It is not Fraud When Insurer Pays What it Owes

0
3K

Jury Verdict Punishing Insurer for Theft by Contractor Hired by Insured Uninforceable


Read the full article at https://www.linkedin.com/pulse/fraud-when-insurer-pays-what-owed-barry-zalma-esq-cfe and at https://zalma.com/blog plus more than 3750 posts. 


MLLCA, Inc. hired a contractor named Frank Walley to repair its gas station after a hail storm. Walley stole several thousand dollars of the insurance proceeds meant for repairs, and MLLCA’s insurer, Argonaut refused to issue any further payments under the policy. MLLCA went on to obtain a money judgment against Argonaut for its supposed role in enabling the theft and for wrongfully denying policy benefits. In Argonaut Great Central Insurance Company v. MLLCA, Inc., Court of Appeals Texas (May 13, 2021)


ZALMA OPINION


MLLCA was damaged by its chosen contractor’s theft of the money it received from Argonaut that it voluntarily handed over to the thief. Since they couldn’t find Wally they sued their insurer and convinced a jury that the insurer should pay for the losses incurred as a result of MLLCA’s own error in signing over its ACV payment to a thief rather than controlling its expenditures. The jury erred and the court of appeal reversed the unwarranted decision to punish the insurer for the insured’s error.

Sponsored

We are 100% funded for October.

Thanks to everyone who helped out. 🥰

Xephula monthly operating expenses for 2024 - Server: $143/month - Backup Software: $6/month - Object Storage: $6/month - SMTP Service: $10/month - Stripe Processing Fees: ~$10/month - Total: $175/month

Xephula Funding Meter

Please Donate Here

Search
Categories
Read More
Other
Qualified Immunity to Report Suspected Fraud
Qualified Immunity to Report Suspected Fraud Failure to Plead Actual Malice Defeats Suit...
By Barry Zalma 2024-10-08 12:44:31 0 788
Politically Incorrect
Political Patties
See topic story here... As someone who eats at Burger King about as often as I lay down in the...
By Scathing Take 2020-07-21 04:23:29 0 5K
Other
Criminal Lawyer Effectively Defended Child Abuser
Criminal Lawyer Effectively Defended Child Abuser Read the full article at...
By Barry Zalma 2023-09-08 12:55:17 0 5K
Politically Incorrect
The Third Horseman [Re-Uploaded]
https://archive.ph/D1aJw If you are one of those poor saps that got suckered in by one of those...
By Scathing Take 2020-05-05 17:10:22 0 6K