No Bad Faith

0
3K

Effective, Professional Arson Investigation Defeats Claims of Bad Faith

See the full video at https://lnkd.in/gDqDFZf9 and at https://lnkd.in/g5GCXg_R

Plaintiffs Donald Lemon and Candice Lemon (the Lemons) sued State Farm Fire & Casualty Company (State Farm) because it alleged it breached an insurance contract, that State Farm acted in bad faith and that the Lemons are entitled to an award of punitive damages. In Donald Lemon and Candice Lemon v. State Farm Fire & Casualty Company, No. C20-3018-LTS, United States District Court, N.D. Iowa, Central Division (June 28, 2022) the court was asked to rule on motions for partial summary judgment.

RELEVANT FACTS


This case arose out of an insurance dispute between the Lemons and State Farm regarding a claim the Lemons submitted after a fire destroyed their residence.
The Lemons had been married for roughly two years at the time of the fire and their relationship was at times turbulent.

After the fire, the home had a value of $76,900. The Lemons submitted a personal property inventory that totaled $173,137.57, although it is not clear that their home could accommodate the number of items claimed.

State Farm's expert concluded: “This fire originated in the southeast corner area of the house. ... Heavy fire damage and charring, consistent with the use of an ignitable liquid, was noted in the southeast corner of the house. ...In my opinion, this fire loss was incendiary in nature.”

State Farm denied the Lemons’ claim, because: the fire was intentionally set.

ANALYSIS

The home was overinsured. It was purchased for $40,000, had an assessed value of $86,900 and was insured for $276,100 with an additional $207,075 of coverage on the contents.

State Farm met its burden. Because States Farm is entitled to summary judgment on the bad faith claims the only substantive claim remaining for trial is Count I, the Lemons’ claim for breach of contract.

ZALMA OPINION

The evidence available to State Farm established beyond doubt that the Lemon’s attempted to defraud State Farm by causing a fire at their house, made claims for personal property in excess of the potential for the property to be in the house at the time of the fire, that they had overinsured their property, and that they had a financial motive to set the fire. No reasonable jury would – when presented with such facts – believe that the fire was accidental and that the claim presented was fair and reasonable.

(c) 2022 Barry Zalma & ClaimSchool, Inc.

Barry Zalma, Esq., CFE, is available at http://www.zalma.com and [email protected].

Subscribe and receive videos limited to subscribers of Excellence in Claims Handling at locals.com https://lnkd.in/gfFKUaTf.

Subscribe to Excellence in Claims Handling at https://lnkd.in/gNm9EWKJ.

Write to Mr. Zalma at [email protected];  Go to the Insurance Claims Library – https://lnkd.in/gKCTg53

Patrocinados

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

Buscar
Categorías
Read More
Other
The Need for a Claims Person to Select and Work Properly with Defense Counsel
Selecting and Working with Defense Counsel to Protect an Insured Read the full article at...
By Barry Zalma 2021-03-10 14:03:24 0 3K
Other
Insurance Fraud & Politics
Insurance Fraud & Politics Read the full article at https://lnkd.in/d-5MjhcM, see the full...
By Barry Zalma 2024-03-08 14:03:12 0 2K
Other
Zalma on Insurance Claims Second Edition
Ten Volumes Needed by Everyone Interested or Involved in Insurance Claims Read the full article...
By Barry Zalma 2020-11-04 16:16:37 0 3K
Health
ARD erklärt Pandemie für überbewertet (bzw. zur Panikmache aufgrund falsch positiver PCR-Tests)
ARD erklärt Pandemie für überbewertet (bzw. zur Panikmache aufgrund falsch...
By Medic Ineman9 2020-10-11 09:50:40 0 9K