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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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June 18, 2025
Malicious Prosecution Requires Successful Termination

Malicious Prosecution Tort Supported by Fabricated Evidence

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Sarah Steinmetz filed a five-count complaint against Lindsey Pickholtz and Steven Gordon, alleging malicious prosecution, abuse of process, intentional infliction of emotional distress, and conspiracy to commit malicious prosecution because the defendants reported her to the Division of Insurance with making false statements and being arrested by the State in connection with those charges. The complaint detailed events spanning two-and-a-half years, beginning with the sale of Steinmetz’s condominium to Pickholtz and Gordon. The relationship between the parties deteriorated after a prank call incident, leading to fabricated evidence and legal actions against Steinmetz.

In Sarah Steinmetz v. Lindsey Pickholtz, et al., No. 3D24-0417, Florida Court of Appeals, Third District (June 11, 2025) most of the issues raised on appeal were resolved.

Background:

The trial court dismissed Steinmetz’s complaint with prejudice. Steinmetz appealed, arguing that the trial court erred in its decision and in denying her leave to amend.

Appeal Court Decision:

The Florida Court of Appeals affirmed the dismissal of the abuse of process and intentional infliction of emotional distress claims but reversed the “with prejudice” designation and the dismissal of the remaining counts. The court concluded that Steinmetz’s allegations were sufficient to overcome a motion to dismiss for malicious prosecution and civil conspiracy .

Key Points:

1 Malicious Prosecution: Steinmetz’s allegations of fabricated evidence and lack of probable cause were deemed sufficient to support a claim for malicious prosecution .
2 Civil Conspiracy: The court found that Steinmetz’s detailed allegations of an agreement between Pickholtz and Gordon to fabricate evidence and make false reports were adequate to support a civil conspiracy claim .
3 Abuse of Process: The court affirmed the dismissal of this claim but noted that Steinmetz should have been granted leave to amend .
4 Intentional Infliction of Emotional Distress: The court affirmed the dismissal of this claim, finding the allegations insufficient to meet the required standard .

ANALYSIS

A bona fide termination is a critical element to proof of the tort of malicious prosecution since a very early date and has been described as a pre-condition to the later action. As Justice Scalia explained in the seminal case of Heck v. Humphrey, 512 U.S. 477 (1994) one element that must be alleged and proved in a malicious prosecution action is termination of the prior criminal proceeding in favor of the accused.

Steinmetz failed to sufficiently allege that the voluntary dismissal of the civil injunction and the nolle prosequi of the criminal aggravated stalking case constituted “bona fide terminations” of the earlier proceedings, as is required to support malicious prosecution claims. Generally, whether a voluntary dismissal or nolle prosequi constitutes a bona fide termination sufficient to support a claim for malicious prosecution presents a factually dependent question, and therefore the issue is best suited for the jury as the factfinder.

Steinmetz alleged that Pickholtz, with Gordon’s assistance, instigated the former proceedings with improper purpose and without probable cause. Intentional infliction of emotional distress requires the following elements:

1. intentional or reckless conduct;
2. outrageousness beyond all bounds of decency;
3. causation; and
4. severe distress.

The second prong is the gravamen of the tort.

CONCLUSION

While the anxiety and stress of being charged by the Division of Insurance Fraud with making false statements and being arrested by the State in connection with those charges is understandable, the appellees’ behavior in investigating and then allegedly falsely reporting to the Division of Insurance that fraud was committed. However, the Court of Appeals concluded the action is not the type of conduct that is so outrageous in character and extreme in degree as to go beyond the bounds of decency and be deemed utterly intolerable in a civilized society.

ZALMA OPINION

If an insurer or a citizen learns of an attempt at insurance fraud they are obligated to report that suspicion to the Florida Division of Insurance Fraud. However, it is a tort to make such a report maliciously or in bad faith. Steinmetz claimed that she was falsely accused of fraud, was arrested by the Division of Insurance Fraud who dismissed the charge and refused to prosecute. She then claimed, but was unable to establish malicious prosecution and the Court of Appeal concluded that the accusations were not outrageousness beyond all bounds of decency.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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00:09:11
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Read the full article at https://lnkd.in/geM76MRe, see the full video at https://lnkd.in/gRWJRk9u and at https://lnkd.in/gVfRpfA5, and at https://zalma.com/blog plus more than 5100 posts.

In Kole Westwood and Keeley Westwood v. The Travelers Home And Marine Insurance Company and Aaron Harrigfeld, No. 2:24-cv-00719-JNP-DBP, United States District Court, D. Utah (June 30, 2025) the case against the engineer failed completely and the case against Travelers was limited to the claim that the insurance contract was breached.

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Plaintiffs Kole and Keeley Westwood are homeowners in Utah whose home was damaged in a severe winter storm. The roof buckled under the weight of snow and ice, causing water damage to the house.

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Post 5116

See the full video at https://lnkd.in/ghvqp4Qi and at https://lnkd.in/gjsi8yGe and at https://zalma.com/blog plus more than 5100 posts.

Trial Judge Must Limit Experts to Testimony that will Aid the Jury

The case brought by Plaintiff Gary Cawley and others against American Financial Security Life Insurance Company and others was before United States District Court for the District of Arizona’s Honorable Steven P. Logan, United States District Judge.

In Gary Cawley, et al. v. American Financial Security Life Insurance Company, et al., No. CV-22-00823-PHX-SPL, United States District Court, D. Arizona (July 2, 2025) Judge Logan resolved dozens of motions in limine filed by the parties.
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Judge Logan issued orders relating to various motions in limine filed by both Plaintiffs and Defendant recognizing that a motion in limine is a procedural mechanism to limit testimony or evidence in a particular area and the practice has developed ...

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No Right to Sue a Person Not a Party for Breach of Contract

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Post 5115

A Contract Cannot Legally Bind A Person Or Entity Which Is Not A Party To The Contract.

See the full video at https://lnkd.in/g3aY9Vdc and at https://lnkd.in/gnYgSbQW and at https://zalma.com/blog plus more than 5100 posts.

The plaintiff, Nataly Gasova, claimed a breach of contract related to an insurance policy which IISS sold to her. IISS moved to dismiss the complaint, arguing inter alia that there was no contract between these parties. Gasova moved to amend her complaint to abandon her breach of contract claim and instead bring claims related to the advertising and sale of the insurance policy.

In Nataly V. Gasova v. Intact Insurance Specialty Solutions, Civ. No. 1:24-CV-2279, United States District Court, M.D. Pennsylvania (June 26, 2025) Intact Insurance Specialty Solutions (“IISS”) moved the court to dismiss the suit.
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May 15, 2025
Zalma's Insurance Fraud Letter - May 15, 2025

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:

Health Care Fraud Trial Results in Murder for Hire of Witness

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May 15, 2025
CGL Is Not a Medical Malpractice Policy

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.

This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.

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:

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April 30, 2025
The Devil’s in The Details

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Post 5062

Posted on April 30, 2025 by Barry Zalma

"This is a Fictionalized True Crime Story of Insurance Fraud that explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is designed to help everyone to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the ­­­Perpetrators than any Other Crime."

Immigrant Criminals Attempt to Profit From Insurance Fraud

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