ALTHOUGH LOUIS RESPONDS, BUT HE IS RESPONDING INAPPROPRIATELY. THERE IS NOTHING IN PAR.1 TO 6 MENTIONING ABOUT LIST OF INFORMATION THAT STATE FARM CONSIDER AND LIST OF INFORMATION THAT STATE FARM DID NOT CONSIDER. EVEN WORSE, IN LOUIS' RESPONSE EMAIL DOWN NEXT, PAR. 1 TO 6, SHOWED TOPICS OUT OF THE SUBJECT BEING DISCUSSED WHICH ADD TO MORE CONFUSION ON OUR PART. AND WORST HE ATTACHED 90 IMAGES WITHOUT ANY EXPLANATION WHETHER STATE FARM CONSIDER EACH ONE OF THEM OR NOT. DOUBTLESS, HIS INTENTION TO CONFUSE DELIBERATELY, INTENTIONALLY, MALICIOUSLY, WILLFULLY, WANTONLY, OUTRAGEOUSLY IS OBVIOUSLY PROFOUND. FOR YOUR INFORMATION, I NAMED THIS MISCONDUCT AS INAPPROPRIATE RESPONSE 4.
INAPPROPRIATE RESPONSE 4
Dear Mr. Buensuceso,
Attached, please find a copy of claim-related documents for claim 55-06X6-44X. Claim file notes are not considered claim-related documents, as defined by Insurance Code Section 10082.3, and will not be provided.
Our position as communicated in our letters dated May 6, 2020, June 12, 2020, July 13, 2020, July 17, 2020 and July 31, 2020 are unchanged. This claim has been denied as explained in our letters referenced above and the file remains closed. All conditions previously quoted still apply.
If you believe this claim has been wrongfully denied, you may contact the California Department of Insurance for assistance.
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, Claim 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.
This company does not intend by this letter to waive any policy defenses or defenses under the law and reserves its right to assert such additional policy defenses or defenses under the law at any time.
Sincerely,
Louis
Louis E Gueniot III
Claim Team Manager State Farm General Insurance Company
Please acknowledge receipt of this e-mail and kindly inform me when I should expect a reply to this email.
Please be reminded that your DENIAL LETTER DATED MAY 6, 2020 was prepared, relayed to us, sent and read by us in just a few minutes.
Thank you very much.
Yours faithfully,
Antonio L. Buensuceso