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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 27, 2025
Fraud Plus Multiple Arrests and Convictions Requires Defendant to Serve Full Sentence

Compassion Needed by Victims not Fraudster

Post 5083

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United States Of America v. Chad Lightfoot, No. 3:17-CR-00274, United States District Court, W.D. Louisiana, Monroe Division (May 6, 2025) the Court dealt with a Motion for Compassionate Release filed by Defendant Chad Lightfoot (“Lightfoot”). The United States of America (“the Government”) opposed the Motion.

BACKGROUND

Lightfoot is an incarcerated inmate with the Bureau of Prisons (“BOP”). He filed a Motion requesting compassionate release under 18 U.S.C. § 3582(c)(1)(A). Lightfoot alleged extraordinary and compelling reasons warranting relief based on the criteria set forth in U.S.S.G. § 1B1.13.

Lightfoot made false and fraudulent representations to procure funds from a federal disaster relief program. Lightfoot claimed that his residence in Monroe, Louisiana sustained damage from a flood, when in fact, Lightfoot was residing in New Orleans during the time the incident occurred. After a four-day trial, a jury convicted Lightfoot on the sole count of the Indictment.

SENTENCING

The Court sentenced Lightfoot to 71 months’ imprisonment, followed by 5 years’ supervised release. Lightfoot is expected to be released on December 5, 2025.

RELEVANT POST CONVICTION LITIGATION

On February 26, 2024, Lightfoot filed a “Motion for Compassionate Release and or Reduction of Sentence (Amendment 821) and Appointment of Counsel.”

LAW & ANALYSIS

Generally, a district court may not modify a term of imprisonment once it has been imposed. However, § 3582(c)(1)(A) sets forth narrow circumstances where a court may “reduce the term of imprisonment” and “impose a term of probation or supervised release with or without conditions that does not exceed the unserved portion of the original term of imprisonment.”

The Court may only grant relief when the defendant shows that

1. extraordinary and compelling reasons justify a sentence reduction;
2. such a reduction is consistent with applicable statements issued by the Sentencing Commission; and
3. early release would be consistent with the sentencing factors in § 3553(a).

Extraordinary and Compelling Criteria

Lightfoot must demonstrate that extraordinary and compelling reasons warrant reducing his sentence. the Sentencing Commission set forth six specific reasons that can be considered extraordinary and compelling under 18 U.S.C. § 3582(c)(1)(A)(i):

1. the defendant’s medical condition;
2. defendant’s age;
3. family circumstances;
4. whether defendant has been a victim of abuse during custody;
5. other reasons that are ”similar in gravity” to reasons one through four; and
6. an extraordinarily long sentence.

Lightfoot points to his “family circumstances” as the basis for his Motion. Specifically, Lightfoot claims:

his four minor children need his financial and emotional support;
his mother is suffering from dementia; and
he is a possible organ donor candidate for his sister’s kidney transplant procedure.

Lightfoot does not meet or satisfy any of the family circumstances.
Danger to the Community and Section 3553(a)

Even if Lightfoot showed extraordinary and compelling reasons for granting relief, the analysis doesn’t end there. Lightfoot’s prior conduct speaks for itself. Lightfoot has been arrested and convicted for several crimes, including, armed robbery, simple and aggravated assault and battery, bank fraud, insurance fraud, and forgery. His last offense involved a fraudulent scheme to receive thousands of dollars from a federal disaster relief by falsely claiming that his Monroe residence sustained damage from a flood. Such offenses pose a danger to the community.

The USDC concluded that releasing Defendant would be contrary to the Sentencing Commission’s directive that courts should deny compassionate release to defendants who pose a danger to their communities because Defendant’s fraud scheme lasted over a year and caused grave financial and emotional harm to his many victims.

Lightfoot’s Motion was denied.

ZALMA OPINION

Chutzpah is defined as a person who murders his parents and seeks mercy because he is an orphan. People who commit fraud are, by definition, people with unmitigated gall. After being convicted and sentenced, Mr. Lightfoot tried to cut about a year off his sentence by claiming he needed to care for his children, mother and sick sister. However, the USDC refused because of the clear danger he presents to the people state of Louisiana. Lightfoot’s attempt to reduce his sentence was found by the USDC to be an example of chutzpah and he will serve his full sentence.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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00:06:53
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March 11, 2026
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Post number 5301

Read the full article at https://www.linkedin.com/pulse/public-adjusters-attempt-represent-insured-subject-zalma-esq-cfe-rubfc, see the video at and at and at https://zalma.com/blog plus more than 5300 posts.

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FACTS

NJPA is a New Jersey-based public adjusting firm licensed in New York. The dispute centers on ...

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March 11, 2026
Public Adjusters Attempt to Represent an Insured Subject to APA Clause

Anti-Public Adjuster Clause Is Effective in New York

Post number 5301

Read the full article at https://www.linkedin.com/pulse/public-adjusters-attempt-represent-insured-subject-zalma-esq-cfe-rubfc, see the video at and at and at https://zalma.com/blog plus more than 5300 posts.

Insurers May Contractually Prevent an Insured from Hiring a Public Adjuster

In Peter Barbato & North Jersey Public Adjusters Inc. v. Interstate Fire & Casualty Company, et al, No. 25-cv-5312 (JGK), United States District Court, S.D. New York (December 15, 2025) the plaintiffs, Peter Barbato and North Jersey Public Adjusters, Inc. (“NJPA”), filed suit against several insurance companies, including Interstate Fire & Casualty Company, Independent Specialty Insurance Company, and certain Underwriters at Lloyd’s of London.

FACTS

NJPA is a New Jersey-based public adjusting firm licensed in New York. The dispute centers on ...

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March 10, 2026
Acting as Your Own Lawyer is Foolish

Proof of Highly Contaminated Water is Required for Extra Payments

Post number 5300

Read the full article at https://www.linkedin.com/pulse/acting-your-own-lawyer-foolish-barry-zalma-esq-cfe-mbg0c, see the video at and at and at https://zalma.com/blog plus more than 5300 posts.

Acting as Your Own Lawyer is Foolish

Evidence of Breach of Contract Survives Dismissal of All Other Charges

In Lee Lifeng Hsu and Jane Yuchen Hsu v. State Farm Fire And Casualty Company, C. A. No. N24C-09-020 CLS, Superior Court of Delaware (February 27, 2026) a claim to State Farm who paid approximately $61,000 after assessments but denied coverage for additional items including ceramic tiles, the kitchen floor ceiling, underlayment plywood, and numerous personal property items resulted in suit by the Hsu’s acting in pro per.
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Lee Lifeng Hsu and Jane Yuchen Hsu (“Plaintiffs”) purchased a homeowners’ insurance policy from State Farm Fire...

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Portable Storage Containers are not Buildings

Insurance Condition Requires Following the Intent of the Parties

Post number 5307

Principles of Contract Interpretation Compels Reading Contract as Written

Read the full article at https://www.linkedin.com/pulse/portable-storage-containers-buildings-barry-zalma-esq-cfe-fkg1c and at https://zalma.com/blog.

In Eastside Floor Supplies, Ltd. v. SCS Agency, Inc., Hanover Insurance Company, et al., No. 2024-01501, Index No. 609883/19, 2026 NY Slip Op 01488, Supreme Court of New York, Second Department (March 18, 2026)

In May 2019, a fire damaged business personal property belonging to the plaintiffs, which was stored in portable storage containers at their Manhattan premises. At the time of the fire, the plaintiffs were insured under a businessowners insurance policy (BOP) issued by the defendant Hanover Insurance Company which provided general coverage for business personal property, and which included a specific extension for “Business Personal Property Temporarily in Portable Storage Units” (the portable storage ...

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Failure to Provide Well-Pled Facts Defeats Most of Action

ERISA Saves Fraudulent Claims Suit

Post number 5306

Read the full article at https://www.linkedin.com/pulse/failure-provide-well-pled-facts-defeats-most-action-zalma-esq-cfe-b4zuc and at https://zalma.com/blog plus more than 5300 posts.

Allegations of Fraudulent Insurance Billing Must be Pleaded with Specificity

In Genesis Laboratory Management LLC v. United Healthcare Services, Inc. and Oxford Health Plans, Inc., No. 21cv12057 (EP) (JSA), United States District Court, D. New Jersey (March 13, 2026) Genesis Laboratory Management LLC (“Genesis”), a New Jersey-based molecular diagnostic and anatomic pathology laboratory, provided COVID-19 related testing services and submitted claims for reimbursement as an out-of-network provider to United Healthcare Services, Inc. (“United”) and Oxford Health Insurance, Inc. (“Oxford”). Metropolitan Healthcare Billing, LLC (“Metropolitan”), owned by the same individual as Genesis, handled the billing for Genesis.

FACTUAL BACKGROUND

United and Oxford, who administer both ERISA and ...

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March 19, 2026
Failure to Provide Well-Pled Facts Defeats Most of Action

ERISA Saves Fraudulent Claims Suit

Post number 5306

Read the full article at https://www.linkedin.com/pulse/failure-provide-well-pled-facts-defeats-most-action-zalma-esq-cfe-b4zuc and at https://zalma.com/blog plus more than 5300 posts.

Allegations of Fraudulent Insurance Billing Must be Pleaded with Specificity

In Genesis Laboratory Management LLC v. United Healthcare Services, Inc. and Oxford Health Plans, Inc., No. 21cv12057 (EP) (JSA), United States District Court, D. New Jersey (March 13, 2026) Genesis Laboratory Management LLC (“Genesis”), a New Jersey-based molecular diagnostic and anatomic pathology laboratory, provided COVID-19 related testing services and submitted claims for reimbursement as an out-of-network provider to United Healthcare Services, Inc. (“United”) and Oxford Health Insurance, Inc. (“Oxford”). Metropolitan Healthcare Billing, LLC (“Metropolitan”), owned by the same individual as Genesis, handled the billing for Genesis.

FACTUAL BACKGROUND

United and Oxford, who administer both ERISA and ...

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