I had to give my deposition in a lawsuit earlier today, and I've got a massive headache now. Spending 6 hours of my day answering questions about things that happened 4 to 6 years ago is not my idea of fun. On the spectrum of fun, it falls somewhere around root canal, full cavity searches and being beaten with blunt objects. Y'all talk amongst yourselves. Don't burn down anything important. Replace anything you drink from the liquor cabinet.
A Diary of Sorts and Meme Redistribution Agency. Beware of Occasional Spleen Venting.
Tuesday, January 24, 2023
Wednesday, January 11, 2023
Lawyers, Liars and the Legal System
The meme has nothing to do with today's subject except maybe tangentially, but it does kick over my giggle box. That said, there is a corollary to the meme that the scales of justice can be tipped with the sufficient application of large amounts of untraceable cash or other valuable consideration. The fact that Hillary Clinton and the cast of characters in Jeffrey Epstien and Giselle Maxwell's Client List Little Black Book are still walking free is no coincidence.
Despite the fact that I make a living dealing with lawyers and the legal system everyday, I am not a fan of either. Too much familiarity with the sausage making process to trust it fully I suppose. So, it is with no small amount of loathing and reluctance that I agreed to give a deposition in a lawsuit arising out of a claim I handled several years ago. I could have said "go pound sand" and been well within my legal rights to do so. 1) I am out of subpoena range, 2) I am no longer employed by the company I was working for at the time, 3) they nuked the bridge from orbit which means, 4) I have no incentive to play nice.
Unfortunately for me, I am a stand up guy at heart. So, despite the fact that I will not get so much as an "attaboy", I now get to spend my free time for the next few days preparing for my deposition (which is the mental equivalent of a colonoscopy without the benefit of anesthesia) and then spend the better part of a day on a video conference being grilled by various attorneys about events and thought processes that took place 4 to 5 years ago now just so a few insurance companies can battle it out over who should pony up a couple of million dollars.
There's not enough Bourbon to make this little misadventure fun. Just saying.
Wednesday, January 6, 2016
M&M 2.0 Brief Update
Not me. I don't care how well politically connected he is (chairman [now former thanks to his arrest] of the local Democrat party in a predominately Democrat county), I don't want a drunk with a felony weapons charge pending against him representing me and mine.
So, short on time and options, I dug back into the memory banks for the names of two attorneys that we knew from M&M's case. The first was the attorney The Queen and I consulted regarding intervening in M&M's case. The other was the attorney that the court appointed as M&M's guardian ad litem.
The first attorney was not very encouraging. He said things like "that's impossible" referring to the short time frame (a day and a half) in which to draft and file the intervention. He was also not entirely sure he could make the hearing. So, I thanked him for his time and moved on to door number two.
M&M's former ad litem was much more enthusiastic. She had her staff jumping on drafting the intervention even before the retainer contract was signed. Her paralegal was also very resourceful. The attorney for the petitioners (the couple currently caretaking 2.0) was not willing to extend any professional courtesy and give up the address where the bio parents could be served with the intervention.
So, the paralegal looked up which process server the petitioner's attorney had used, made a quick call and confirmed that, yes indeedy, the process server remembered the case and the shack where the bios were currently staying. He was more than happy to make a second service fee with little effort. I gave her a high five for that one. That's the kind of out of the box thinking that wins wars right there.
Anywho, we showed up for the hearing earlier this week as scheduled in hopes of getting a favorable ruling. No such luck. Our attorneys did not have the required amount of time to do anything other than file the intervention. Setting a competing hearing on any affirmative action of our own would have required at least three business days which we did not have due to the New Year's holiday.
We were successful in blocking the petitioners' efforts to make the Temporary Restraining Order permanent. Their attorney attempted to have their TRO hearing heard in addition to requesting the court to strike our intervention. The court declined and required their attorney to choose either A) to move forward on her hearing with us involved, or B) continue the hearing to a later date to give her adequate time to file a formal motion to strike and prepare for a full hearing as the scheduled hearing was only set for a half hour. The opposing attorney did the only thing she could do and took the continuance. She will find out quickly that she has not basis for a motion to strike as our standing to intervene is black letter statutory law. So, she's stuck with us now.
Of note, the bio parents actually showed up for the hearing. They are unrepresented this go around because this is a private lawsuit since Texas DFPS declined to pursue any action on behalf of the state thus denying the bios access to court appointed attorneys. We heard through sources that they have set up a Gofundme account which has netted a grand total of $0 in contributions. There was a host excuses offered up by the male bio as to why they didn't have counsel, why they hadn't completed their drug testing yet, why they haven't completed their anger management classes yet, etc.
In another interesting twist, while waiting for the hearing to begin, we heard the bios talking with the petitioners' attorney and male bio's reporting of the events leading up to the termination of their parental rights in M&M's case was quite amusing. No concept of personal responsibility. No acceptance of any blame. No nada. We are evil because we stole M&M, etc. Our attorney says she can't wait to get him on the stand.
Next step is a full blown, it's on like Donkey Kong, hearing in about 2 months from now with testimony by the involved parties, DFPS and probably a few others. The hearing is slated for 4 hours, and I bet it runs long. We have filed a motion to strike the petitioners claims due to lack of standing to file. There will be a brief exchange of written discovery between the parties (which I fully expect the bios to ignore).
Then...who knows. I still feel pretty good about our chances given the law; however, the judge has pretty wide discretion in these cases to do what he feels is in the best interests of the child. The longer this drags out, the more likely it is that he will just rule that the status quo is best.
That will suck.
More to follow when I can.
Tuesday, December 29, 2015
Lies, Damned Lies and...
AAAARRRRrrgggghhhhh!!!!!
Everything we were told about M&M's sister was false. Whether through gross incompetence or deliberate malice remains yet to be seen.
The icing on the cake is that the attorney we thought was going to represent us changed her mind yesterday afternoon. The hearing is less than a week away.
I may have to test the theory about fools for clients.
Can't give details yet. Will when I can.
Saturday, May 30, 2015
I Thought It Was Funny
Wednesday, September 3, 2014
Update
The other deal, despite being somewhat nebulous and undefined at the moment, has some advantages as well. Hopefully, one or more dominoes will start falling soon.
In other news, The Queen and I were forced to file third degree felony theft charges against someone yesterday for the first time in our lives. I can't go into details yet, but the short of it is that we were the victims of a con artist. There are aspects of the situation that would make your blood boil were I to share. "Vengeance is mine sayeth the Lord"....but, let's just say I'd be happy to arrange a meeting.
Lots of lessons learned and relearned out of this experience. In this digital age, the information is out there. You just have to know where to look, how to look and take the time to be thorough. Don't do business with anyone you haven't thoroughly vetted. Big deals (if you can't afford to lose, it's a big deal) should include a background check especially if things don't pass the smell test.
As I told The Queen last night, it's easy to spot evil when it's walking down the street shooting people left and right. It's real hard to spot it when it sits down, siddles up next to you and smiles.
Abraham Lincoln said it even better: "You can fool all of the people some of the time...." This was our time.
We are resigned to the fact that we will likely never see our property again or the money that was promised (if we do, that's a bonus). Our goal is to simply insure that the thief can't do this again to anyone else. There are two other felony theft cases pending against him which we really wish we had found before we entered into an agreement with him (we would have found it if we had searched for Stephen instead of Steve). He's currently under a deferred adjudication order in another county for theft charges there. He's also being sued in civil court by someone else for circumstances nearly identical to ours (I'm in contact with that attorney trying to convince them to file criminal charges as well).
If you are in the Dallas/Fort Worth area and want to know who to avoid, send me an email. I'll be happy to share the name, court case references, etc.
Thursday, August 7, 2014
Insider's Guide for Outsiders: Evil Insurance Companies
76 year old man gets into an argument with his insurance agent over why his auto insurance was canceled. Man gets physically thrown out of agent's office. Man sues agent. Man wins judgment. Agent's representatives attempt to partially satisfy the judgment with 17 buckets of loose coins.
As my current boss commented, there's got to be more to this story.
Now, I will admit that I have been sorely tempted to do something like this more than once in my insurance career. The one thing stopping me has been that the hassle of getting that much coinage together and delivering same far outweighed any pleasure I might have received at making a difficult attorney's life more difficult. I'm sure others in my profession will agree.
I bring this up because of a (probable spam) comment I received on my relatively recent post on litigation. The commenter stated: "Great information! Insurance companies don't like to pay claims and some inspectors or adjusters are invented to deny claims. With this said, if you have a legitimate claim, you should expect to be treated fairly and expect the insurance company to honor the claim."
My response to the commenter was: "I'm not sure what you mean by "some inspectors or adjusters are invented to deny claims", but I will say that claims people tend to be a jaded and suspicious lot by nature (it comes from too many dealings with sleazy lawyers and angry claimants). Insurance companies are in business to make money like every other business. As such, saying they don't like to pay claims is almost akin to saying the Pope is Catholic. Having said that, some companies have a well deserved reputation for being difficult and reluctant to pay claims while others are less difficult. Perhaps my next articles in the series will be on insurance companies and adjusters."
I thought I would take a moment and give a brief overview of the insurance business from the company perspective.
First, let's get one thing perfectly clear from the start: with very few exceptions, insurance companies are in business to make money. Any insurance company failing to make money for very long does not tend to stay in business for very long.
The primary vehicle for measuring the profitability of an insurance company is the loss ratio. In its purest form, the loss ratio is the total of all written premium collected divided by claims paid including expenses. There are two types of expenses: allocated loss adjustment expenses (A.L.A.E. for short though I've heard some people pronounce it as a word: "A-lay") and unallocated loss adjustment expenses (ULAE). ALAE is any expense that can be allocated to a specific claim file. The legal bill that pays for the attorney defending a specific lawsuit is ALAE as is private investigator, inspector, expert witness and other expenses when they arise out of a specific claim investigation. Adjuster salaries, office rent, electricity, phones, etc. are ULAE.
A loss ratio of 1.0 is break even. Loss ratios of greater than 1.0 mean a company is hemmorrhaging money, and loss ratios of less than 1.0 mean that the company should be profitable. It is theoretically possible for a company to have a 1.1 loss ratio and still turn a profit, but that feat requires successful return on investment of premium dollars which I may or may not discuss further. In my experience, it is rare to see a reported loss ratio below 0.50. The most profitable companies typically run a loss ratio in the .55 to .75 range. The majority of okay but financially profitable companies run ratios between .75 and .95. Companies having issues typically run loss ratios very close to or above 1.0. A recent example would be Fireman's Fund's dismal performance the last two years running with combined ratios (a combined ratio is the pure loss ratio including investment performance) of 1.294 (2012) and 1.036 (2013).
That's all so very nice and esoteric, but what does it mean?
To be honest, lots of things and nothing at all.
Underwriter and actuaries control one half of the equation (written premium) while the claims department controls most of the other half (losses paid and ALAE). Premium rates are set based on a variety of factors that are well beyond my limited math education and experience. Actuaries perform all sorts of calculations and review statistics (and goat entrails I'm sure) and analyze navels until they come up with a set of rates they think represents the rates that a given category of risk should pay. That's why teenage boys pay the highest rates for car insurance. Underwriters then stick their thumb in that pie and develop a set of underwriting guidelines that define the "appetite" for risk that the company wants to pursue. For instance, the last company I worked for prior to the one I am with now had a solid personal lines (auto and homeowner's insurance) and "middle market" appetite. They were content to pursue small to medium sized companies in a variety of industries, but they would steer away from anything too big or unique. Unique in the underwriting world = risky and hard to price.
Another driver of insurance premium rates is policyholder retention (or whatever the term de jour is). Basically, there is a finite number of people and/or companies out there. Most of them already have policies which forces the insurance industry to compete on price and service. Service is almost exclusively (but not completely) owned by the claims department. Underwriting sells a promise. Claims delivers on the promise. That leaves price. A company losing market share might choose to lower rates or increase its underwriting appetite or both in order to bring in more premium dollars, at the risk of increasing the loss ratio. A company seeing its loss ratio rise might choose to do the opposite, at the risk of losing market share. It's a very delicate balancing act.
That brings us to the loss/claims side of the equation. As mentioned a moment ago, service belongs to claims. There is a distinction here that needs to be mentioned (one I've mentioned before). When you see an ad for an insurance company on TV talking about fast claims service, they are talking about first party claims. A first party claim is one in which you the policyholder are making a claim for benefits to be paid to you under your policy. An example would be making a comprehensive or collision claim on your auto policy. A liability claim where someone else makes a claim on your policy for benefits to be paid to them arising from an accident caused by your negligence is a third party claim.
What difference does it make? Most states, if not all states, have some form of statutory or regulatory guidelines for how first party claims can/should be handled under pain of fine or penalty for failure to comply. As a result, the claims process for first party claims is pretty streamlined and efficient. Some companies still have field adjusters who will come to you; and, in some cases, they will even cut a check for the damages on the spot. Additionally, there is usually no requirement on a first party claim to prove legal liability as is required by the insuring agreement on a liability policy since a first party claim arises from contractual language as opposed to tort negligence theory. Prove that the contract was in effect and that the damages incurred are covered by said contract (which is usually self evident), and the check is in the mail.
Most of the time, when someone is griping about an insurance company, they are griping about the handling of a third party claim. As mentioned in a prior post, the time frames on a third party liability claim can go on for years. Most people anymore lose their patience and tempers after a few seconds. So, you can imagine how much fun third party claimants are to deal with when you deny their claims.
Now, as for the prevailing thought that adjusters look for reasons to deny a claim or that insurance companies don't like to pay claims, the short answer is that it depends.
Most individual insurance adjusters are hard working people trying to earn a living and do a good job. They have neither the authority nor do they receive the level of reward necessary to incentivise denying valid claims for no reason. The average adjuster, in my experience, is handling between 75 and 175 claims at any given time depending on the complexity of the mix. Most adjusters have very limited personal authority requiring management approval for settlements/reserves above certain amounts, coverage issues, etc. Most adjusters also know that denying a claim does not mean it goes away. In this litigious society, they know that it just means a lawsuit will be coming in soon and that file will be around a lot longer. If anything, there is a human nature tendency to find ways to PAY claims because settled files very rarely reopen, and adjusters have better things to do with their time than reopen files. As such, a permanently closed file is a happy file. Yes, there are individual adjusters that are jerks who are difficult to deal with. Pick any industry...you will find your share of jerks there too. The bottom line is that adjusters are people too subject to the same pressures and feelings as anyone else.
At the company level, there is not an insurance company in business today that has an official "smoking gun" document from senior management that says "look for ways to deny claims" or something to that effect. No one I am aware of is that stupid given the lengths to which bad faith lawyers will go to find such information. Now, will middle management do or say something stupid like that? Yes. I had an assistant VP of claims at a large, international insurance company tell me personally "I don't care if it's right. I just want it done." I explained to him that I had no intention of doing what he told me as I had no intention of explaining why such an unethical thing was done when my deposition would be taken in the inevitable bad faith lawsuit. His boss agreed with me after the fact. I still left that company pretty quickly thereafter though.
Will a company institute policies or procedures that make the claims process more difficult for everyone involved (adjuster and claimant alike)? Yep. Been there. Done that. Google "allstate colossus" for one such example. I've never worked for Allstate, but I did work for one company that also used Colossus for certain types of claims. I can attest that it is just like every other computer program in existence: garbage in, garbage out.
One consequence of the whole loss ratio analysis discussed above is the cyclical nature of claims settlements. When the loss ratio is high, the claims department gets pressure to "lower the loss ratio" or "reduce expenses". This can take the form of taking more cases in litigation to trial (which is counter intuitive since it involves incurring more expense) or settling more cases (which is also counter intuitive for obvious reasons). Taking more cases to trial is problematic for a variety of reasons not the least of which is the almost Byzantine nature of our legal process. Most adjusters hate to lose cases at trial. As such, they tend to recommend very few cases for trial and then only those that have legitimate, unresolvable disputes or those that they believe are "slam dunk" cases. I have sat in more than a few roundtables where I've told upper management in no uncertain terms that trying a particular case would be an epic mistake. Usually, they are smart enough to listen and the case eventually settles.
It should be noted that insurance companies don't just take premium dollars and dump them in an interest bearing checking account hoping everything balances at the end of the month. There is a whole side of the business controlled by accounting and the CFO that takes the money, invests it and hopefully scores a boatload of return on investment earnings in the process. Sometimes, that can blow up in their faces. AIG most notably went to the brink of oblivion just after the housing bubble burst in 2008 through over reliance on mortgage backed derivative investments. Hartford got splashed by that same bubble bursting for the same reasons but fared much better through a more diverse investment portfolio.
This is a pretty big topic that I am only scratching the surface of here, but I need to get back to work. If you are really that interested, you can dig into the mechanics of reserving and prior year development charges to present earnings, etc. That's homework for you CPA types.
In closing, your attorney is no better or worse a person than the adjuster for the insurance company. Treat them with the Golden Rule, and things will usually work out the way they are supposed to.
Thursday, April 24, 2014
Insider's Guide to Insurance Claims For Outsiders: Litigation
Wednesday, November 27, 2013
A Little Humor
In a trial, a Southern small-town prosecuting attorney called his first witness, a grandmotherly, elderly woman to the stand. He approached her and asked, 'Mrs. Jones, do you know me?' She responded, 'Why, yes, I do know you, Mr. Williams. I've known you since you w ere a boy, and frankly, you've been a big disappointment to me. You lie, you cheat on your wife, and you manipulate people and talk about them behind their backs. You think you 're a big shot when you haven't the brains to realize you'll never amount to anything more than a two-bit paper pusher. Yes, I know you.'
The lawyer was stunned. Not knowing what else to do, he pointed across the room and asked, 'Mrs. Jones, do you know the defense attorney?'
She again replied, 'Why yes, I do. I've known Mr. Bradley since he was a youngster, too. He's lazy, bigoted, and he has a drinking problem. He can't build a normal relationship with anyone, and his law practice is one of the worst in the entire state. Not to mention he cheated on his wife with three different women. One of them was your wife. Yes, I know him.'
The defense attorney nearly died.
The judge asked both counselors to approach the bench and, in a very quiet voice, said, 'If either of you idiots asks her if she knows me, I'll send you both to the electric chair.'
Friday, August 30, 2013
Liberty in America: A Political Theory
b : freedom from physical restraint
c : freedom from arbitrary or despotic control
d : the positive enjoyment of various social, political, or economic rights and privileges
e : the power of choice
b : liberation from slavery or restraint or from the power of another : independence
c : the quality or state of being exempt or released usually from something onerous
d : ease, facility
e : the quality of being frank, open, or outspoken
f : improper familiarity
g : boldness of conception or execution
h : unrestricted use
b : franchise, privilege
Friday, October 26, 2012
A Little Light in the Darkness...
Monday, September 19, 2011
Old Wisdom
Monday, March 21, 2011
D'oh...[Face Palm]
we noted that your application had incomplete Character and Fitness information
(a) Has any college, university, or law school ever dropped, dismissed, disciplined, disqualified, or placed you on academic probation for academic or behavioral reasons or were you allowed to resign or withdraw in order to avoid academic or disciplinary action? Are any disciplinary charges pending or expected to be brought against you at any college or university? (The record of such action need not be retained in your file to require disclosure.)