Zalma on Insurance
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March 25, 2026
Civil Rights Action Filed to Try to Stop Prosecution

Arrest for Insurance Fraud is not a Violation of Constitutional Rights
Court Give Plaintiffs Acting as their Own Lawyer a Second Chance

Post number 5310

Read the full article at https://lnkd.in/gJ5yrK8m, see the full video at https://lnkd.in/gSPcXJ6A and at https://lnkd.in/gfdvbaMT, and at https://zalma.com/blog plus more than 5300 posts.

In Arin Sutton et al v. Lori Pozuelos et al., No. 5:25-cv-03544-MRA-MAR, United States District Court, C.D. California (March 20, 2026) Plaintiffs Darin Sutton and Youtha Baker, proceeding pro se and in forma pauperis, initiated a civil rights action under 42 U.S.C. § 1983 against multiple defendants, including Lori Pozuelos, in the United States District Court for the Central District of California.

FACTUAL BACKGROUND

Plaintiffs allege violations of their constitutional rights, though the complaint’s factual allegations are stated in general terms and lack specific detail as to the actions of each defendant.

Plaintiffs are independent contractors who completed work in Missouri. Plaintiffs filed multiple claims with insurance companies. They allege one of the insurance companies filed a “suspected fraud claim” (SFC) regarding Missouri LLC’s G Mentality and Deverric and Dillon Remodeling. Defendant Pozuelos, an investigator employed by CD and assigned to the California Department of Insurance (“CDI”) Fraud Division was assigned to investigate Plaintiffs’ independent contractor work in Missouri.

LEGAL ISSUES

The Court screened the complaint under 28 U.S.C. § 1915(e)(2), which requires dismissal of any action filed in forma pauperis that is frivolous, malicious, fails to state a claim, or seeks monetary relief against immune defendants. The complaint was brought pursuant to section 1983, which provides a remedy for deprivation of federal rights by persons acting under color of state law.

The central question was whether the complaint stated a plausible claim for relief under section 1983 and satisfied federal pleading standards.

ANALYSIS

The Court found the complaint deficient for lack of specificity regarding the alleged constitutional violations and the actions of each defendant. The Court concluded that, as pleaded, the complaint did not meet the standards required by law and thus warranted dismissal.

DISCUSSION

The complaint was dismissed with leave to amend, providing Plaintiffs an opportunity to cure identified deficiencies.

Plaintiffs named Lori Pozuelos, in her Individual and Official Capacity as an Investigator with the California Department of Insurance as a defendant. Plaintiffs alleged that they are independent contractors who completed work in Missouri. Plaintiffs alleged that Defendant presented “contradictory and misleading testimony” to a grand jury, which led to their April 2023 arrests without probable cause.

SUIT AGAINST IMMUNE DEFENDANTS

A plaintiff may seek monetary damages under section 1983 from state employees in their individual capacity. However, because a suit against a state official in his or her official capacity is no different from a suit against the State itself, state officials sued in their official capacity, like the State itself, are generally entitled to immunity in a section 1983 action.

The Supreme Court has recognized one vital exception to this general rule: When sued for prospective injunctive relief, a state official in his official capacity is considered a ‘person’ for § 1983 purposes, and the Eleventh Amendment will not bar such relief. As the Supreme Court explains, a state official in his or her official capacity, when sued for injunctive relief, would be a person under § 1983 because official-capacity actions for prospective relief are not treated as actions against the State.

Therefore, a suit for prospective injunctive relief against a state employee in his official capacity may be cognizable when properly pled.

Prosecutors have absolute immunity to suits under section 1983 when the prosecutor acts within the scope of his or her authority and in a quasi-judicial capacity. Since the plaintiffs sued Doe Defendant Prosecutors there was no case against the Doe Defendants pled.

PLAINTIFF’S CLAIMS APPEAR TIME-BARRED

The statute of limitations for section 1983 claims is the applicable state statute of limitations for personal injury actions. In any amended complaint, Plaintiffs should clearly identify the dates for the relevant incidents and explain any basis for tolling of the statute of limitations.

ZALMA OPINION

People who sue in federal court acting as their own lawyer and alleging they are paupers and unable to pay the filing fees sued a California state Insurance Fraud Investigator and unknown prosecutors to stop prosecution. They failed to allege sufficient facts, the suit was dismissed, and the court gave the plaintiffs the right file an amended complaint although the plaintiffs were not worthy of the court’s kindness. The state of California should pursue the arrest and prosecution of the plaintiffs in accordance with the California Insurance Fraud Prevention Act.

(c) 2026 Barry Zalma & ClaimSchool, Inc.

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00:08:17
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September 14, 2026
Court Enforces Fifth Amendment & Refuses to Compel Answers

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 ...

00:05:14
August 27, 2026
Offer Made and Accepted Creates Enforceable Contract

Policy Limits Demand Accepted Settles Claim

Post 5434

Posted on August 26, 2026 by Barry Zalma

See the full video at https://lnkd.in/g-ZtsSgK and at https://lnkd.in/ghMBdYWR
A Contingent Offer Accepted Ends the Dispute

In Farmers Insurance Exchange, a California Reciprocal Insurance Exchange,  The Superior Court For The County Of San Bernardino, Kathleen Ann Wood, E087128, California Court of Appeals, (July 9, 2026) Farmers Insurance Exchange insured Doyle Archer under an automobile policy with bodily injury limits of $15,000 per person and $30,000 per accident.

FACTUAL BACKGROUND

Archer rear-ended Kathleen Ann Wood at a red light, causing Wood to assert a bodily injury claim against him. Wood’s counsel sent Farmers a pre-litigation settlement demand offering to resolve Wood’s claim for the available policy limits, stating that if the $100,000 demand exceeded the policy, the offer was for the policy limits.

Farmers timely responded in writing, agreed to pay Wood the $15,000 per-person policy limit, and provided the requested ...

00:08:28
August 26, 2026
Offer Made and Accepted Creates Enforceable Contract

Policy Limits Demand Accepted Settles Claim

Post 5434

Posted on August 26, 2026 by Barry Zalma

See the full video at https://lnkd.in/g-ZtsSgK and at https://lnkd.in/ghMBdYWR
A Contingent Offer Accepted Ends the Dispute

In Farmers Insurance Exchange, a California Reciprocal Insurance Exchange,  The Superior Court For The County Of San Bernardino, Kathleen Ann Wood, E087128, California Court of Appeals, (July 9, 2026) Farmers Insurance Exchange insured Doyle Archer under an automobile policy with bodily injury limits of $15,000 per person and $30,000 per accident.

FACTUAL BACKGROUND

Archer rear-ended Kathleen Ann Wood at a red light, causing Wood to assert a bodily injury claim against him. Wood’s counsel sent Farmers a pre-litigation settlement demand offering to resolve Wood’s claim for the available policy limits, stating that if the $100,000 demand exceeded the policy, the offer was for the policy limits.

Farmers timely responded in writing, agreed to pay Wood the $15,000 per-person policy limit, and provided the requested ...

00:08:28
20 hours ago
Insurer Hoist on its Own Petard

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...

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20 hours ago
Zalma’s Insurance Fraud Letter –September 15, 2026

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 ...

post photo preview
September 15, 2026
Zalma’s Insurance Fraud Letter –September 15, 2026

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 ...

post photo preview
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