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Pennsylvania District Court Holds Materiality Does Not Require Fraud | Cozen O'Connor


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A District Court in the Eastern District of Pennsylvania recently held that an insured’s submission of  invoices altered to inflate replacement costs for water-damaged inventory constituted material misrepresentations. The court granted the insurer’s motion for summary judgment on its claims for declaratory judgment and violation of the Pennsylvania Insurance Fraud Act; however, the court held that the altered invoices fell short of satisfying the elements of common law fraud. 
In 
State Auto Property & Casualty Insurance Co. v. Sigismondi Foreign Car Specialists, Inc., No. 19-5578 (E.D. Pa. Apr. 12, 2021), the insurer, State Auto, brought an action seeking a declaration of its rights and obligations under the policy issued to the defendant insured, an auto repair shop, Sigismondi. Plaintiff also brought claims against Sigismondi for violations of Pennsylvania’s Insurance Fraud Act, common law fraud, ....

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Cleaning Out My Overflowing Basket: Recent and Important Maryland Insurance Cases | Pessin Katz Law, P.A.


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I have a basket in my office that I fill with things that I should read. Sometimes I print an article about an interesting book or person and put it in the basket. Sometimes I place an outline from a Zoom program that I half-listened to while I was working on other tasks in the basket. New laws and ideas for this column are routinely placed in the basket.
At times, my basket starts to overflow. When that happens, I know that it needs to be cleaned out. In the deep darkness of winter, I find it is more difficult for me to do this simple housecleaning exercise unless I have a purpose. What motivated me to do my basket cleaning was this month’s column. I feel that I need to educate insurance professionals particularly about how new cases impact risks and coverages. With that in mind, here are a few relatively recent cases that I have been keeping in my basket. ....

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