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Sunday, December 29, 2019

STATE FARM INAPPROPRIATE RESPONSE 62 DATED 29DEC20 2:57PM



INAPPROPRIATE RESPONSE 62

INAPPROPRIATE RESPONSE TO EMAIL:

Claim Number 55-06c6-44x REQUEST FOR ASSISTANCE STATE FARM INSURANCE AGENT DATED 29DEC20 2:37PM

NOTES ON IMPROPRIETY : PERTAINING TO INAPPROPRIATE RESPONSE 62.

NUMBER 1.

MR. GUENIOT, THE ASSISTANCE SOUGHT IS,  PLEASE PROVIDE A CONCISE SUBSTANTIVE DENIAL LETTER ON MY CLAIMS FOR SECONDARY DAMAGES FILED IN JUNE 2020 AND VANDALISM WHICH COVERAGE I DISCOVERED JUST IN NOVEMBER 4, 2020 WHEN YOU BELATEDLY FURNISHED ME WITH THE COPY OF THE POLICY BEYOND ON WHAT IS REQUIRED BY THE REGULATION.

TO WIT:

FAILURE TO PROVIDE WRITTEN A CLEAR SUBSTANTIVE DENIAL DOCUMENTS CORRESPONDING TO THEM  ARE CLEAR VIOLATIONS  OF SECTION 2695.5. 

NUMBER 2.

DELIBERATE INTENTION TO SOW CONFUSION.

IT IS AN IMPROPER RESPONSE FOR RESPONDING TO AN EMAIL ASKING FOR A CLEAR AND CONCISE DENIAL LETTER LIKE "As I previously communicated to you on November 13, 2020, we have done our best to answer your questions and provide a reasonable explanation for the basis of the denial of the claim based on the policy language. WHERE IN YOUR EMAIL IN NOVEMBER 13, 2020 YOU DID NOT MENTION OF MY DAMAGES CLAIM FROM VANDALISM COMMITTED BY YOUR INFORMANT PLUMBER TITOUAH?

NUMBER 3. 

YOU ARE SAYING "we have done our bestWHAT EFFORTS HAVE YOU MADE TO EXPLAIN YOUR POSITION? WHAT YOU HAVE WRITTEN ME ARE JUST A TEMPLATE OF EMPTY AND UNSUBSTANTIATED FIVE (5) FEEBLE MINDED OR FEW INSANE SENTENCES, REPEATEDLY ALL OVER AGAIN? WHAT YOU HAVE DONE BEST IS TO SOW MORE AND MORE CONFUSIONS TO DETER ME CONTINUING NEGOTIATIONS WITH YOU AND SUBJECT OUR CLAIM TO FRIVOLOUS DELAYS.  BUT I ASSURE YOU, I WILL CONTINUE GOOD FAITH NEGOTIATIONS WITH YOU THOUGH YOU ARE CONTINUALLY DISPLAYING OBVIOUS AND REPREHENSIBLE MANIFESTATIONS OF BAD FAITH AND/OR I WILL EXHAUST ALL ADMINISTRATIVE DISPUTE RESOLUTIONS AVAILABLE  BE IT WITHIN THE PREMISES OF STATE FARM, THROUGH MS. TIFFANY WYATT OR THROUGH THE MANAGERS ABOVE YOU OR THROUGH OUR INSURANCE AGENT, MR. EDDIE ATCHLEY OR THROUGH PUBLIC ADJUSTING SERVICES. I WOULD LIKE TO REITERATE THAT I WILL CONTINUE MY GOOD FAITH NEGOTIATIONS WITH YOU AND STATE FARM UNTIL I HAVE EXHAUSTED ALL ADMINISTRATIVE REMEDIES AVAILABLE.

NUMBER 4.

MR. GUENIOT PLEASE DO NOT DERAIL EFFORTS TO RESOLVE THIS CONFLICT  TOWARD A HOLISTIC RESOLUTION. THIS EMAIL WHICH YOU ARE RESPONDING TO IS INTENDED FOR  MR. EDDIE ATCHLEY AND NOT FOR YOU TO ANSWER. I FURNISHED YOU A COPY OF IT FOR THE SAKE OF COURTESY JUST TO LET YOU KNOW THAT I AM PRUDENTLY EXPLORING OPTIONS TO NEGOTIATE THESE INSURANCE CLAIMS BETWEEN RESPECTABLE AND HONORABLE MEN. STATE FARM INSURANCE COMPANY DESERVES MEN OF HIGH HONOR AND INTEGRITY IN THE EXACT OPPOSITE OF WHAT YOU ARE SHOWING. PLEASE LET MR. EDDIE ATCHLEY DO WHATEVER HE COULD TO HELP US OUT OF THIS PREDICAMENT.

HIGHLIGHTS :  REITERATION OF SUBSTANTIVE DENIAL LETTERS ON VANDALISM FILED IN NOVEMBER 2020 AND SECONDARY DAMAGES CLAIM FILED IN JUNE 2020.

NUMBER 1.

MR. GUENIOT, THE ASSISTANCE SOUGHT IS,  PLEASE PROVIDE A CONCISE SUBSTANTIVE DENIAL LETTER ON MY CLAIMS FOR SECONDARY DAMAGES FILED IN JUNE 2020 AND VANDALISM WHICH COVERAGE I DISCOVERED JUST IN NOVEMBER 4, 2020 WHEN YOU BELATEDLY FURNISHED ME WITH THE COPY OF THE POLICY BEYOND ON WHAT IS REQUIRED BY THE REGULATION.

TO WIT:

FAILURE TO PROVIDE WRITTEN A CLEAR SUBSTANTIVE DENIAL DOCUMENTS CORRESPONDING TO THEM  ARE CLEAR VIOLATIONS  OF SECTION 2695.5. 

NUMBER 2.

DELIBERATE INTENTION TO SOW CONFUSION.

IT IS AN IMPROPER RESPONSE FOR RESPONDING TO EMAILS WITH DIFFERENT SUBJECTS WHICH TEND TO CREATE MORE CONFUSIONS.


DENIALS AND ASSERTIONS NEEDED TO BE 

SUBSTANTIATED, OTHERWISE, CRIMINALS MERE 

SAYING EMPTY WORDS OF DENIAL AND STATEMENTS 

WOULD NEVER BE CONVICTED.













































CLEARER READING BELOW OF THE EMAIL SCREENSHOT ABOVE:

Dear Mr. Buensuceso,

 

I’m writing to acknowledge receipt of the email below that was sent to Eddie Atchley since you forwarded a copy to me.

 

This claim file remains closed.  Our position as communicated in our letters and responsive emails are unchanged.  All conditions previously quoted still apply. 

 

We are required by California Insurance Regulations, Section 2695.7(b)(3), to advise you that if you believe this claim, or any part of this claim, has been wrongfully denied or rejected, you may have the matter reviewed by the California Department of Insurance, Claims Service Bureau, 300 South Spring Street, Los Angeles, California 90013, telephone 800 927 4357.

 

The one year “Suit Against Us” time period referred to in the May 6, 2020 letter includes the time period from the date of loss (April 26, 2020) to the date the claim was reported to State Farm (April 29, 2020).  The one year time period was tolled during our investigation of this claim (April 29, 2020) to the date the claim was initially denied (May 6, 2020).  The one year time period was tolled upon receipt of Antonio Buensuceso Jr.’s email dated May 29, 2020 for additional investigation until the date the denial of the claim was confirm in our June 12, 2020 letter.  That one year time period continues to run as of the date of our June 12, 2020 letter.  

 

Your email contains allegations of misconduct. All such contentions are denied. You should not interpret our silence as any agreement with you, or any waiver of our rights under the policy or law.  We reserve all rights under the policy and the law. 

 

Sincerely,

 

Louis

 

 

Louis E Gueniot III

Claim Team Manager
State Farm General Insurance Company



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