Zalma's Insurance Fraud Letter - April 1, 2021

Published: April 1, 2021, 2:45 p.m.

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Not a Joke - Zalma\'s Insurance Fraud Letter Volume 25, Number 7   

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zalma.com/blog

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Arson for Profit Conviction Affirmed in Pennsylvania  John M. Sekerak appealed from the January 16, 2020 judgment of sentence  entered in the Court of Common Pleas of Berks County ("trial court"),  following his jury convictions for two counts of arson, recklessly  endangering another person ("REAP"), and insurance fraud. In  Commonwealth of Pennsylvania v. John M. Sekerak, J-S47005-20, No. 387  MDA 2020, Superior Court of Pennsylvania (March 15, 2021) the  Pennsylvania court considered the convicted arsonist\\u2019s claims of error  only to find that he was guilty beyond a reasonable doubt.  Seven and a Half to Fifteen Years for Fraud  After a judgment was entered by the Supreme Court, New York County  (Justice, Neil E. Ross, J.), rendered December 4, 2018, convicting  defendant Sharif King, upon his plea of guilty, of criminal possession  of stolen property in the second degree, forgery in the second degree,  identity theft in the first degree and insurance fraud in the third  degree, and sentencing him, as a second felony offender, to an aggregate  term of 7\\xbd to 15 years.  False Estimate By \\u201cConsultant\\u201d Adopted by Insured Is Fraud  Jennifer Mezadieu (\\u201cthe Homeowner\\u201d) appeals the trial court\\u2019s entry of  final summary judgment in favor of SafePoint Insurance Company  (\\u201cSafePoint\\u201d) in her breach of contract action. The trial court entered  final summary judgment pursuant to the policy\\u2019s \\u201cconcealment or fraud\\u201d  provision after determining that the repair estimate prepared by the  Homeowner\\u2019s loss consultant included material false statements. In  Jennifer Mezadieu v. SafePoint Insurance Company, No. 4D20-2, District  Court of Appeal of The State of Florida Fourth District (March 26, 2021)  the court sought to be excused from her reliance on the consultant and  adoption of the false estimate.  Good News From the Coalition Against Insurance Fraud Health Insurance Fraud Convictions Insurance Fraud \\u2013 The Bane of the Insurance Industry  Next to tax fraud, insurance fraud is the most practiced crime in the  world. It is perpetrated by members of every race, religion, and  nationality. It is found in every profession. The possibility of a  tax-free profit when coupled with the commonly held belief that criminal  prosecution will probably not occur, is sometimes too difficult for  normally honest people to resist.  Other Insurance Fraud Convictions  Hard Fraud & Soft Fraud   Those who try to put fraud in more than one category move from soft  fraud to what they call \\u201chard fraud.\\u201d Hard fraud is considered a fraud  or attempted fraud that is premeditated and intentionally committed.

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