ZIFL Volume 27, Issue 20
This, the twentieth issue of the 27th year of publication Zalma’s
Insurance Fraud Letter provides multiple articles on how to deal with
insurance fraud in the United States.
Man Bites Dog: GEICO Bites Fraudsters
Don’t Ty to Defraud GEICO It Bites Back
GEICO (collectively, “GEICO” or “Plaintiffs”) sued Defendants ALP
Supply, Inc. (“ALP”), PV Supply, Inc. (“PV”), and Pal Vakula, alleging
common law fraud and unjust enrichment claims.
Read the full issue of ZIFL at
https://zalma.com/blog/wp-content/uploads/2023/10/ZIFL-10-15-2023.pdf
McClenny Moseley & Associates Issues
This is ZIFL’s sixteenth installment of the saga of McClenny, Moseley
& Associates and its problems with the federal courts in the State
of Louisiana and what appears to be an effort to profit from what some
Magistrate and District judges indicate may be criminal conduct to
profit from insurance claims relating to hurricane damage to the public
of the state of Louisiana.
Read the full issue of ZIFL at
https://zalma.com/blog/wp-content/uploads/2023/10/ZIFL-10-15-2023.pdf
Evidence Required to Prove Fraud
Insurer Not Required to Disclose How it Selects Limits and Premium
Ira Trocki sued Pennsylvania National Mutual Casualty Insurance Company
(“Penn National”) for fraud related to certain insurance policies. The
District Court granted summary judgment for Penn National.
In Ira Trocki, trading as Jack Trocki Development, LLC v. Penn National
Mutual Casualty Insurance Company, No. 22-1483, United States Court of
Appeals, Third Circuit (September 13, 2023) the Third Circuit explained
what is needed to prove fraud.
Read the full issue of ZIFL at
https://zalma.com/blog/wp-content/uploads/2023/10/ZIFL-10-15-2023.pdf
Good News From The
Nerik Ilyayev and Mukhiddin Kadirov have pleaded guilty for multiple
cases of insurance fraud. The pair of fraudsters admitted to HIV
medication fraud, no-fault automobile insurance fraud, and money
laundering schemes totaling over $6M. Ilyayev pled guilty to conspiracy
to commit healthcare fraud for using two different pharmacies to defraud
Medicare and Medicaid in connection with HIV medication claims and to
defraud no-fault automobile insurance providers in connection with other
medication claims. Meanwhile, Kadirov laundered several million dollars
in fraud proceeds in connection with the HIV fraud scheme. T
Read the full issue of ZIFL at
https://zalma.com/blog/wp-content/uploads/2023/10/ZIFL-10-15-2023.pdf
Not Wise to Explain Scheme to Defraud to FBI Informants
Insurance Fraudster Tries Multiple Bases for Appeal & Still Goes to
Jail
Brian Higgins diverted for personal use funds he received from his
mortgage servicer to repair damage to his home caused by a broken fish
tank. He also filed a lawsuit against two witnesses for the prosecution,
accusing them of misdirecting the funds instead of himself. For his
conduct, a jury convicted Higgins on three counts of mail fraud under 18
U.S.C. §§ 1341-42 and two counts of retaliating against a witness,
victim, or an informant under 18 U.S.C. § 1513(e). He appealed.
Read the full issue of ZIFL at
https://zalma.com/blog/wp-content/uploads/2023/10/ZIFL-10-15-2023.pdf
California Conference of Arson Investigators Training Seminar
As One of the Speakers, I encourage you to SIGN UP TODAY FOR THE OCTOBER
16 – 19, 2023 CCAI Fire Investigation Training Seminar - where you can
learn How Insurers and Arson Investigators Have Taken the Profit from Arson-for-Profit from Attorney Barry Zalma, Esq.
Register today by calling 909 865-5004 Or click here to register online.
Health Insurance Fraud Convictions
Husband And Wife Sent to Prison For $8M Health Care Fraud
Vincent Nwabeke, 72, pleaded guilty April 20, 2023, to false statements
in a health care matter, while Victoria Nwabeke, 70, admitted to
conspiracy to commit health care fraud September. 16, 2019.
