Liar, Liar, Pants on Fire
Contradictory Testimony Creates a Material Dispute of Facts
Post number 5317
See the full video at https://rumble.com/v780caq-liar-liar-pants-on-fire.html and at https://youtu.be/u5QShyNVJEU, and at https://zalma.com/blog plus 5300 posts.
When Contradictory Sworn Testimony are Presented Summary Judgment Fails
In Jules Francois Parisien MD, as Assignee of Manuel Plasencia v. Erie Insurance Company of New York, Index No. CV-759232-24/RI, 2026 NY Slip Op 50400(U), Civil Court of the City of New York, Richmond County (March 25, 2026) dealt with the insurer’s motion for summary judgment.
FACTUAL BACKGROUND
On April 24, 2024, an accident occurred involving two vehicles: one driven by Miguel Angel Palaciosromero and the other by Mohamed Mohamed. Manuel Plasencia, a passenger in Palaciosromero’s vehicle, sought No-Fault benefits totaling $1,449.69. Erie Insurance Company, the insurer of Plasencia, denied the claim, asserting the accident was staged. The plaintiff initiated this action seeking payment, and Erie Insurance moved for summary judgment to dismiss the case, arguing there were no material factual disputes and that the accident was staged.
LEGAL ISSUES
New York law recognizes that intentional and staged collisions, regardless of motive, are not covered accidents under an insurance policy. Insurers may seek summary judgment if required verification information is not provided by the plaintiff. However, to prevail on summary judgment, the insurer must provide sufficient proof showing the absence of any material fact. Mere suspicion is insufficient; credible evidence is required.
It is well settled that an intentional and staged collision caused in furtherance of an insurance fraud scheme is not a covered accident under a policy of insurance. In truth, the intentional nature of the event does not have to be rooted in efforts to defraud an insurance company, rather, any reason the event is intentional will foreclose the availability of No-Fault benefits
DISCUSSION AND ANALYSIS
Erie Insurance’s motion relied on testimony from Mohamed Mohamed, who stated only two individuals were in the Palaciosromero vehicle at the time of the accident. Contrarily, Palaciosromero, Plasencia, and Francisco Monseratte each testified under oath that all three were present in the vehicle. This conflicting testimony raised questions about the credibility and accuracy of the witness accounts.
It is not a court’s function on a summary judgment motion to make credibility determinations or resolve factual disputes. Instead, it must identify whether material issues of fact exist. Because the number of vehicle occupants at the time of the accident was in dispute, and with credible testimony supporting both positions, summary judgment was not appropriate. The presence of triable issues of fact precludes dismissal at this stage, consistent with New York precedent.
In this case, clearly, there are credibility determinations that must be made concerning whether Monseratte was a passenger in the vehicle. That determination cannot be made at this juncture because of contradictory sworn statements.
Regarding that sole issue, upon which the entire allegation of fraud is based, there is no inconsistency. There are, however, credibility issues with Mohamed and the occupants of the vehicle. Precisely for these reasons summary judgement must be denied.
ZALMA OPINION
There is no question if a claimant was not in the car at the time of the accident that fraud has been attempted. However, the three occupants all testified that Manuel Plasencia was in the vehicle and Mohammed testified he was not. The facts are in dispute and summary judgment cannot lie because there are material facts in dispute. This case teaches that when an insurer seeks to prove an accident was staged it needs admissible evidence that is not disputed by other admissible evidence. If someone was lying it is up to the trier of fact to determine which witness was credible.
(c) 2026 Barry Zalma & ClaimSchool, Inc.
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Filing Suit Two Days Late Defeats Suit
Post number 5316
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Pay Careful Consideration to Limitation Period in NFPA policy
In Luis Medina et al v. Wright National Flood Insurance Company, No. 8:25-cv-02628-SDM-AEP, United States District Court, M.D. Florida, Tampa Division (March 23, 2026) the USDC resolved a Flood insurance claims suit.
FACTS
Luis Medina and Luz Segura filed suit against Wright National Flood Insurance Company, alleging breach of contract stemming from flood damage to their home sustained on August 5, 2024. The property was covered under a Standard Flood Insurance Policy issued by Wright, which participates in the National Flood Insurance Program (NFIP).
Wright sent the plaintiffs a partial denial of coverage via email on September 24, 2024, after an initial attempt to notify them failed. The plaintiffs ...
RCV Available Only Repair is Completed Within Two Years of Loss
Post number 5315
See the full video at https://lnkd.in/gAmbrZiS and at https://lnkd.in/gABvEmJc, and at https://zalma.com/blog plus more than 5300 posts.
He Who Fails to Read Policy Must Still Fulfill its Conditions
It is Best for Insured to Read Policy Before Filing Suit
Posted on April 2, 2026 by Barry Zalma
RCV Available Only Repair is Completed Within Two Years of Loss
Post number 5315
See the full video at and at
He Who Fails to Read Policy Must Still Fulfill its Conditions
In Schoening Investment LP v. Cincinnati Casualty Company, No. 25-3273, United States Court of Appeals, Sixth Circuit (March 25, 2026) Schoening Investment LP, a Florida-based limited partnership focused on commercial real estate, insured its Kentucky properties with Cincinnati Casualty Company. In March 2022, one of Schoening’s Kentucky properties suffered ...
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 ...
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 ...