• Zalma's Insurance Fraud Letter - December 1, 2024

    ZIFL Volume 28 No. 22

    Post 4939

    Read the full article at Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdfand at https://zalma.com/blog.

    Subscribe to ZIFL at https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D

    The Source for the Insurance Fraud Professional https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Zalma’s Insurance Fraud Letter (ZIFL) continues its 28th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud:

    The EUO is a Material Condition Precedent
    A Key Tool in the Effort to Reduce Fraud
    Claim Properly Denied for Refusal to Testify at EUO

    I spoke recently at the Conference of the Southern California Fraud Investigators Association on the Examination Under Oath as a tool to help insureds prove their losses and what happens when an insured fails or refuses to testify. This case emphasizes the purpose of my talk.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Thanksgiving Wishes from the Zalma Family

    My family and I have much to be thankful for this year. My first born daughter, Stephanie Zalma, continues to care for my wife 24 hours a day 7 days a week with love and patience as Thea continues as Nana to our two grandchildren and the loving mother of our three children.

    After receiving a new Aortic Heart Valve I am personally in good health, walking about 25 miles a week. Exercising my, apparently unusual mode of retirement, I work only six to eight hours a day doing what I love the most, writing about insurance, insurance claims, insurance law and acting as an insurance claims consultant and expert witness.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    More McClenny Moseley & Associates Issues

    This is ZIFL’s thirty eighth 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 may be criminal to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Ethical Behavior & Insurance

    Insurance, from the time of its first agreement to the present day has always been a business requiring ethical behavior between the insurer and the insured and between the insured and the insurer.

    The concept of ethical behavior refers to well-founded standards of right and wrong that prescribe what humans ought to do, usually in terms of rights, obligations, benefits to society, fairness, or specific virtues, all of which are essential to the lawyer.

    Ethics refers to those standards that impose the reasonable obligations to refrain from murder, rape, theft, assault, slander, and fraud. Ethical standards also include those that imply virtues of honesty, compassion, and loyalty.

    There are rights presumed to exist such as those described in the Declaration of Independence submitted to King George of England in 1776 that held:

    We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of happiness.

    The unalienable rights also include the right to life, the right to freedom from injury, and the right to liberty. Such standards are adequate standards of ethics because they are supported by consistent and well-founded reasons.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Health Insurance Fraud Convictions

    Michigan Woman Convicted of $1.4M Health Care Kickback Scheme

    Mary Smettler-Bolton, 71, of Oakland County, Michigan was convicted November 22, 2024 for her role in a conspiracy to defraud the United States and receive illegal health care kickbacks.

    According to court documents and evidence presented at trial, Mary referred Medicare beneficiaries to several Metro Detroit home health companies in exchange for hundreds of thousands of dollars in kickbacks paid by the owners and operators of the home health companies. Over the course of four years, she and her co-conspirators caused over $1.4 million of loss to Medicare.

    Smettler-Bolton was convicted of one count of conspiracy to defraud the United States and receive illegal health care kickbacks and one count of violating the federal Anti-Kickback Statute. She is scheduled to be sentenced on March 3, 2025, and faces a maximum penalty of five years in prison on the conspiracy count and a maximum penalty of 10 years in prison on the kickback count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

    Read the full article about dozens more convictions at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Convictions of Other Than Health Insurance Fraud

    Creative Fraudster Guilty of $229K Insurance Fraud Schemes

    Justin Mack, a native of Buffalo, New York, and a resident of Cleveland, Ohio, was sentenced on November 25, 2024 in the Cuyahoga County Court of Common Pleas. Mack, an Ohio man was sentenced to five years in prison and ordered to pay restitution for filing 24 fraudulent claims with multiple insurance companies, totaling more than $229,000.

    An extensive investigation uncovered Mack’s pattern of submitting altered documentation, falsified claims, and using other people’s identities to fraudulently secure payouts from multiple insurance companies.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    The Examination Under Oath Is Not Part of a Judicial Process

    Although the EUO is a formal proceeding it is not part of a judicial process nor is it subject to the rules set out by codes of civil procedure. There is no right to object to questions and never a judge present to rule on the objections. The testimony at the EUO is required to be presented in accordance with the obligation imposed on an insured to deal fairly and in good faith with the insurer.

    Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf

    Barry Zalma

    Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr. Zalma at [email protected]; https://www.zalma.com; https://zalma.com/blog. He publishes daily articles at https://zalma.substack.com, Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ to consider more than 50 volumes written by Barry Zalma on insurance and insurance claims handling.

    Go to Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/; Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ and GTTR at https://gettr.com/@zalma
    Zalma's Insurance Fraud Letter - December 1, 2024 ZIFL Volume 28 No. 22 Post 4939 Read the full article at Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdfand at https://zalma.com/blog. Subscribe to ZIFL at https://visitor.r20.constantcontact.com/manage/optin?v=001Gb86hroKqEYVdo-PWnMUkcitKvwMc3HNWiyrn6jw8ERzpnmgU_oNjTrm1U1YGZ7_ay4AZ7_mCLQBKsXokYWFyD_Xo_zMFYUMovVTCgTAs7liC1eR4LsDBrk2zBNDMBPp7Bq0VeAA-SNvk6xgrgl8dNR0BjCMTm_gE7bAycDEHwRXFAoyVjSABkXPPaG2Jb3SEvkeZXRXPDs%3D The Source for the Insurance Fraud Professional https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Zalma’s Insurance Fraud Letter (ZIFL) continues its 28th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud: The EUO is a Material Condition Precedent A Key Tool in the Effort to Reduce Fraud Claim Properly Denied for Refusal to Testify at EUO I spoke recently at the Conference of the Southern California Fraud Investigators Association on the Examination Under Oath as a tool to help insureds prove their losses and what happens when an insured fails or refuses to testify. This case emphasizes the purpose of my talk. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Thanksgiving Wishes from the Zalma Family My family and I have much to be thankful for this year. My first born daughter, Stephanie Zalma, continues to care for my wife 24 hours a day 7 days a week with love and patience as Thea continues as Nana to our two grandchildren and the loving mother of our three children. After receiving a new Aortic Heart Valve I am personally in good health, walking about 25 miles a week. Exercising my, apparently unusual mode of retirement, I work only six to eight hours a day doing what I love the most, writing about insurance, insurance claims, insurance law and acting as an insurance claims consultant and expert witness. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf More McClenny Moseley & Associates Issues This is ZIFL’s thirty eighth 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 may be criminal to profit from insurance claims relating to hurricane damage to the public of the state of Louisiana. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Ethical Behavior & Insurance Insurance, from the time of its first agreement to the present day has always been a business requiring ethical behavior between the insurer and the insured and between the insured and the insurer. The concept of ethical behavior refers to well-founded standards of right and wrong that prescribe what humans ought to do, usually in terms of rights, obligations, benefits to society, fairness, or specific virtues, all of which are essential to the lawyer. Ethics refers to those standards that impose the reasonable obligations to refrain from murder, rape, theft, assault, slander, and fraud. Ethical standards also include those that imply virtues of honesty, compassion, and loyalty. There are rights presumed to exist such as those described in the Declaration of Independence submitted to King George of England in 1776 that held: We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of happiness. The unalienable rights also include the right to life, the right to freedom from injury, and the right to liberty. Such standards are adequate standards of ethics because they are supported by consistent and well-founded reasons. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Health Insurance Fraud Convictions Michigan Woman Convicted of $1.4M Health Care Kickback Scheme Mary Smettler-Bolton, 71, of Oakland County, Michigan was convicted November 22, 2024 for her role in a conspiracy to defraud the United States and receive illegal health care kickbacks. According to court documents and evidence presented at trial, Mary referred Medicare beneficiaries to several Metro Detroit home health companies in exchange for hundreds of thousands of dollars in kickbacks paid by the owners and operators of the home health companies. Over the course of four years, she and her co-conspirators caused over $1.4 million of loss to Medicare. Smettler-Bolton was convicted of one count of conspiracy to defraud the United States and receive illegal health care kickbacks and one count of violating the federal Anti-Kickback Statute. She is scheduled to be sentenced on March 3, 2025, and faces a maximum penalty of five years in prison on the conspiracy count and a maximum penalty of 10 years in prison on the kickback count. A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors. Read the full article about dozens more convictions at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Convictions of Other Than Health Insurance Fraud Creative Fraudster Guilty of $229K Insurance Fraud Schemes Justin Mack, a native of Buffalo, New York, and a resident of Cleveland, Ohio, was sentenced on November 25, 2024 in the Cuyahoga County Court of Common Pleas. Mack, an Ohio man was sentenced to five years in prison and ordered to pay restitution for filing 24 fraudulent claims with multiple insurance companies, totaling more than $229,000. An extensive investigation uncovered Mack’s pattern of submitting altered documentation, falsified claims, and using other people’s identities to fraudulently secure payouts from multiple insurance companies. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf The Examination Under Oath Is Not Part of a Judicial Process Although the EUO is a formal proceeding it is not part of a judicial process nor is it subject to the rules set out by codes of civil procedure. There is no right to object to questions and never a judge present to rule on the objections. The testimony at the EUO is required to be presented in accordance with the obligation imposed on an insured to deal fairly and in good faith with the insurer. Read the full article at https://zalma.com/blog/wp-content/uploads/2024/12/ZIFL-12-01-2024.pdf Barry Zalma Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230-4847, 310-390-4455. Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr. Zalma at [email protected]; https://www.zalma.com; https://zalma.com/blog. He publishes daily articles at https://zalma.substack.com, Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ to consider more than 50 volumes written by Barry Zalma on insurance and insurance claims handling. Go to Zalma’s Insurance Fraud Letter at https://zalma.com/zalmas-insurance-fraud-letter-2/; Go to X @bzalma; Go to Barry Zalma videos at Rumble.com at https://rumble.com/c/c-262921; Go to the Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ and GTTR at https://gettr.com/@zalma
    0 Commentarios 1 Acciones 1K Views
  • Tara Ross - Revolutionary War Thanksgivings:

    https://www.taraross.com/post/tdih-thanksgiving-revolution

    #AmericanRevolution #Liberty #Freedom #Pilgrims #Celebration #DivineProvidence #Providence #HappyThanksgiving #Thanksgiving2024 #Thanksgiving #History
    Tara Ross - Revolutionary War Thanksgivings: https://www.taraross.com/post/tdih-thanksgiving-revolution #AmericanRevolution #Liberty #Freedom #Pilgrims #Celebration #DivineProvidence #Providence #HappyThanksgiving #Thanksgiving2024 #Thanksgiving #History
    WWW.TARAROSS.COM
    This Day in History: Revolutionary War Thanksgivings
    At about this time in 1941, the fourth Thursday in November officially becomes a national holiday. You may know about modern Thanksgiving Day celebrations, but did you know that thanksgiving also played an important role in the American Revolution? Indeed, as Commander-in-Chief of the Continental Army, George Washington fully supported public displays of gratitude as a vital part of a well-functioning army. The events of October 1777 were a case in point. Americans won an important victory at Sa
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  • Gaetz Out – Bondi In – Still a MAGA Firebrand
    ‘prosecute the prosecutors’
    https://oneway2day.com/2024/11/24/gaetz-out-bondi-in-still-a-maga-firebrand/

    SUMMARY: … A LibertyOneNews post on Bondi got my attention due a quote attributed to her: “prosecute the prosecutors”. I have no doubt the Dem-Marxist, Mockingbird Media & RINO mudslinging will commence against Bondi… I’m reading from the Left a Trump (and therefore Bondi) led DOJ will become politicized going after those who went after Trump. It’s LAUGHABLE because politicized Lawfare is exactly what the Biden-Garland DOJ…TAKE A LOOK!
    #PamBondi #MAGADOJ
    Gaetz Out – Bondi In – Still a MAGA Firebrand ‘prosecute the prosecutors’ https://oneway2day.com/2024/11/24/gaetz-out-bondi-in-still-a-maga-firebrand/ SUMMARY: … A LibertyOneNews post on Bondi got my attention due a quote attributed to her: “prosecute the prosecutors”. I have no doubt the Dem-Marxist, Mockingbird Media & RINO mudslinging will commence against Bondi… I’m reading from the Left a Trump (and therefore Bondi) led DOJ will become politicized going after those who went after Trump. It’s LAUGHABLE because politicized Lawfare is exactly what the Biden-Garland DOJ…TAKE A LOOK! #PamBondi #MAGADOJ
    ONEWAY2DAY.COM
    Gaetz Out – Bondi In – Still a MAGA Firebrand
    ‘prosecute the prosecutors’ John R. Houk, Blog Editor © November 24, 2024 By now We The People know the Matt Gaetz smear campaign and a handful of RINO Senators tanked the Gaetz nomination for Atto…
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    Melissa and Aaron ALWAYS present a sane, well researched perspective...
    Which is always worth a listen!

    Just so that you know....
    EVERY HISTORICAL "ATTACK" YOU HAVE EVER HEARD OF WAS IN REALITY.....

    A #FalseFlag event, being used to steer the SHEEPLE in whichever direction the #Parasite Class wanted them to go!

    I'm talking about them ALL!

    Forget the #USSLiberty and #911!
    What about "Pearl Harbor"?

    You SHOULD be aware that SANE military men do NOT park their entire PACIFIC FLEET in one place during a "world war"

    But that is EXACTLY what they did.....
    Because it was just another in an endless stream of FALSE FLAGS!

    Used to steer the sheeple wherever the Luciferian scum wants them steered!

    https://old.bitchute.com/video/n04SH7x-N-8/
    REMEMBER, REMEMBER THE FIFTH OF NOVEMBER: A HOLIDAY AMERICANS FORGOT Melissa and Aaron ALWAYS present a sane, well researched perspective... Which is always worth a listen! Just so that you know.... EVERY HISTORICAL "ATTACK" YOU HAVE EVER HEARD OF WAS IN REALITY..... A #FalseFlag event, being used to steer the SHEEPLE in whichever direction the #Parasite Class wanted them to go! I'm talking about them ALL! Forget the #USSLiberty and #911! What about "Pearl Harbor"? You SHOULD be aware that SANE military men do NOT park their entire PACIFIC FLEET in one place during a "world war" But that is EXACTLY what they did..... Because it was just another in an endless stream of FALSE FLAGS! Used to steer the sheeple wherever the Luciferian scum wants them steered! https://old.bitchute.com/video/n04SH7x-N-8/
    OLD.BITCHUTE.COM
    Remember, Remember the Fifth of November: a Holiday Americans Forgot
    Please help support us on Patreon, read our goals here: https://www.patreon.com/truthstreammedia or SubscribeStar here: subscribestar.com/truthstreammedia As context is very important for all videos, this message is to confirm that the purpose of t…
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  • RICK MIRACLE VIDEO LIBRARY #1084, THE REESE REPORT - THE ZIONIST OCCUPIED GOVERNMENT OF TRUMP 47

    The ONLY #Evil at work in the world today is the #Zionist EVIL being perpetrated by #Israel and the #Jews with the help of the illegitimate corporate "government" of the United States!

    Which is a #Corporation and NOT YOUR "GOVERNMENT"

    These people want to "justify" the cold blooded #Murder of the Palestinians who have never harmed America in any way!

    But Israel???
    Let's see.... We had the #USSLiberty Attack by Israel
    And let's not forget that MOSSAD's "Israeli Art Students" planted at least part of the explosives in the twin towers, and Israel was 100% involved in the murder of those 3,000 Americans, right alongside the CORPORATION of the United States, the Bush Administration in particular

    It's a Luciferian crime spree!
    And it is time that we STOP going along with it!

    https://old.bitchute.com/video/Nls9ktNkE5SK/
    RICK MIRACLE VIDEO LIBRARY #1084, THE REESE REPORT - THE ZIONIST OCCUPIED GOVERNMENT OF TRUMP 47 The ONLY #Evil at work in the world today is the #Zionist EVIL being perpetrated by #Israel and the #Jews with the help of the illegitimate corporate "government" of the United States! Which is a #Corporation and NOT YOUR "GOVERNMENT" These people want to "justify" the cold blooded #Murder of the Palestinians who have never harmed America in any way! But Israel??? Let's see.... We had the #USSLiberty Attack by Israel And let's not forget that MOSSAD's "Israeli Art Students" planted at least part of the explosives in the twin towers, and Israel was 100% involved in the murder of those 3,000 Americans, right alongside the CORPORATION of the United States, the Bush Administration in particular It's a Luciferian crime spree! And it is time that we STOP going along with it! https://old.bitchute.com/video/Nls9ktNkE5SK/
    OLD.BITCHUTE.COM
    RICK MIRACLE VIDEO LIBRARY #1084, The Reese Report - The Zionist Occupied Government of Trump 47
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  • MAN DENIED GUN PERMIT OVER DRIVING RECORD [2024-11-13] - LIBERTY DOLL (VIDEO)

    https://old.bitchute.com/video/GzaTZkcWk5wA/
    MAN DENIED GUN PERMIT OVER DRIVING RECORD [2024-11-13] - LIBERTY DOLL (VIDEO) https://old.bitchute.com/video/GzaTZkcWk5wA/
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  • Oklahoma State Official Moves to Create “Office of Religious Liberty and Patriotism”
    https://thechristiantribune.com/oklahoma-state-official-moves-to-create-office-of-religious-liberty-and-patriotism/

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    Oklahoma State Official Moves to Create “Office of Religious Liberty and Patriotism” https://thechristiantribune.com/oklahoma-state-official-moves-to-create-office-of-religious-liberty-and-patriotism/ FIRST PARAGRAPH: The Oklahoma Education Department, led by the pro-faith State Superintended Ryan Walters, is moving to create the “Office of Religious Liberty and Patriotism.” The initiative is the latest effort from Walters, who has made headlines for his faith-based efforts at the state level, such as putting the Christian Bible back in classrooms across Oklahoma.
    THECHRISTIANTRIBUNE.COM
    Oklahoma State Official Moves to Create “Office of Religious Liberty and Patriotism”
    The Oklahoma Education Department, led by the pro-faith State Superintended Ryan Walters, is moving to create the "Office of Religious Liberty and
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    https://www.liberty-express.org/
    WWW.LIBERTY-EXPRESS.ORG
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