Material Fact Not Proved Defeats Summary Judgment
Post number 5314
See the full video at https://lnkd.in/guT-87b6 and at https://lnkd.in/gEQrFndb and at https://zalma.com/blog, plus more than 5300 posts.
In Peleus Insurance Company, on its own behalf and on behalf of Bais Yaakov Dkal Adas Yereim and BT General Builders, Inc. v. United Specialty Insurance Company, No. 24 Civ. 1398 (KPF), United States District Court, S.D. New York (March 23, 2026) Peleus Insurance Company (“Peleus”), on behalf of itself and insureds Bais Yaakov Dkal Adas Yereim (“Bais”) and BT General Builders, Inc. (“BT”), initiated an action against United Specialty Insurance Company (“USIC”) in the United States District Court for the Southern District of New York. Peleus sought declaratory judgment regarding USIC’s obligations to defend and indemnify its insureds in connection with an underlying personal injury lawsuit pending in the Supreme Court of the State of New York, Kings County. Both parties cross-moved for summary judgment concerning USIC’s duty to defend.
FACTUAL BACKGROUND
The underlying action arose from an accident at a construction site located at 184-198 Nostrand Avenue, Brooklyn, New York, where Jonathan Caceres, employed by Charles Contractors Corp., sustained injuries while carrying a stone slab up a staircase. Caceres sued BT and Bais in state court, alleging negligence and violations of New York Labor Law Sections 200, 240, and 241(6). At the time of the accident, Charles Contractors was engaged in stonework at the site. Caceres’s injuries occurred when he slipped on water, lost control of the slab, and the slab fell on his left foot.
LEGAL STANDARDS
The motions for summary judgment required the court to determine whether USIC owed a duty to defend and indemnify BT and Bais as “additional insureds” under USIC-issued policies. The duty to defend is typically broader than the duty to indemnify and hinges on the terms of the insurance policy and the allegations in the underlying complaint.
COURT’S ANALYSIS AND DISCUSSION
The court’s analysis centered on the timing and validity of the agreement purportedly extending additional insured coverage to BT and Bais under USIC’s policies. Both parties argued for summary judgment on USIC’s duty to defend, but the court found a material dispute regarding whether the relevant agreement was executed before the accident occurred. This factual uncertainty precluded a definitive ruling on coverage and defense obligations. The court concluded that, due to unresolved factual questions concerning the execution date of the agreement, neither party was entitled to summary judgment.
CONCLUSION
The court denied both Peleus’s and USIC’s motions for summary judgment. The outcome preserves the need for further proceedings to resolve the disputed facts, particularly regarding the timing of the agreement that could trigger USIC’s duty to defend and indemnify.
Insurance policies are, in essence, creatures of contract, and, accordingly, subject to principles of contract interpretation. The initial interpretation of a contract is a matter of law for the court to decide.
Genuine Disputes of Material Fact Exist Concerning the Execution Date of the Sandstone Agreement
The parties do not seriously dispute that, if the Court finds that BT and Bais qualify as additional insureds under the USIC Policy, USIC would have a duty to defend them in the Underlying Action. Instead, the parties dispute the antecedent question of whether BT and Bais qualify as additional insureds under the USIC Policy.
In point of fact, these recitals do not mean that the Sandstone Agreement was executed on April 20, 2022, prior to Mr. Caceres’s alleged Accident. The evidence concerning the execution date of the Sandstone Agreement raises genuine disputes of material fact. In short, Peleus has not proved, nor has USIC disproved, that BT and Bais qualify as additional insureds under the USIC Policy for two separate reasons, one temporal and one intent-based. In the absence of a more developed factual record, resolution of that issue will have to wait until trial.
The decision underscores the importance of clear documentation and timing in additional insured coverage disputes and serves as a reminder that summary judgment is inappropriate when material facts remain contested.
ZALMA OPINION
Additional insured endorsements are important to every insured doing business where the contract requires them to make others insureds on the named insured’s policy. They are prevalent in construction contracts where the general contractor and owner try to shift the risk of loss to the subcontractors policies. In this case, the contract promising to make another an additional insured was not signed until after the accident and summary judgment was not proper.
(c) 2026 Barry Zalma & ClaimSchool, Inc.
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Captive Insurers are an Acceptable Means to Avoid Tax
Post number 5328
See the video at https://rumble.com/v78rr9k-win-some-lose-some-when-you-sue-the-irs.html and at https://youtu.be/1FrfujEOEuI, and at https://zalma.com/blog plus more than 5300 posts.
In Drake Plastics Ltd. Co., et al. v. Internal Revenue Service, et al., Civil Action No. H-25-2570, United States District Court, S.D. Texas, Houston Division (April 15, 2026) Plaintiffs (Drake Plastics Ltd. Co.; Drake Insurance Co., a captive insurer; and Strategic Risk Alternatives, LLC, a micro-captive manager/advisor) challenged Treasury/IRS’s January 14, 2025 final rule imposing disclosure requirements for certain micro-captive transactions. The Final Rule created two disclosure categories with different criteria and penalty consequences:
1. micro-captive “transactions of interest” (26 C.F.R. § 1.6011-11) and
2. “listed” micro-captive transactions (26 C.F.R. § 1.6011-10).
The plaintiffs moved for vacatur of the Final Rule; a declaratory judgment; a permanent ...
A Legal Assistant is not a Lawyer
Post number 5323
Posted on April 21, 2026 by Barry Zalma
See the video at
Law Student Taking Depositions and Argued Motions in Court Resulted in Discipline
In Frederick Mitchell v. Dawn Wigeri Van Edema et al., C102026, California Court of Appeals, Third District, Yolo (April 13, 2026) Thomas Rutaganira initiated an unlawful detainer action against Krista Mitchell. Frederick Mitchell, Krista’s father, served as a legal assistant and claimed participation in the State Bar of California law office study program, which allows individuals to qualify for the bar exam without formal law school attendance.
FACTUAL BACKGROUND
Frederick took depositions and argued motions in a related bankruptcy action, which led Keith and Dawn to file State Bar complaints, alleging Frederick’s unauthorized practice of law and Ernest’s alleged aiding of Frederick. The State Bar issued a cease and desist notice to Frederick, clarifying he was not a participant in...
Insurance License Revoked After Conviction for Wire Fraud
Post number 5327
Insurance Agent Complains When He Loses License After Convicted of Wire Fraud
See the video at https://lnkd.in/gcp-3A56 and at https://lnkd.in/gsWW67S9, plus more than 5300 posts.
In Susan Ochs, Commissioner, New Jersey Department Of Banking And Insurance v. Robert W. Mania, and Heidi Ann Mania, and RHM Benefits, Inc., No. A-3346-23, Superior Court of New Jersey, Appellate Division (April 15, 2026) Robert W. Mania, along with Heidi Ann Mania and RHM Benefits, Inc., were subject to a final agency decision issued on May 22, 2024, by the Commissioner of the New Jersey Department of Banking and Insurance (DOBI). The Commissioner revoked Mania’s insurance license and imposed a $16,012.50 penalty for violations of the Insurance Producer Licensing Act (IPLA), specifically N.J.S.A. 17:22A-40(a).
FACTUAL BACKGROUND
Mania appealed the decision, challenging the validity and severity of the sanctions.
Robert was a licensed insurance producer in New...
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...
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...
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 ...