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.

Sponsorizzato

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

Cerca
Categorie
Leggi tutto
Altre informazioni
Duty to Defend is not Unlimited
Judgment Eliminating Defamation Coverage Defeats Coverage Read the full article at...
By Barry Zalma 2022-08-24 12:46:22 0 3K
Altre informazioni
Construction Defect and Early Settlement
Considerations for Early Settlement Read the full article at...
By Barry Zalma 2020-11-19 14:01:59 0 3K
Altre informazioni
Construction Defects Book
Construction Defects and Insurance Volume I Second Edition Posted on December 9, 2021 by Barry...
By Barry Zalma 2021-12-09 14:34:29 0 3K
Altre informazioni
Crime Doesn't Pay - EUO is a Condition Precedent
Fail to Appear for, or Sign and Return, EUO Breaches Material Condition Read the full article at...
By Barry Zalma 2021-05-11 12:40:03 0 4K
Altre informazioni
A Video Explaining Staged Losses & Insurance Fraud
The Staged Loss Read the full article at...
By Barry Zalma 2020-11-24 13:57:17 0 4K