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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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January 20, 2026
If You Do the Crime, You Must Do the Time

Fraudster Tries to Reduce His Sentence by Continuing His Fraud
Post number 5267

Read the full article at https://lnkd.in/gn6SUUqV, see the video at https://lnkd.in/g4PiYrAp and at https://lnkd.in/giHCPFAw, and at https://zalma.com/blog plus more than 5250 posts.

In Spite of Defendants Claims He Will Spend Serious Time in Prison

In United States Of America v. Henry Ford, Criminal Action No. 23-130, United States District Court, E.D. Pennsylvania (January 5, 2026) Henry Ford (no relation to the creator of the Model T), also known as “Cleothus Lefty Jackson,” was indicted and pled guilty to one count of securities fraud and aiding and abetting, along with seven counts of wire fraud.

FACTUAL BACKGROUND

Defendant falsely represented to victims that a business he controlled, Fallcatcher, had “pilot approvals in writing” with two large insurance companies and that several states “want the [Fallcatcher] technology” [Count Five]. In reality, Fallcatcher did not have any pilot programs with insurance companies and the Letter Of Intent was not a legitimate document.

Ford founded and operated several Fallcatcher entities, holding various executive roles, and purportedly used some of the funds to promote the business and hire employees.

Ford orchestrated a fraudulent investment scheme involving the sale of securities tied to companies he controlled, collectively known as “Fallcatcher.” The scheme defrauded 61 victims out of nearly $5 million. The SEC recovered and returned a portion of the funds, but over $2 million in restitution remains outstanding.

Approximately sixty-one (61) investor victims invested $4,964,775.79 in Fallcatcher, in return for shares of Fallcatcher’s common stock at a price of $.50 per share. These investments constituted the purchase of securities. And although Defendant did not have access to the investment proceeds located in Fallcatcher bank accounts, bank records reflected that Defendant and his wife received approximately $493,000 in payments from Fallcatcher after the proceeds were in the accounts.

The Present Criminal Case

In the instant criminal case a grand jury returned an eight-count Indictment against Defendant. On May 13, 2025, Defendant pled guilty to all charges in the Indictment, pursuant to a written plea agreement. The parties agreed, pursuant to Federal Rules of Criminal Procedure 11(c)(1)(C), that a sentence of imprisonment between forty-six (46) and seventy-eight (78) months is the appropriate disposition of this case.

Legal Issues & Sentencing

The sentencing in this case centers on the calculation of “loss” under § 2B1.1 of the United States Sentencing Commission Guidelines. The court clarified that “loss” means the actual harm suffered by victims. This means that any money recovered and returned to victims should be deducted from the loss calculation.

Analysis/Discussion

First, the money recovered by the SEC and returned to victims was deducted from the loss calculation, as only the net loss actually suffered by victims is relevant to a sentencing court.

Second, the court rejected the argument that funds not returned but used for “legitimate business purposes” should be excluded from the loss calculation. The rationale is that such expenditures, even if ostensibly for business operations, do not offset the loss suffered by victims, as the funds were obtained through fraud.

Fraud Loss Calculation in the Presentence Report

In the Presentence Report (“PSR”), the Probation Officer set the applicable fraud loss at $4,964,775.79. Since the loss exceeded $3,500,000, but was less than $9,500,000,” eighteen (18) offense levels were added.

Defendant Ford objected to the loss amount. The Court found that under § 2B1.1 of the Sentencing Guidelines: (1) the money returned to the victims by the SEC is not included in the amount of “actual loss”; and (2) the remainder of investment funds apparently used for “legitimate business expenses” are not excluded from “actual loss.”

The Government argued that because Defendant’s misrepresentations successfully resulted in investors transferring approximately $4.9 million to Fallcatcher Inc., Defendant caused “actual loss” in that amount once the funds were out of the victims’ possession.

Since the $2,095,480.38 balance was actually lost by the victims, he received no credit. The defendant has clearly demonstrated acceptance of responsibility for the offense. Accordingly, the offense level is decreased by two levels. The defendant has assisted the authorities in the investigation or prosecution of the defendant’s own misconduct by timely notifying authorities of the intention to enter a plea of guilty. Accordingly, the offense level is decreased by one additional level.
Total Offense Level: 24

In conclusion the court concluded that at Offense Level of 24, with a Criminal History Category of II, the guideline range for imprisonment is fifty-seven (57) to seventy-one (71) months.

ZALMA OPINION

Fraudsters, even when arrested and convicted with a guilty plea insist on drawing courts into lengthy opinions to support the serious sentence the fraud perpetrator using a famous person’s name as his own, will be sentenced – contrary to his objections, between 57 and 71 months in prison for his fraud.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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00:09:01
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6 hours ago
PROSECUTING ATTORNEYS ARE IMMUNE FROM SUIT

Formulaic Recitation Of The Elements Of Civil Conspiracy Are Insufficient
Post number 5320

See the full video at https://lnkd.in/gPACkgWq and at https://lnkd.in/gsaxij7D, and at https://zalma.com/blog plus more than 5300 posts.

In Hassan Fayad v. Liberty Mutual Insurance Company, et al., No. 2:25-cv-10930, United States District Court, E.D. Michigan, Southern Division (March 24, 2026) Plaintiff Hassan Fayad, the owner of several businesses providing transportation, diagnostics, testing, and therapy services, regularly billed insurance companies for these services, was arrested and tried for fraud, convicted, had the conviction overruled and sued the insurers and prosecutors he found responsible.

FACTUAL BACKGROUND

By January 2020, Liberty Mutual, Progressive, Allstate, and Esurance suspected fraudulent activity and filed a complaint with the Michigan Department of Attorney General (MDAG). The insurers alleged that Fayad and others billed Michigan auto insurance policies for profit without actually providing medically ...

00:08:00
April 09, 2026
Everyone Must Agree to Removal to Federal Court

Federal Courts Have Limited Jurisdiction

When all Parties Refuse Removal There is No Jurisdiction

Post number 5319

Read the full article at https://lnkd.in/gp6Z-JYY, see the full video at https://lnkd.in/gAum322y and at https://lnkd.in/gRPzCjmt and at https://zalma.com/blog plus more than 5300 posts.

In Beth Mayhew and Matthew Mayhew v. Vladimir Sadovyh, et al., No. 2:26-CV-04029-WJE, United States District Court, W.D. Missouri (April 6, 2026) Mayhew was involved in a trailer-truck accident with Vladimir Sadovyh, who was employed by Nova First, LLC and Globex Transport, Inc. Both companies owned the tractor-trailer involved.

FACTUAL BACKGROUND

Chubb and Mohave Transportation Insurance Company jointly issued an insurance policy covering Nova First, Globex, and Sadovyh, with EMA Risk Services acting as a third-party administrator.

Beth Mayhew sued Nova First, Globex, and Sadovyh for negligence in Missouri state court, and following a jury trial, a nuclear judgment was awarded to the Mayhews totaling ...

00:04:01
April 09, 2026
IVF is not Excluded Sexual Conduct

Ordinary Negligence is What Medical Professi0nal Liability Insures

Post number 5319

See the full video at https://lnkd.in/gxKjDztW and at https://lnkd.in/gnxkxS42, and at https://zalma.com/blog plus more than 5300 posts.

Sexual Conduct Exclusion Doesn’t Apply When Doctor Negligently Uses His Own Sperm

In Integris Insurance Company v. Narendra B. Tohan, No. AC 47222, Court of Appeals of Connecticut (April 7, 2026) Integris Insurance Company, a medical professional liability insurer, initiated a declaratory action to determine its duty to defend and indemnify Narendra B. Tohan, a physician licensed in Connecticut, in a separate negligence action alleging medical misconduct.

FACTUAL BACKGROUND

In 2019, Kayla Suprynowicz and Reilly Flaherty (civil action plaintiffs), who were strangers for most of their lives, discovered through a genetic testing company that they are half siblings.

INSURANCE POLICY

The policy defines “Professional Services” in relevant part as “any professional medical services within the ...

00:07:58
April 02, 2026
Zalma’s Insurance Fraud Letter – April 1, 2026

ZIFL – Volume 30, Issue 7 – April 1, 2026

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
Post number 5314

Posted on April 1, 2026 by Barry Zalma

Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th 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/ This issue contains the following articles about insurance fraud:

No One is Above the Law – Not Even a Police Officer

Police Officer Convicted for Fraud in Reporting an Accident Affirmed
Police Officer Should never Lie about Results of Chase

In State Of Ohio v. Anthony Holmes, No. 115123, 2026-Ohio-736, Court of Appeals of Ohio, Eighth District, Cuyahoga (March 5, 2026) a police officer appealed criminal conviction as a result of lies about a high speed chase.

Read the following article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/03/ZIFL-04-01-2026-1.pdf...

April 01, 2026
Zalma’s Insurance Fraud Letter – April 1, 2026

ZIFL – Volume 30, Issue 7 – April 1, 2026

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
Post number 5314

Posted on April 1, 2026 by Barry Zalma

Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th 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/ This issue contains the following articles about insurance fraud:

No One is Above the Law – Not Even a Police Officer

Police Officer Convicted for Fraud in Reporting an Accident Affirmed
Police Officer Should never Lie about Results of Chase

In State Of Ohio v. Anthony Holmes, No. 115123, 2026-Ohio-736, Court of Appeals of Ohio, Eighth District, Cuyahoga (March 5, 2026) a police officer appealed criminal conviction as a result of lies about a high speed chase.

Read the following article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/03/ZIFL-04-01-2026-1.pdf...

March 31, 2026
Insurance Fraud Costs Everyone

Posted on March 30, 2026 by Barry Zalma

Insurance Fraud, a Way to Reduce Violent Crime
Post number 5313

A Fictionalized True Crime Story of Insurance Fraud from an Expert who explains why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story helps 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.

She Taught Her Customers The Swoop And Squat:

Recently the California Insurance Department’s Fraud Division arrested a young woman in Los Angeles County for operating an insurance fraud school. She advertised her classes in the “Penny Saver” an advertising sheet distributed free to the public and a print version of Facebook, X Craig’s list. She had operated for several years teaching methods of committing automobile insurance fraud. Only after a police officer enrolled in one of her classes was she arrested.

Her defense ...

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