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14 hours ago
Go to Jail, Go Directly to Jail, Do Not Pass Go

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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00:08:12
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January 08, 2026
Public Adjuster Immediately Retained but Insurer Not Notified

Insured Must Give Prompt Notice of Loss
Post 5256

Read the full article at https://lnkd.in/gBXRbKXD, see the video at https://lnkd.in/g4DKfUDz and at https://lnkd.in/g65V_RQ7 and at https://zalma.com/blog plus more than 5250 posts.

Once The Insured Knows There is Damage It is Obligated to Report the Loss to the Insurer

In Greater St. Stephen Ministries, Inc. v. Mt. Hawley Insurance Company, No. 24-cv-3130 (AS), United States District Court, S.D. New York (January 2, 2026) resolved a case brought by a church against an insurance company for denying coverage after Hurricane Ida. After discovery, the insurance company moved for summary judgment because it claimed the insured breached a material condition of the policy.

BACKGROUND

Greater St. Stephen Ministries, Inc., a church located in Louisiana, owned property that suffered damage from Hurricane Ida on August 29, 2021. The property was insured under a policy with Mt. Hawley Insurance Company, which required the insured to provide “prompt notice” of any loss or damage, ...

00:09:19
January 08, 2026
Public Adjuster Immediately Retained but Insurer Not Notified

Insured Must Give Prompt Notice of Loss
Post 5256

Read the full article at https://lnkd.in/gBXRbKXD, see the video at https://lnkd.in/g4DKfUDz and at https://lnkd.in/g65V_RQ7 and at https://zalma.com/blog plus more than 5250 posts.

Once The Insured Knows There is Damage It is Obligated to Report the Loss to the Insurer

In Greater St. Stephen Ministries, Inc. v. Mt. Hawley Insurance Company, No. 24-cv-3130 (AS), United States District Court, S.D. New York (January 2, 2026) resolved a case brought by a church against an insurance company for denying coverage after Hurricane Ida. After discovery, the insurance company moved for summary judgment because it claimed the insured breached a material condition of the policy.

BACKGROUND

Greater St. Stephen Ministries, Inc., a church located in Louisiana, owned property that suffered damage from Hurricane Ida on August 29, 2021. The property was insured under a policy with Mt. Hawley Insurance Company, which required the insured to provide “prompt notice” of any loss or damage, ...

00:09:19
January 07, 2026
Broker's Failure to Obtain Insurance Ordered Causes Litigation

New Trial Because Jury Used Policy That Provides No Coverage to Assess Damages

Post 5255

Read the full article at https://lnkd.in/drG3xH2R, see the video at https://lnkd.in/d6p8e-9p and at https://lnkd.in/dgPsQ3Sn, and at https://zalma.com/blog plus more than 5250 posts.

In Brown & Brown of Florida, Inc. v. Houligan’s Pub & Club, Inc., and Ormond Wine Company, LLC, Nos. 5D2024-2352, 5D2024-2458, Florida Court of Appeals (January 2, 2026) the Court of Appeals was faced with a case of first impression that involved damages from a hurricane that hit the East Coast of Florida almost a decade ago and the extent to which an insurance broker is responsible for paying for such damages.

The jury entered a verdict in favor of the insurance broker on the insured’s claim that it was negligent in failing to procure insurance, but it found in favor of the insured on claims of breach of fiduciary duty and negligent misrepresentation.

The insurance broker does not contest it breached its duties on these two claims, only ...

00:08:01
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

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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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