Overwhelming Evidence of Insurance Fraud Sustains Conviction - One Fraud Fails in Minnesota
Post 5258
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In State of Minnesota v. Mark John Jenni, No. A25-0111, Court of Appeals of Minnesota (January 5, 2026) dealt with an insurance coverage issue because Mr. Jenni, in July 2023, obtained an insurance policy with Liberty Mutual Insurance for a home in Park Rapids, Hubbard County, Minnesota based on false representations, only to find himself charged with insurance fraud.
FACTS
On his application, Jenni stated that the property was his primary residence, that he had purchased it in 2023, that it was not under construction or renovation, and that there had been no recent insurance claims or cancellations on the property. About a month after securing coverage, Jenni filed a claim for a reported burglary involving over $80,000 in stolen tools and property damage. He did not report the burglary to law enforcement. A responding sheriff found no evidence of a break-in. Liberty Mutual denied the claim, citing exclusions for theft from homes under construction and noting that Jenni acknowledged living elsewhere during renovations.
The insurer referred the matter to the Minnesota Commerce Fraud Bureau, which was already investigating Jenni for a prior denied insurance claim in 2022 involving water and fire damage. Jenni was charged with insurance fraud, convicted by a jury, and sentenced.
On appeal, Jenni argued that prosecutorial misconduct occurred by introducing evidence about the prevalence and cost of insurance fraud and by suggesting in closing and rebuttal that these costs are passed on to other insurance customers.
DECISION
During direct examination, the prosecutor asked a fraud investigator for Liberty Mutual a series of questions about his role in investigating insurance fraud. Jenni contended the prosecutor committed misconduct by eliciting this testimony because it was irrelevant, and thus inadmissible, and did not bear directly on an element of the crime of insurance fraud. As previously noted, appellant did not object to this testimony.
The Court of Appeals disagreed with Jenni that the admission of the investigator’s testimony that insurance fraud costs the insurance industry billions of dollars was an error.
The testimony may also be understood as an explanation of the insurance industry’s interest in asking applicants specific questions designed to minimize its risk.
Jenni does not dispute this principle and does not cite an instance in which this court or the supreme court has called into doubt the basic definition of relevancy. Ultimately, the Court of Appeals concluded that it was not plain error for the prosecutor to elicit the investigator’s testimony about the cost of insurance fraud to the industry and that the costs are passed to customers.
The Prosecutor’s Alleged Misconduct Did Not Affect Jenni’s Substantial Rights.
To assess the impact of the misconduct on the jury’s verdict, the Court of Appeals considers the strength of the evidence against the appellant, the pervasiveness of the improper suggestions, and whether the appellant had an opportunity to (or made efforts to) rebut the improper suggestions.
Finally, the evidence against Jenni was strong. The Liberty Mutual application, which Jenni electronically signed, represented that the property was: his primary residence; purchased in 2023; not under construction or significant renovation, and in good repair; and that he had not had a claim denied or a policy canceled and had not filed other claims within the previous five years. The state introduced evidence that several of these representations were false when made and that Jenni knew or had reason to know they were false.
The record contains multiple evidentiary avenues for the jury to convict Jenni: documentary evidence of false statements in the application, independent testimony and records contradicting those statements, Jenni’s admissions in emails and text messages, and circumstantial evidence of motive in the form of the timing related to the quickly filed claim and lack of a police report following the alleged burglary. The district court later characterized the evidence as “overwhelming,” and the jury deliberated for approximately 40 minutes before reaching a verdict.
Given the strength of the evidence the prosecutor’s isolated reference to that testimony during closing do not constitute reversible misconduct.
ZALMA OPINION
Insurance fraud is a crime in every jurisdiction in the US as a felony. Jenni was an experienced insurance fraud perpetrator but ignorant about insurance so he lied on the application for insurance thereby providing the insurer with evidence sufficient to deny his claim. Those misrepresentations were reported to the authorities resulting in his arrest, trial and conviction with evidence against him so overwhelming that the jury only took 40 minutes to convict him. His appeal should have been dismissed as frivolous rather than the Court of Appeal giving consideration to his spurious claims.
(c) 2025 Barry Zalma & ClaimSchool, Inc.
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Insurance Expert May Not Testify to Speculative and Contains Unsupported Conclusions.
Posted on September 18, 2026 by Barry Zalma
See the full video at and at https://rumble.com/v7fmifw-expert-may-only-testify-to-what-experience-supports.html
In Michele A. Over, and The Estate Of Paul R. Over v. State Farm Mutual Automobile Insurance Company, and State Farm Fire And Casualty Company, Civil Action No. 23-cv-02243-PAB-STV, United States District Court, D. Colorado (September 14, 2026) Michele and Paul Over sued State Farm Fire and State Farm Auto over hail-damage and stolen-vehicle claims.
The operative dispute concerned State Farm Auto’s motion to exclude or limit opinions from plaintiffs’ insurance-industry expert, Aaron Castillo. Castillo.
Law
The proponent of expert testimony must establish by a preponderance of the evidence that an expert is qualified and that the opinions are helpful, sufficiently grounded, and reliably derived and applied. Experience-based opinions must explain how the...
150 Months in Prison for Tax Fraud
Post 4846
Posted on September 17, 2026 by Barry Zalma
See the full video at https://lnkd.in/g8rh3JBX and https://lnkd.in/gmkdy-9C, In United States Of America v. Thomas Addaquay, Nos. 25-10609, 25-10611, United States Court of Appeals, Eleventh Circuit (September 9, 2026) the Eleventh Circuit affirmed all challenged convictions, the 150-month aggregate sentence, and the challenged $4,123,474.55 restitution award.
FACTS
In United States Of America v. Thomas Addaquay, United States Of America v. Thomas Addaquay, Nos. 25-10609, 25-10611, United States Court of Appeals, Eleventh Circuit (September 9, 2026) the Eleventh Circuit affirmed all challenged convictions, the 150-month aggregate sentence, and the challenged $4,123,474.55 restitution award.
FACTS
Thomas Addaquay controlled United Consolidated Accounting and Business Services (UC), nominally a check-cashing business.
The government proved a three-stage tax-refund scheme that converted the resulting refund checks into usable funds through ...
Major Fraud Perpetrator Asserts Fifth Amendment Privilege to Avoid Prosecution
Post 5489
Posted on September 14, 2026 by Barry Zalma
Fraudster Refuses to Answer Questions About His Alleged Fraud
See the full video at https://lnkd.in/gvicAMDr and at https://lnkd.in/gvicAMDr
In Great American Insurance Co. v. Gemstone Property Management, LLC, et al., No. 23-cv-9100 (LJL), United States District Court, S.D. New York (September 8, 2026) Great American Insurance Company alleged that it was defrauded through a scheme in which Subin Associates, LLP recruited individuals to stage construction-site injuries, arranged unnecessary medical treatment and litigation funding, and pursued fraudulent personal-injury claims.
Luis Manuel Garcia Salcedo, resulted in a $6 million settlement. Non-party Jose Hernandez allegedly worked as an assistant manager at Subin, operated Hernandez Associates, and owned litigation-funding companies that shared office space with Subin and provided services to its clients.
After Great American ...
Posted on September 18, 2026 by Barry Zalma
Insurance Expert May Not Testify to Speculative and Contains Unsupported Conclusions.
See the full video at and at https://rumble.com/v7fmifw-expert-may-only-testify-to-what-experience-supports.html
In Michele A. Over, and The Estate Of Paul R. Over v. State Farm Mutual Automobile Insurance Company, and State Farm Fire And Casualty Company, Civil Action No. 23-cv-02243-PAB-STV, United States District Court, D. Colorado (September 14, 2026) Michele and Paul Over sued State Farm Fire and State Farm Auto over hail-damage and stolen-vehicle claims.
The operative dispute concerned State Farm Auto’s motion to exclude or limit opinions from plaintiffs’ insurance-industry expert, Aaron Castillo. Castillo.
Law
The proponent of expert testimony must establish by a preponderance of the evidence that an expert is qualified and that the opinions are helpful, sufficiently grounded, and reliably derived and applied. Experience-based opinions must explain how the...
Insurer’s Insistence on Keeping Premium Defeats Claim of Voidance for Breach of Condition
Posted on September 16, 2026 by Barry Zalma
Post 4845
After USAA Learned Ford Had Sold The BMW, It Did Not Attempt To Revoke The Policy And Refund The Amount Ford Had Paid For Coverage and was Estopped or Waived it Right to Revoke Coverage
In Lisa White v. USAA Insurance Agency Incorporated, et al., No. CV-24-00378-PHX-KML, United States District Court, D. Arizona (September 10, 2026) Dezmond Ford purchased a USAA automobile policy covering a 2013 BMW for August 7 through December 27, 2020, and apparently paid the full premium.
Ford later sold the BMW to Jack Eddia without notifying USAA, but kept the policy active to avoid a coverage gap. Eddia obtained title and registration and, on November 1, 2020, struck and killed Lisa White’s son while driving the BMW. USAA had accepted premiums through the accident date and, after learning of the sale, did not refund the premium attributable to the post-sale period. White obtained a $3.75...
THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
Posted on September 1, 2026 by Barry Zalma
Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th year of publication dedicated to those involved in educing 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/
This issue contains the following articles about insurance fraud:
Long Island Rep. Laura Gillen Is Taking Aim At Criminals Who Have Been Caught Staging Car Accidents.
Time for a Federal Crime of Insurance Fraud
The accidents may be shams, but the felonies would be real. On Thursday, Gillen (D-NY) introduced the Stop Auto Fraud Act of 2026, which would make the “crash for cash” practice a federal offense punishable by up to 10 years behind bars, with sentence enhancements for smash-ups causing injury or death.
Rep. Laura Gillen is hoping her bipartisan bill will become law to give prosecutors a federal crime to prosecute cash for crash ...