ZIFL – Volume 30, Issue 8 – April 15, 2026
THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
Post number 5325
Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th 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:
PROSECUTING ATTORNEYS ARE IMMUNE FROM SUIT
Formulaic Recitation Of The Elements Of Civil Conspiracy Are Insufficient
Vengeance is not Available to a Felon Against Those Responsible for His Prosecution
In Hassan Fayad v. Liberty Mutual Insurance Company, et al., No. 2:25-cv-10930, United States District Court, E.D. Michigan, Southern Division (March 24, 2026) Plaintiff was arrested and tried for fraud, convicted, had the conviction overruled and sued the insurers and prosecutors he found responsible.
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf
California Attorney General Bonta Claims he Dismantled Los Angeles Hospice Fraud Ring Responsible for $267 Million in Fraud, 21 Charged
Press Release
Attorney General Bonta Reports he Dismantles Los Angeles Hospice Fraud
Thursday, April 9, 2026
California Attorney General Rob Bonta, together with the California Department of Health Care Services (DHCS), today announced charges filed against 21 suspects and the dismantling of a major hospice fraud scheme that defrauded California of $267 million.
Go Directly to Jail
Commit Insurance Fraud While on Probation Violation Requires Jail
Jail is Necessary When Probation is Violated
In United States of America v. Sabine Oltmann, No. 25-60578, United States Court of Appeals, Fifth Circuit (April 9, 2026), Sabine Oltmann pleaded guilty to unauthorized opening of mail by a postal employee and was sentenced to two years’ probation.
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf
NO GOOD LAW GOES UNPUNISHED
Alleged No Fault Fraudsters Enjoined from Claims, Arbitration or Suit to Collect Benefits
In Allstate Insurance Company, Allstate Indemnity Company, Allstate Property & Casualty Insurance Company, v. Jonathan S. Landow, M.D., et al, No. 24-CV-2010 (DLI) (JRC), United States District Court, E.D. New York (March 30, 2026) Plaintiffs filed a 187-page complaint, including dozens of pages of exhibits, detailing a scheme of kickbacks for patient referrals, operation of clinics by laypersons, lack of medical care provided by the M.D. Defendants, and predetermined and trumped up medical treatments.
More McClenney Mosely & Associates
In an article from Louisiana lawyer Chip Merlin Mr. Merlin describes and comments on the recent lawsuit filed by MMA Law Firm against Matthew Monson, his firm, and Allied Trust Insurance Company is a remarkable pleading. The full complaint is available here. It reads like a Sherlock Holmes novel written by the villain, Moriarity, rather than a factual attempt to get justice.
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf
Health Insurance Fraud Convictions
Dominican National Pleads Guilty to Illegal Reentry, Misuse of Social Security Number, and Benefits Fraud
Jesus Matos Perez, 52, pleaded guilty on April 2, 2026 to illegal entry, false representation of a Social Security number, health care fraud, and wire fraud. He is scheduled to be sentenced on July 8, 2026. The sentence imposed will be determined by a federal district court judge after consideration of the U.S. Sentencing Guidelines and other statutory factors.
A Thief Steals a Bag with a Two Million Pound Faberge Egg & Points Out an Insurance Problem
Purse Snatcher Targeted Rosie Dawson as she Greeted a Friend Outside the Dog and Duck Pub
This story was passed to me from a friend, Alan Worboys, with whom I had worked on Lloyd’s claims as curious like some of our old cases. Alan advised that “The woman victim was outside a pub in a designated smoking area with the bag between her legs. A few minutes later she noticed that the bag “was missing.”
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf
Other Than Health Insurance Fraud Cases
Special Master Requires Convicted Insurance Mogul Lindberg to Pay $1.6B Restitution to Companies
Greg Lindberg, after close to ten years of litigation, investigations and deliberations, criminal fraud cases against the reported billionaire and North Carolina insurance entrepreneur appear to finally be nearing an end. A sentencing hearing is expected in the next few months, followed by a federal judge’s decision on how much in restitution Lindberg owes — and to whom.
Justice Department Prosecutes a Half-Billion Dollars in Healthcare and COVID Fraud Schemes Exploiting Taxpayer Funded Programs
Actions support the Administration’s Task Force to Eliminate Fraud
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf
Evergrande Billionaire Founder Hui Ka Yan Pleads
The Guilty Plea Marks A Dramatic Turn In The Downfall Of A Tycoon Who Once Symbolized China’s Property Boom
China Evergrande Group founder Hui Ka Yan pleaded guilty to a number of charges including fundraising fraud and bribery in a Chinese court, according to state news agency Xinhua marking a major turn in the collapse of one of China’s most prominent property developers.
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
Read the full article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/04/ZIFL-04-15-2026.pdf