April 26, 2024
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Risky Business

Risky Business

Bird Attack

An insured’s house was infested with birds when he went out of town. The birds went into the house through the chimney and made themselves comfortable over a period of a week. The insured came back to an invasion by the birds and had to claim for insurance. What policy...

Bad Faith

A couple sued their insurance company citing the firm acted in bad faith when it delayed contractual obligations. The couple, whose house was hit by a hurricane, claimed for the damages, but it was paid a whole month after the insurance company was supposed to pay, according to the law....

The Criminal

An agent stole premiums from his clients, leaving them uninsured. The clients had an accident and found they had an uninsured loss on their hands. The client sued the agent who was in turn sentenced to prison and ordered to pay for the damages.

Stormy Claim Battle

A woman’s car took a hit after a tree outside her rented apartment fell on it during a storm. The woman’s insurer told her that the damage was not covered by her policy. She asked her the managing agency of her apartment about the paying for the damages. Who do...

A Different Kind of D&O

A group of people decided to commit fraud with an insurance company by posing as directors and other stakeholders of multiple businesses. They took advantage of a loan scheme provided by an insurance company, falsified their sales volumes, forged banking and other financial documents. The insurance caught on and filed...

Despicably fraudulent

Three men were charged for their role in applying and using unemployment insurance benefit debit cards issued in other people’s names. As part of the scheme, the men fraudulently applied for unemployment insurance benefits using stolen personal identification. The debit cards were sent to mailing addresses to which the defendants...

Fact or Conspiracy?

According to the CEO of a life insurance corporation deaths are up 40 percent in the third quarter of 2021. These deaths are primarily non-COVID deaths in a particular state among workers of group life plans aged 18 through 64. There are no explanations, just gross statistics. Go figure.

Freak Shot

A dentist is accused of defrauding insurance companies he was found to have orchestrated the killing of his wife during a hunting trip. He alleged that his wife shot herself in a freak accident. However, the insurer decided to investigate the case further and uncovered the man’s real intent. He...

‘High and Mighty’

A farmer and his wife continued a legal battle for years to receive compensation for their son who was killed in a truck accident. The court found the couple had been left to the mercy of the legal procedure which brought about considerable distress as the insurance company concluded that...

Lost at Sea

A woman was engulfed in a tsunami of trouble after her husband, a sailor with a prominent shipping company, went missing at sea. His insurance company rejected her claim, insisting that they had not received any proof of life and refused to shoulder the liability, which led to a decade-long...

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