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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April 07, 2026
Liar, Liar, Pants on Fire

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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00:07:14
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9 hours ago
Co-Insurer/Reinsurer Gets no Contribution From Insolvent Insurer

Distributing the Assets of a Liquidated Insurer is Often Difficult

Post number 5326

Co-Insurer/Reinsurer Gets no Contribution From Insolvent Insurer
Posted on April 27, 2026 by Barry Zalma

See the video at and at

The Amount Of Home’s Settlement, And Not The Liquidator’s Actual Distributions To The Insured, Determines The Extent Of CIC’s Contribution Rights.

In The Matter Of The Liquidation Of The Home Insurance Company, 2026 N.H. 19, No. 2025-0178, Supreme Court of New Hampshire, Merrimack, April 24, 2026 Century Indemnity Company (CIC) and The Home Insurance Company (Home) issued policies to the same insured covering the same risks.

FACTUAL BACKGROUND

The Liquidator disallowed the contribution claim; the referee and trial court agreed and ruled the settlement/allowed-claim amount (not distributions) controls contribution rights. CIC appealed.

The Liquidator disallowed CIC’s ...

00:09:42
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9 hours ago
Co-Insurer/Reinsurer Gets no Contribution From Insolvent Insurer

Distributing the Assets of a Liquidated Insurer is Often Difficult

Post number 5326

Co-Insurer/Reinsurer Gets no Contribution From Insolvent Insurer
Posted on April 27, 2026 by Barry Zalma

See the video at and at

The Amount Of Home’s Settlement, And Not The Liquidator’s Actual Distributions To The Insured, Determines The Extent Of CIC’s Contribution Rights.

In The Matter Of The Liquidation Of The Home Insurance Company, 2026 N.H. 19, No. 2025-0178, Supreme Court of New Hampshire, Merrimack, April 24, 2026 Century Indemnity Company (CIC) and The Home Insurance Company (Home) issued policies to the same insured covering the same risks.

FACTUAL BACKGROUND

The Liquidator disallowed the contribution claim; the referee and trial court agreed and ruled the settlement/allowed-claim amount (not distributions) controls contribution rights. CIC appealed.

The Liquidator disallowed CIC’s ...

00:09:42
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April 24, 2026
Criminals Love Catalytic Convertors but not Jail

Posted on April 24, 2026 by Barry Zalma

Criminal Who Bought and Sold Stolen Catalytic Convertors Sentenced to Five Years

Buying and Selling Stolen Catalytic Convertors Requires Jail Term

Post number 5325

See the video at and at

In Commonwealth Of Pennsylvania v. Michael Williams, No. 1409 EDA 2025, J-A03027-26, Superior Court of Pennsylvania (April 17, 2026) Michael Williams, operating TDI Towing, purchased approximately $2.7 million in stolen catalytic converters annually from individuals who removed them from vehicles in Bucks, Philadelphia, Montgomery, and Delaware counties. Williams then resold these converters for profit to an automotive store in New Jersey.

FACTUAL BACKGROUND:

Catalytic converters, which contain precious metals like rhodium, palladium, and platinum, were targeted due to the high market value of these metals during the relevant period. Williams was the boss of everything that occurred at TDI Towing-he ran the catalytic converter purchase and sales operation, gave instructions to ...

00:06:39
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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