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July 14, 2026
Suit Needs Article III Standing

Data Breach Requires Plaintiff’s Own Information was Missued

Post number 5394

The Dismissal Based on Lips’s Failure to Plead Injury in Fact,

Posted on July 14, 2026 by Barry Zalma

Read the full article at https://lnkd.in/gDQZc5vP and at https://zalma.com/blog plus more than 5350 posts.

In Danielle Lips, on behaf of hersef and all others similarly situated v. ACCU Reference Medical Lab, LLC, Civil Action No. 25-13642 (SDW) (CF), United States District Court, D. New Jersey (June 24, 2026) a data-breach class action, the District of New Jersey granted Accu Reference Medical Lab, LLC’s motion to dismiss because Plaintiff Danielle Lips failed to plead Article III standing.

FACTS:

Lips alleged that ACCU, a medical testing laboratory, obtained her personally identifiable information and protected health information through diagnostic testing ordered by her former physician. She claimed the Qilin ransomware group stole ACCU’s data and posted screenshots containing some patients’ unredacted information on the dark web. Lips alleged increased risk of identity theft, future mitigation expenses, lost time, annoyance, and diminution in the value of her information.

LAW:

A plaintiff must establish Article III standing by pleading injury in fact, causation, and redressability. In data-breach cases, courts assess whether the breach was intentional, whether the data was misused, and whether the type of information accessed could create a risk of identity theft. A plaintiff seeking damages based on future risk must allege not only a substantial risk of harm but also additional, currently felt concrete harms.

DISCUSSION:

Rule 12(b)(1) permits a party to bring a motion to dismiss for lack of subject matter jurisdiction. Fed.R.Civ.P. 12(b)(1). The Rule permits a party to assert either a facial or factual challenge. A facial attack challenges subject matter jurisdiction without disputing the facts alleged in the complaint, and it requires the court to consider the allegations of the complaint as true. A factual challenge attacks the factual allegations underlying the complaint’s assertion of jurisdiction, either through the filing of an answer or otherwise presenting competing facts.

The court found the attack was allegedly intentional because a known ransomware group exfiltrated data and posted screenshots, and the information allegedly exposed — such as Social Security numbers, dates of birth, insurance information, and health information — was sensitive enough to create identity-theft risk. However, the court held that Lips did not adequately plead misuse because she did not allege that her own information was posted on the dark web, identify which of her information was leaked, or allege fraudulent charges, unauthorized accounts, increased spam, or comparable misuse.

ANALYSIS:

An injury in fact is an invasion of a legally protected interest that is concrete and particularized, and actual or imminent, not conjectural or hypothetical. Where the threatened injury is certainly impending or there is a substantial risk that the harm will occur, allegations of future harm will suffice.

The court’s decision turned on the gap between a generalized breach allegation and a plaintiff-specific injury. The court treated the alleged posting of some patients’ data as insufficient without facts tying the disclosure or misuse to Lips personally.

Because Lips did not plead a substantial risk of future harm plus additional concrete present harms, she lacked standing for both injunctive relief and damages.

CONCLUSION:

The court granted Accu’s motion to dismiss under Rule 12(b)(1) for lack of subject-matter jurisdiction. The dismissal was based on Lips’s failure to plead injury in fact, and the court declined to reach Rule 12(b)(6) arguments. Because dismissals for lack of standing generally should not be with prejudice, the court allowed Lips an opportunity to amend.

ZALMA OPINION

Although the alleged ransomware attack was intentional and involved information that could create a risk of identity theft, the complaint did not allege that Lips’s own information was posted, misused, or tied to concrete present harms. Standing and an actual injury is required to sustain a law suit. There was clearly a potential of damage to Lips but it was only a potential. A potential for damage does not support litigation and the suit failed.

(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
8 hours ago
Castro Valdez Had an Available Administrative Appeal and Failed to Establish a Ground for Excusing

Administrative Review Permits the Agency to Apply its Expertise

Post 4574

In Erwin Jordan Castro Valdez v. Warden, Otay Mesa Detention Center, No. 26-cv-06147-BAS-JLB, United States District Court, S.D. California (October 30, 2026) Castro Valdez, a Cuban national paroled into the United States, was arrested on June 23, 2026, for alleged insurance fraud, grand theft, and making a false report to law enforcement. In his first habeas action, the district court ordered a bond hearing within fourteen days to determine whether the changed circumstances justified revoking his parole.

An Immigration Judge subsequently denied bond because of his pending state criminal case. Castro Valdez filed a second petition under 28 U.S.C. § 2241, challenging that determination and requesting immediate release without first appealing to the Board of Immigration Appeals (BIA).

LAW

According to the supplied text, § 2241 does not expressly require administrative exhaustion, but courts impose exhaustion as a prudential requirement. ...

November 03, 2026
Jury Found Prudential to be the Victim of Fraud

Insured’s Ordered to Pay Insurer for Fraud by the Insureds

Post 4573

Posted on November 3, 2026 by Barry Zalma

In The Prudential Insurance Company Of America v. Carol Gardina and George Gardina, No. 6:23-cv-1125-JSS-DCI, United States District Court, M.D. Florida, Orlando Division (October 22, 2026).

THE JURY TRIAL AND VERDICT

Plaintiff sued Defendants for numerous causes of action stemming from its allegations that Defendants fraudulently collected benefits under their long-term care insurance policies. Plaintiff's case proceeded to a nine-day jury trial, after which the jury found Defendants liable for fraudulent misrepresentation, fraudulent concealment, and civil conspiracy.

The jury also found Defendant Carol Gardina liable to Plaintiff for $1,930,129 in compensatory damages and Defendant George Gardina liable to Plaintiff for $12,496 in compensatory damages and $20 in punitive damages. Thereafter, the court entered judgment in Plaintiff's favor and awarded Plaintiff $1,930,129 in compensatory damages from...

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November 02, 2026
Zalma’s Insurance Fraud Letter – November 1, 2026

ZIFL – Volume 30, Issue 21

Posted on November 2, 2026 by Barry Zalma

Subscribe to ZIFL Here https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL

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/

DOJ, ATF, Law Enforcement Partners Conclude Operation Show Me Justice

435 Dangerous Offenders Arrested, 166 Illegal Firearms Seized, 81 Kg Illicit Drugs off the streets in St. Louis

The Department of Justice, BATF, U.S. Marshals Service (USMS), US Attorney Missouri announced the ...

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