaint, the trial court should have permitted Haskett to cross-examine P.W. about her prior inconsistent statements.
That error was harmless. P.W. testified that the damage to the liftgate-damage Haskett admitted causing-necessitated replacing the bumper. Therefore, the trial court properly awarded P.W. the cost to replace both parts of the vehicle.
ZALMA OPINION
Although only $3,323.96 was involved between the defendant and the victim this case is important to the insurance industry. If the victim had made a claim to her insurer and been paid she would get a windfall if she received full restitution and the insurance proceeds. The defendants obligation to pay restitution would not be eliminated since, by its right of subrogation, the insurer would step in the shoes of its insured as a victim of the crime and be entitled to restitution in accordance with state law. If the insurers rights were ignored the criminal defendant would profit from the crime. In such a fact situation every insurer that paid indemnity to its insured because of the acts of a convicted defendant the insurer must, as a victim of the crime, demand restitution.
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Notice of Claim Later than 60 Days After Expiration is Too Late
Post 5089
Injury at Massage Causes Suit Against Therapist
Read the full article at https://lnkd.in/gziRzFV8, see the full video at https://lnkd.in/gF4aYrQ2 and at https://lnkd.in/gqShuGs9, and at https://zalma.com/blog plus more than 5050 posts.
Hiscox Insurance Company (“Hiscox”) moved the USDC to Dismiss a suit for failure to state a claim because the insured reported its claim more than 60 days after expiration of the policy.
In Mluxe Williamsburg, LLC v. Hiscox Insurance Company, Inc., et al., No. 4:25-cv-00002, United States District Court, E.D. Missouri, Eastern Division (May 22, 2025) the trial court’s judgment was affirmed.
FACTUAL BACKGROUND
Plaintiff, the operator of a massage spa franchise, entered into a commercial insurance agreement with Hiscox that provided liability insurance coverage from July 25, 2019, to July 25, 2020. On or about June 03, 2019, a customer alleged that one of Plaintiff’s employees engaged in tortious ...
ZIFL – Volume 29, Issue 11
The Source for the Insurance Fraud Professional
Posted on June 2, 2025 by Barry Zalma
Post 5087
See the full video at and at
Read the full article and the full issue of ZIFL June 1, 2025 at https://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-06-01-2025.pdf
Zalma’s Insurance Fraud Letter – June 1, 2025
See the full video at https://lnkd.in/gw-Hgww9 and at https://lnkd.in/gF8QAq4d, and at https://zalma.com/blog plus more than 5050 posts.
ZIFL – Volume 29, Issue 11
The Source for the Insurance Fraud Professional
Read the full article and the full issue of ZIFL June 1, 2025 at https://lnkd.in/gTWZUnnF
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 ...
No Coverage if Home Vacant for More Than 60 Days
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Post 5085
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In Nationwide Mutual Insurance Company v. Rebecca Massey, Civil Action No. 2:25-cv-00124, United States District Court, S.D. West Virginia, Charleston Division (May 22, 2025) Defendant Nationwide Mutual Insurance Company's (“Nationwide”) motion for Default Judgment against Plaintiff Rebecca Massey (“Plaintiff”) for failure to respond to a counterclaim and because the claim was excluded by the policy.
BACKGROUND
On February 26, 2022, Plaintiff's home was destroyed by a fire. At the time of this accident, Plaintiff had a home insurance policy with Nationwide. Plaintiff reported the fire loss to Nationwide, which refused to pay for the damages under the policy because the home had been vacant for more than 60 days.
Plaintiff filed suit ...
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:
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Professional Health Care Services Exclusion Effective
Post 5073
See the full video at https://lnkd.in/g-f6Tjm5 and at https://lnkd.in/gx3agRzi, and at https://zalma.com/blog plus more than 5050 posts.
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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:
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Post 5062
Posted on April 30, 2025 by Barry Zalma
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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...