Zalma on Insurance
Education • Business
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.
Interested? Want to learn more about the community?
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.

Please tell your friends and colleagues about this blog and the videos and let them subscribe to the blog and the videos.

Subscribe to my substack at https://gbarryzalma.substack.com/subscribe

Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/account/content?type=all; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg; Go to the InsuranceClaims Library – https://lnkd.in/gwEYk.

00:07:14
Interested? Want to learn more about the community?
What else you may like…
Videos
Posts
May 26, 2026
He Who Acts as His Own Lawyer Has an Idiot for a Client

Arsonist Tried To Represent Himself, Failed, and Sought Habeas Relief

Post number 5357

Read the full article at https://www.linkedin.com/pulse/he-who-acts-his-own-lawyer-has-idiot-client-barry-zalma-esq-cfe-d4bwc, See the full video at and at and at https://zalma.com/blog.

Karacson’s Arson for Profit Attempt Required Skill & Experience to Succeed

In Steve Ellis Karacson v. David Shaver, Warden, No. 25-1089, United States Court of Appeals, Sixth Circuit (May 20, 2026) Steve Karacson was convicted in Michigan state court of arson and insurance fraud after evidence showed he burned his own insured home. Investigators found multiple points of origin, gasoline odor, and evidence tying him to the scene, including cell-phone location data and a receipt showing he had purchased a gas can and gloves shortly before the fire.

FACTS

Karacson initially had appointed counsel, but his relationships with both appointed attorneys ...

00:08:55
placeholder
May 11, 2026
Severe Punishment for Failure to Obey Court Orders

Foolish to Repeatedly Disobey Court Orders

All That Remains For Trial Is Plaintiff’s Damages On Each Of These Claims And Establishing Proximate Causation Of Those Damages.

Post number 5348

See the full video at and at and at https://zalma.com/blog plus 5300 posts.

In Linh Wang v. Esurance Insurance Company, No. C24-0447-JCC, United States District Court, W.D. Washington, Seattle (May 1, 2026) John C. Coughenour, United States District Judge, found that throughout this case, culminating with its briefing on Plaintiff’s renewed motion and that Defendant has subjected Plaintiff to unnecessary motion practice for clearly discoverable information and made dubious representations (including to the Court).

FACTUAL BACKGROUND

This case involves an underinsured/uninsured motorist insurance bad faith claim arising from a 2017 motor vehicle collision. The plaintiff, Linh Wang, alleges that Esurance Insurance ...

00:08:27
placeholder
May 08, 2026
Ambiguous Contract to Repair not an Assignment

The Right to Negotiate with Insurer is Not an Assignment of Claims

Post number 5347

Read the full article at https://www.linkedin.com/pulse/ambiguous-contract-repair-assignment-barry-zalma-esq-cfe-2xppc, see the full video at https://rumble.com/v79is1s-ambiguous-contract-to-repair-not-an-assignment.html and at and at https://zalma.com/blog plus more than 5300 posts.

Nebraska Requires an Actual Assignment to Allow Contractor to Sue Insurer

In Millard Gutter Company, a corporation doing business as Millard Roofing and Gutter v. Farmers Mutual Insurance Company of Nebraska, also known as Farmers Mutual Insurance, also known as Farmers Mutual, No. A-24-818, Court of Appeals of Nebraska (May 5, 2026) Millard sued Farmers as an assignee of Jane Anzalone who had hired Millard Gutter to repair the roof of her home and agreed to allow Millard Gutter to coordinate with her insurer, Farmers Mutual, concerning reimbursement for repairs authorized under her insurance policy.

FACTUAL BACKGROUND

In ...

00:08:02
19 hours ago
Zalma’s Insurance Fraud Letter – June 15, 2026

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

Posted on June 15, 2026 by Barry Zalma

ZIFL – Volume 30, Issue 12

June 15, 2026

Post number 5372

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:

Go to Jail, Do Not Pass Go

Arsonist Who Tried to Defraud Insurer Failed to Avoid Jail

Arson is a Violent and Dangerous Crime Deserving Serious Punishment

The People of the State of New York v. Zef Gjurashaj, 2026 NY Slip Op 03320, No. 2023-03675, Ind. No. 70463/21, Supreme Court of New York, Second Department (May 27, 2026) the defendant owned a restaurant that was destroyed by fire on September 6, 2017. Prosecutors alleged that he and a codefendant conspired to intentionally set the fire in order ...

post photo preview
19 hours ago
Zalma’s Insurance Fraud Letter – June 15, 2026

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

Posted on June 15, 2026 by Barry Zalma

ZIFL – Volume 30, Issue 12

June 15, 2026

Post number 5372

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:

Go to Jail, Do Not Pass Go

Arsonist Who Tried to Defraud Insurer Failed to Avoid Jail

Arson is a Violent and Dangerous Crime Deserving Serious Punishment

The People of the State of New York v. Zef Gjurashaj, 2026 NY Slip Op 03320, No. 2023-03675, Ind. No. 70463/21, Supreme Court of New York, Second Department (May 27, 2026) the defendant owned a restaurant that was destroyed by fire on September 6, 2017. Prosecutors alleged that he and a codefendant conspired to intentionally set the fire in order ...

post photo preview
20 hours ago
Physician’s Malpractice Insurance not Available When License Revoked

Applicant for Insurance is Obligated to Advise Insurer in Material Changes After Application Was Signed

Post number 5371

Read the full article at https://www.linkedin.com/pulse/physicians-malpractice-insurance-available-when-zalma-esq-cfe-fmpxc and https://zalma.com/blog.

Doctor Criminally Charged and License Suspended After Application Signed had Policy Rescinded for Failure to Advise Insurer of Change

In Xiang (Sean) Yuan, M.D. v. Positive Physicians Insurance Company, No. 1821 EDA 2025, No. J-A08033-26, Superior Court of Pennsylvania (May 29, 2026) Dr. Xiang (Sean) Yuan, a physician, sought renewal of his professional liability insurance policy with Positive Physicians Insurance Company (PPIC) in June 2020 and again in May 2021.

In the June 2020 renewal application, he answered “no” to questions asking whether he knew of any circumstances that might lead to a professional liability claim.

Two days after signing the 2020 renewal application, Dr. Yuan was charged with 36 criminal offenses, and...

post photo preview
See More
Available on mobile and TV devices
google store google store app store app store
google store google store app tv store app tv store amazon store amazon store roku store roku store
Powered by Locals