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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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November 25, 2025
A Blue Tarp is not a Roof Repair

Roofers, Insurance, Hurricanes and Fraud

Post 5234

See the video at https://rumble.com/v7281fq-a-blue-tarp-is-not-a-roof-repair.html and at https://youtu.be/tgdzky79tG0, and at https://zalma.com/blog plus more than 5200 posts.

Homeowners Defrauded by Roofer Litigates for Years to Get Their Money Back

In Gary v. Hollier’s Specialty Roofing, Inc., 23-260 (La. App. 3 Cir. 12/27/23), 389 So. 3d 109 Ryan Gary and Rebecca Gary (the Garys), homeowners who suffered roof damage from Hurricane Delta sued Hollier’s Specialty Roofing, Inc. (Hollier Roofing), a roofing contractor who took the money and refused to complete the repair of the roof.

KEY FACTS

The Garys’ roof was damaged by Hurricane Delta on October 9, 2020. The next day, they signed a written agreement with Hollier Roofing for repairs, including an addendum authorizing direct insurance payments from their insurer, Federal National Insurance Company.

Hollier Roofing installed a temporary tarp and received payments totaling $18,278.21 ($2,190 from the Garys for the tarp, plus insurance checks of $5,588.88 for the tarp and $10,499.33 for repairs). However, no further work was done, and Hollier Roofing submitted escalating estimates ($21,234.04, then $22,406.46) for full roof replacement, leading to an updated insurance approval of $18,224.80.

Frustrated by the lack of progress, the Garys demanded return of unearned funds ($12,689.13) in April 2021. Hollier Roofing partially refunded $6,043.47 but retained $6,645.66, claiming it for overhead, profits, and services under the agreement. The Garys sued in May 2021 for declaratory judgment (invalidating the contract), unjust enrichment, and violations of Louisiana’s Unfair Trade Practices Act (LUTPA).

PROCEDURAL HISTORY

Trial Court Proceedings

On July 2021 the trial took place on declaratory action and Hollier Roofing’s exception of prematurity. March 2022 judgment invalidated the written contract and overruled the exception (unappealed).

April 2022: Hollier Roofing filed an answer and reconventional demand for breach of contract and LUTPA attorney fees. In May 2022 the Garys moved to strike the reconventional demand and for partial summary judgment on unjust enrichment.

In June 2022: Hollier Roofing filed a cross-motion for summary judgment and an amended answer/reconventional demand (without leave for the answer portion). The Garys responded with motions to dismiss the amended pleading, for sanctions, and to compel discovery. On August 19, 2022 the court granted Garys’ motion to strike reconventional demand, partial summary judgment (awarding $6,645.66 for unjust enrichment), and sanctions ($1,500 attorney fees) and concurrently denied Hollier Roofing’s cross-motion for summary judgment.

On August 31, 2022 the court entered a Supplemental Judgment granting the Garys’ motion to compel discovery and denied Hollier Roofing’s motion for leave to amend.

Hollier Roofing appealed both judgments (amended May 15, 2023, for decretal language). Garys answered seeking additional attorney fees.

ISSUES ON APPEAL

The Third Circuit Court of Appeal conducted de novo review for summary judgments and abuse of discretion/manifest error for other issues and held.

Garys’ Partial Summary Judgment was reversed. Garys’ supporting documents (check copies) were unauthenticated (not affidavits/depositions; prior admissions insufficient under La. Code Civ. P. art. 966(D)(2)). Genuine issues of material fact remained on unjust enrichment.

Dismissal of Cross-Motion for Summary Judgment (Affirmed): Untimely served under La. Code Civ. P. arts. 966(B)(1) & 1313(C) (no electronic confirmation of delivery; “Not Read” receipt insufficient).

Denial of Cross-Motion for Summary Judgment was moot. Dismissed as untimely served. Sanctions/Attorney Fees (Reversed): Manifest error under La. Code Civ. P. art. 863; no exceptional circumstances. No bad faith or improper purpose.

Denial of Leave to Amend was affirmed because there was no abuse; evidence showed Hollier Roofing’s pattern of bad faith (delaying tactics, undue prejudice to Garys).

Garys’ Request for Additional Attorney Fees was denied.

DISPOSITION

August 19, 2022 Judgment (as amended) was reversed and dismissed Hollier Roofing’s LUTPA attorney fees claim, Garys’ partial summary judgment, and sanctions/attorney fees was affirmed.

ZALMA OPINION

Hurricanes are hotbeds for fraud perpetrators. The litigation made clear that defendant Hollier Roofing acted horribly to the Garys. They took their money, put a tarp on their roof, and left. Their actions were clearly fraudulent and they deserved judgments against them but had enough money to take the Garys’ through litigation for years from 2020 to 2025 where the opinion finally got a judgment that the Garys can use to get some of their money back if Hollier has funds that can be attached and garnished to the Garys.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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January 02, 2026
Zalma’s Insurance Fraud Letter – January 2, 2026

Posted on January 2, 2026 by Barry Zalma
ZIFL – Volume 30 Number 1

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

See the video at https://rumble.com/v73nifg-zalmas-insurance-fraud-letter-january-2-2026.html and at https://youtu.be/vZC1e-_qwDg

Supreme Court of Louisiana Removes Judge

Judge Who Lied to Get Elected Cannot Serve

In In Re: Judge Tiffany Foxworth-Roberts, No. 2025-O-01127, Supreme Court of Louisiana (December 11, 2025) the Louisiana Supreme Court in an opinion by Chief Justice Weimer dealt with the recommendation of the Judiciary Commission of Louisiana (Commission) that Judge Tiffany Foxworth-Roberts be removed from office for:

1. making false and misleading statements regarding her judicial campaigns;
2. making false and misleading statements to police investigating the reported burglary of her car; and
3. withholding information and providing false, incomplete, or misleading information during the investigation by the Office of Special Counsel (OSC), as well as in the proceedings before the Commission....

00:08:13
December 30, 2025
Montana Lawyer Commits Insurance Fraud and Receives Minimal Punishment

Montana County Attorney Admits to Insurance Fraud & Is Only Suspended from Practice for 60 Days
Post 5251

Read the full article at https://lnkd.in/gnBaCjmv, see the video at https://lnkd.in/gfpVsyAd and at https://lnkd.in/gC73Nd8z, and at https://zalma.com/blog plus more than 5250 posts.

A Lawyer Who Commits Insurance Fraud and Pleas to a Lower Charge Only Suspended

In The Matter Of: Naomi R. Leisz, Attorney at Law, No. PR 25-0150, Supreme Court of Montana (December 23, 2025) the Montana Office of Disciplinary Counsel (ODC) filed a formal disciplinary complaint with the Commission on Practice (Commission) against Montana attorney Naomi R. Leisz.

On September 25, 2025, Leisz tendered a conditional admission and affidavit of consent. Leisz acknowledged the material facts of the complaint were true and she had violated the Montana Rules of Professional Conduct as alleged by ODC.

ADMISSIONS

Leisz admitted that in April 2022, her minor son was involved in a car accident in which he hit a power pole. Leisz’s son ...

00:08:27
December 30, 2025
Montana Lawyer Commits Insurance Fraud and Receives Minimal Punishment

Montana County Attorney Admits to Insurance Fraud & Is Only Suspended from Practice for 60 Days
Post 5251

Read the full article at https://lnkd.in/gnBaCjmv, see the video at https://lnkd.in/gfpVsyAd and at https://lnkd.in/gC73Nd8z, and at https://zalma.com/blog plus more than 5250 posts.

A Lawyer Who Commits Insurance Fraud and Pleas to a Lower Charge Only Suspended

In The Matter Of: Naomi R. Leisz, Attorney at Law, No. PR 25-0150, Supreme Court of Montana (December 23, 2025) the Montana Office of Disciplinary Counsel (ODC) filed a formal disciplinary complaint with the Commission on Practice (Commission) against Montana attorney Naomi R. Leisz.

On September 25, 2025, Leisz tendered a conditional admission and affidavit of consent. Leisz acknowledged the material facts of the complaint were true and she had violated the Montana Rules of Professional Conduct as alleged by ODC.

ADMISSIONS

Leisz admitted that in April 2022, her minor son was involved in a car accident in which he hit a power pole. Leisz’s son ...

00:08:27
December 31, 2025
“Sudden” is the Opposite of “Gradual”

Court Must Follow Judicial Precedent
Post 5252

Read the full article at https://www.linkedin.com/pulse/sudden-opposite-gradual-barry-zalma-esq-cfe-h7qmc, see the video at and at and at https://zalma.com/blog plus more than 5250 posts.

Insurance Policy Interpretation Requires Application of the Judicial Construction Doctrine

In Montrose Chemical Corporation Of California v. The Superior Court Of Los Angeles County, Canadian Universal Insurance Company, Inc., et al., B335073, Court of Appeal, 337 Cal.Rptr.3d 222 (9/30/2025) the Court of Appeal refused to allow extrinsic evidence to interpret the word “sudden” in qualified pollution exclusions (QPEs) as including gradual but unexpected pollution. The court held that, under controlling California appellate precedent, the term “sudden” in these standard-form exclusions unambiguously includes a temporal element (abruptness) and cannot reasonably be construed to mean ...

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December 29, 2025
Doctor Accused of Insurance Fraud Sues Insurer Who Accused Him

Lack of Jurisdiction Defeats Suit for Defamation

Post 5250

Posted on December 29, 2025 by Barry Zalma

See the video at and at

He Who Represents Himself in a Lawsuit has a Fool for a Client

In Pankaj Merchia v. United Healthcare Services, Inc., Civil Action No. 24-2700 (RC), United States District Court, District of Columbia (December 22, 2025)

FACTUAL BACKGROUND
Parties & Claims:

The plaintiff, Pankaj Merchia, is a physician, scientist, engineer, and entrepreneur, proceeding pro se. Merchia sued United Healthcare Services, Inc., a Minnesota-based medical insurance company, for defamation and related claims. The core allegation is that United Healthcare falsely accused Merchia of healthcare fraud, which led to his indictment and arrest in Massachusetts, causing reputational and business harm in the District of Columbia and nationwide.

Underlying Events:

The alleged defamation occurred when United ...

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December 15, 2025
Zalma’s Insurance Fraud Letter – December 15, 2025

Zalma’s Insurance Fraud Letter

Read the full article at https://lnkd.in/dG829BF6; see the video at https://lnkd.in/dyCggZMZ and at https://lnkd.in/d6a9QdDd.

ZIFL Volume 29, Issue 24

Subscribe to the e-mail Version of ZIFL, it’s Free! https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D

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/

Zalma’s Insurance Fraud Letter

Merry Christmas & Happy Hannukah

Read the following Articles from the December 15, 2025 issue:

Read the full 19 page issue of ZIFL at ...

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