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June 08, 2026
Claim of Capacity Defect and Two Pumping-Station Defects Must be Tried

Detroit Immune From Tort Action

Post number 5367

City Leased to a Private Entity the Maintenance and Control of Sewer Systems and had no obligation for its failure.

In American Select Insurance Co., et al. v. Great Lakes Water Authority, et al., No. 23-cv-11942, United States District Court, E.D. Michigan, Southern Division (June 2, 2026) involved Plaintiff insurers who had paid claims to approximately 1,400 insured homeowners for flood damage caused by June 25–26, 2021 sewer overflows/backups in the Detroit metro area.

The insurers sued the City of Detroit, the Detroit Water and Sewerage Department (DWSD), and the Great Lakes Water Authority (GLWA) as subrogees, alleging three sewer-system defects: (1) insufficient overall system capacity to handle the storm, (2) defects at the Freud Pumping Station, and (3) defects at the Conner Creek Pumping Station.

FACTS

The Detroit Defendants historically operated the whole system, but under a 2015 40-year lease, GLWA assumed exclusive control, operation, and maintenance responsibility for the regional portion of the sewer system, including the pumping stations at issue.

Plaintiffs amended their complaint several times. In the Third Amended Complaint, they attempted to cure earlier pleading deficiencies by alleging a generally accepted design standard for combined sewer systems and asserting that the June 2021 rainfall did not exceed that standard.

LAW

Under Michigan’s Governmental Tort Liability Act (GTLA), governmental agencies are broadly immune from tort liability when engaged in a governmental function. Plaintiffs therefore had to plead facts bringing their claim within the Sewage Disposal System Event (SDSE) exception.

To invoke the SDSE exception, a plaintiff must plausibly allege:

1. the defendant was an appropriate governmental agency;
2. the sewage disposal system had a defect;
3. the agency knew or should have known of the defect;
4. the agency, having legal authority to do so, failed to take reasonable steps in a reasonable time to repair/correct/remedy the defect; and
5. the defect was a substantial proximate cause of the sewage disposal event and resulting damage.

Under the lease GLWA — not the City — had authority over defects in leased regional facilities.

DISCUSSION / ANALYSIS

Capacity Defect (Detroit Defendants)

The court held Plaintiffs had plausibly alleged a capacity defect. Unlike prior pleadings, the Third Amended Complaint identified a generally accepted capacity standard, alleged the storm rainfall stayed below that standard, and claimed Defendants knew of the deficiency and failed to expand system capacity.

Freud and Conner Creek Pumping Station Defects (Detroit Defendants)

As to the Detroit Defendants, the court found Plaintiffs could not satisfy the “legal authority” element of the SDSE exception. The lease transferred exclusive authority, control, and repair obligations for the leased regional facilities — including the Freud and Conner Creek stations — to GLWA.

GLWA’s Motion

For the capacity defect, the same reasoning that saved the claim against the Detroit Defendants also applied to GLWA — and perhaps more strongly, because the rainfall gauge was within GLWA’s service area.

To the extent GLWA tried to incorporate the Detroit Defendants’ arguments, those arguments did not fit GLWA because the core point was that GLWA, not the Detroit Defendants, held repair authority.

CONCLUSION

The court granted in part and denied in part the Detroit Defendants’ motion and denied GLWA’s motion entirely:

GLWA:

Motion denied in full, so Plaintiffs’ claims based on the capacity defect and the two pumping-station defects may proceed against GLWA.

Detroit

The Detroit Defendants’ motion to dismiss was DENIED with respect to the Capacity Defect and granted in all other respects; and the GLWA’s motion for judgment on the pleadings was denied in its entirety.

ZALMA OPINION

Because the complaint omitted three critical allegations to state a viable claim:

1. whether the system failed to meet generally accepted design standards for similarly-situated municipalities,
2. whether the storm was of a magnitude above or below the capacity that a system built to generally accepted standards could have handled; and
3. the how or why the system should have had an increased capacity.

GLWA must go to trial and the city is immune.

(c) 2026 Barry Zalma & ClaimSchool, Inc.

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September 18, 2026
Expert May Only Testify to What Experience Supports

Insurance Expert May Not Testify to Speculative and Contains Unsupported Conclusions.

Posted on September 18, 2026 by Barry Zalma

See the full video at and at https://rumble.com/v7fmifw-expert-may-only-testify-to-what-experience-supports.html

In Michele A. Over, and The Estate Of Paul R. Over v. State Farm Mutual Automobile Insurance Company, and State Farm Fire And Casualty Company, Civil Action No. 23-cv-02243-PAB-STV, United States District Court, D. Colorado (September 14, 2026) Michele and Paul Over sued State Farm Fire and State Farm Auto over hail-damage and stolen-vehicle claims.

The operative dispute concerned State Farm Auto’s motion to exclude or limit opinions from plaintiffs’ insurance-industry expert, Aaron Castillo. Castillo.

Law

The proponent of expert testimony must establish by a preponderance of the evidence that an expert is qualified and that the opinions are helpful, sufficiently grounded, and reliably derived and applied. Experience-based opinions must explain how the...

00:03:10
September 17, 2026
Convicted on 29 Tax-Refund-Fraud Counts

150 Months in Prison for Tax Fraud
Post 4846

Posted on September 17, 2026 by Barry Zalma

See the full video at https://lnkd.in/g8rh3JBX and https://lnkd.in/gmkdy-9C, In United States Of America v. Thomas Addaquay, Nos. 25-10609, 25-10611, United States Court of Appeals, Eleventh Circuit (September 9, 2026) the Eleventh Circuit affirmed all challenged convictions, the 150-month aggregate sentence, and the challenged $4,123,474.55 restitution award.

FACTS

In United States Of America v. Thomas Addaquay, United States Of America v. Thomas Addaquay, Nos. 25-10609, 25-10611, United States Court of Appeals, Eleventh Circuit (September 9, 2026) the Eleventh Circuit affirmed all challenged convictions, the 150-month aggregate sentence, and the challenged $4,123,474.55 restitution award.
FACTS

Thomas Addaquay controlled United Consolidated Accounting and Business Services (UC), nominally a check-cashing business.

The government proved a three-stage tax-refund scheme that converted the resulting refund checks into usable funds through ...

00:05:23
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
September 18, 2026
Expert May Only Testify to What Experience Supports

Posted on September 18, 2026 by Barry Zalma

Insurance Expert May Not Testify to Speculative and Contains Unsupported Conclusions.

See the full video at and at https://rumble.com/v7fmifw-expert-may-only-testify-to-what-experience-supports.html

In Michele A. Over, and The Estate Of Paul R. Over v. State Farm Mutual Automobile Insurance Company, and State Farm Fire And Casualty Company, Civil Action No. 23-cv-02243-PAB-STV, United States District Court, D. Colorado (September 14, 2026) Michele and Paul Over sued State Farm Fire and State Farm Auto over hail-damage and stolen-vehicle claims.

The operative dispute concerned State Farm Auto’s motion to exclude or limit opinions from plaintiffs’ insurance-industry expert, Aaron Castillo. Castillo.
Law

The proponent of expert testimony must establish by a preponderance of the evidence that an expert is qualified and that the opinions are helpful, sufficiently grounded, and reliably derived and applied. Experience-based opinions must explain how the...

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September 16, 2026
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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September 16, 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 ...

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