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PENNSYLVANIA RECORD

Tuesday, April 16, 2024

Policyholder says two insurance companies, employees misrepresented status of her loss coverage

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PHILADELPHIA – A Pennsylvania property owner has filed legal action against a pair of insurance companies who she claims have not reimbursed her for what she believes was a covered loss sustained against one of her properties.

Sandra Concors (doing business as “KSJ Group, LLC”) of Feasterville filed suit in the Philadelphia County Court of Common Pleas on July 20 versus Tadas Brusokas Insurance Agency, Inc. of Huntington Valley and Farmers Insurance Group, of Los Angeles, Calif.

Concors owns a property on the 3300 block of Rand Street in Philadelphia and obtained an insurance policy from Tadas on Dec. 5, 2016. Concors went to the company’s office on Feb. 14 this year to verify each of her properties were properly insured and there was no outstanding balance on any of her policies.

Concors was led to believe her policies were in proper order by Tadas employee Galyna Dumalska, who further completed a name change procedure listing Concors’ properties under the name “KSJ Group, LLC” as opposed to her real name.

On Feb. 22, the plaintiff suffered sudden and accidental loss to the property, through causes covered under the Tadas policy, resulting in loss of the use of premises and damages in excess of $50,000.00.

Two days later, Dumalska telephoned Concors to relay she had been informed by a Farmers Insurance Group adjuster named Wendy that Concors could not recover from the Feb. 22 loss, because her policy had been cancelled before said loss; a claim Concors believes is untrue.

Concors immediately went to the company office to speak with Dumalska and the company owner, Tadas Brusokas – who assured Concors the situation was a mistake and they were going to fix the problem. With Concors still present, Dumalska called Wendy back to learn why the policy was cancelled, to which Wendy replied it was due to an outstanding balance.

Dumalska told Wendy that Concors had never had outstanding balances and Brusokas chalked up the matter to a mistake from Farmers, and that it was their duty to assist Concors in resolving the situation.

Wendy represented she was going to open an investigation into the matter and someone would contact Concors on Feb. 27 or 28, however, on Feb. 27, Wendy telephoned Concors and denied the claim, saying there was nothing she or the agency could do about it.

Therefore, Concors believes the defendants collectively erred in assuring her that she had valid insurance coverage at the time she incurred the loss, Feb. 22 of this year.

For counts of negligence, bad faith and reformation of contract, the plaintiff is seeking damages in excess of $50,000.00, plus interest, court costs, counsel fees and delay damages.

The plaintiff is represented by Mario Barnabei of the Law Offices of Jonathan Wheeler, in Philadelphia.

Philadelphia County Court of Common Pleas case 170701948

From the Pennsylvania Record: Reach Courts Reporter Nicholas Malfitano at nickpennrecord@gmail.com

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