Zalma on Insurance
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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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February 09, 2026
To Be Insured You Must be Named and Live in House

Owner of Property Not Named as Insured Has No Standing

Post number 5280

See the video at https://lnkd.in/gVwMZnES and at https://lnkd.in/geUWJ5Sa, and at https://zalma.com/blog plus more than 5250 posts.

When Ownership in Property Changes it is Essential to Cause the Policy to Name the New Owner as Insured

In Joyce Lynn Serauskas v. Liberty Mutual Fire Insurance Co., No. 25-cv-12474, United States District Court, N.D. Illinois, Eastern Division (February 4, 2026) in August 2024 a fire damaged a home on West 51st Street in Chicago. Joyce Lynn Serauskas filed an insurance claim with Liberty Mutual Fire Insurance Co., under a homeowner’s policy originally issued to her mother, Estelle Bielecki, in 1978.

FACTUAL BACKGROUND

The policy had been automatically renewed every year with premiums paid on time, including at the time of the fire. However, Estelle Bielecki had passed away in 2010, and Serauskas had continued to reside in the home and pay premiums.

Eventually Serauskas acquired full ownership before the fire.

LEGAL ISSUES

Serauskas brought claims for breach of contract and for vexatious and unreasonable conduct under § 155 of the Illinois Insurance Code. She also asserted estoppel and equitable lien claims, arguing Liberty Mutual created a reasonable expectation of coverage by accepting premiums and issuing renewals after Estelle’s death. Liberty Mutual moved to dismiss, challenging standing and the sufficiency of Serauskas’s claims under Federal Rules of Civil Procedure 12(b)(1) and 12(b)(6).

DISCUSSION AND ANALYSIS

The policy was issued to her deceased mother but Serauskas had paid premiums and lived at the property for years. Standing implicates the court’s subject-matter jurisdiction. Rule 12(b)(6) examines the legal sufficiency of the claims, requiring that factual allegations plausibly suggest the existence of jurisdiction and a viable claim. The court noted that standing is a fundamental requirement under Article III, focusing on whether the litigant is entitled to have the court decide the merits of the dispute.

The court granted Liberty Mutual’s motion to dismiss, though some claims were dismissed without prejudice, suggesting potential for refiling if properly pleaded. The analysis centered on whether Serauskas, as someone who paid premiums and ultimately owned the property, could enforce the policy issued in her mother’s name and whether Liberty Mutual’s conduct created a reasonable expectation of coverage despite the named insured’s death.

Liberty Mutual argued that the breach of contract claim must be dismissed because Serauskas lacks standing-she is not a party to the insurance contract and therefore cannot sue for breach.

A nonparty’s right to enforce a contract is governed by state law. There is no dispute that Estelle Bielecki is the “named insured” and the home on West 51st Street is the relevant Property described in the Policy. Because she is not a named insured, Liberty Mutual argued that Serauskas lacks standing to sue. It also notes that although the Policy contains an assignment provision, at no time prior to the fire in 2024 did Liberty Mutual provide written consent for assignment of the policy.

Serauskas’s arguments in response are non-starters.

The issue is not whether Serauskas was required under the Policy to notify Liberty Mutual of her mother’s death. It’s whether she qualified under the relevant provision of the Policy as a named insured. She did not.

The motion to dismiss was granted.

ZALMA OPINION

Ms. Serauskas was ignorant of the insurance issues raised by her mother’s death. First, a homeowners policy requires the named insured to reside in the premises for insurance to apply. In addition, only an insured, as defined by the policy, can recover as a result of a loss, like a fire. Serauskas was not an insured but resided in the premises. The named insured was dead and could not reside in the premises. To avoid the problem all that Serauskas’ needed to do was amend the policy to name her as an insured. She did not do so, was not an insured, and had no rights under the policy and the person with those rights was dead.

(c) 2026 Barry Zalma & ClaimSchool, Inc.

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00:08:14
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July 22, 2026
The Real Cost of Fraud

The Largest Residential Burglary of All Time
Post 5407

Fraud & the Fear of Bad Faith Suits
Posted on July 22, 2026 by Barry Zalma

See the full video at https://lnkd.in/gWQQEySW and at https://lnkd.in/gyhdK6wv

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help 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.

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help 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.

After ...

00:12:33
July 20, 2026
Search Warrant Produces Evidence of Insurance Fraud

Chutzpah is not Enough
Post 5397

Posted on July 20, 2026 by Barry Zalma

See the video and at https://lnkd.in/gNUs2XzT and at https://lnkd.in/g2MawyzX

Magistrate Issues a Search Warrant if there is a Fair Probability that Contraband or Evidence of a Crime will be Found in a Particular Place.

In United States Of America v. Frank Suess, et al., CRIMINAL No. 3:24-308, United States District Court, M.D. Pennsylvania (July 16, 2026) a federal grand jury indicted Frank Suess, Melissa Driscoll, and others in a 55-count health care fraud and anti-kickback prosecution arising from an alleged scheme involving medically unnecessary prescription “foot baths.”

As part of the investigation, the FBI obtained an August 19, 2022 warrant to search Driscoll’s Sterling Pharmacy Yahoo email account for emails from January 1, 2018 through December 31, 2020. Driscoll moved to suppress the resulting evidence, arguing that the warrant lacked probable cause, was overbroad, and rested on material misstatements and omissions.

LAW:

The ...

00:08:22
July 17, 2026
The Great Jewel Theft

Fraud Shouldn’t Pay

Post 5396

See the video and at https://rumble.com/v7ctgmq-the-great-jewel-theft.html at https://youtu.be/aRbQ2sJfGwA

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help 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.

The Insured purchased, for the first time in his life, a policy of Personal Articles Floater Insurance (PAF) scheduling $125,000 worth of ladies jewelry. He advised the insurer that the jewelry was always kept in a class E safe at his residence. He also told the insurer that he was employed full time as the owner of a gasoline service station and that he had never been canceled or suffered a previous loss.

One month after the policy was ...

00:09:42
9 hours ago
Plaintiff Sues Because State Employees Stigmatized Her

Day Care Owner Loses Subsidies Because She Criticized State

Post 5421

Posted on August 11, 2026 by Barry Zalma

First Amendment Right Will be Allowed to Go to Trial

In Betsey J. Grant v. Maine State Department Of Heath And Human Services, No. 1:25-cv-00490-JAW, United States District Court, D. Maine (August 6, 2026), Betsey J. Grant, a licensed childcare provider and operator of Tiny Tikes Daycare in Trenton, Maine, sued Maine DHHS and several employees after she publicly criticized DHHS before Maine’s Government Oversight Committee and alleged that officials retaliated against her.

She claimed DHHS imposed and extended a conditional license, published stigmatizing information, interfered with subsidies and program funding, removed her from a food program, rescinded an expansion grant, and used biased or falsified evidence in licensing proceedings. Following the March 10, 2023, GOC testimony, Ms. Grant alleges that foster children's subsidies (approximately $30,000) were withheld; she was removed from the ...

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August 05, 2026
It Doesn’t Pay to Lie in an Application for Insurance

Rescission for Material Misrepresentation
Post 5418

Posted on August 5, 2026 by Barry Zalma

An Insurer May Rescind An Insurance Policy Where The Applicant Made A Material Misrepresentation In The Application.

In Union Mutual Fire Insurance Company v. 844 Knickerbocker, LLC, et al. No. 2024-10359, Index No. 602824/22, 2026 NY Slip Op 04789, Supreme Court of New York, Second Department (July 29, 2026) Union Mutual Fire Insurance Company issued commercial insurance policies to 844 Knickerbocker, LLC, and Sanjaya Mallick based on applications stating that the insured property contained two apartment units. After an underlying personal injury action was filed, Union Mutual determined that the property actually contained three apartment units and rescinded the policies on the ground that the defendants had made a material misrepresentation in the applications.
LAW:

A misrepresentation is material if the insurer would not have issued the same policy, or would have issued it only on different terms, had the true ...

post photo preview
August 05, 2026
It Doesn’t Pay to Lie in an Application for Insurance

Rescission for Material Misrepresentation
Post 5418

Posted on August 5, 2026 by Barry Zalma

An Insurer May Rescind An Insurance Policy Where The Applicant Made A Material Misrepresentation In The Application.

In Union Mutual Fire Insurance Company v. 844 Knickerbocker, LLC, et al. No. 2024-10359, Index No. 602824/22, 2026 NY Slip Op 04789, Supreme Court of New York, Second Department (July 29, 2026) Union Mutual Fire Insurance Company issued commercial insurance policies to 844 Knickerbocker, LLC, and Sanjaya Mallick based on applications stating that the insured property contained two apartment units.

LAW:

A misrepresentation is material if the insurer would not have issued the same policy, or would have issued it only on different terms, had the true facts been disclosed. To establish materiality as a matter of law, the insurer must submit documentation of its underwriting practices, such as manuals, guidelines, bulletins, or rules addressing similar risks.

DISCUSSION/ANALYSIS:

As a result, the...

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