Tuesday, November 5, 2019
Claim Number 55-06c6-44x OBJECTION TO ONE YEAR SUIT AGAINST US DATED 5NOV20 12:15AM
NOVEMBER 5, 2020
LOUIS E. GUENIOT TEAM MANAGER CLAIM SPECIALIST
STATE FARM HOME INSURANCE
RE: Claim Number 55-06c6-44x
Policy Number 77-C3-B499-7
DATE OF LOSS: April 26, 2020
OBJECTION TO ONE YEAR SUIT AGAINST US
Dear Mr. GUENIOT: MAY I MOST RESPECTFULLY REFER YOU TO THE EMAIL FROM MR. EDDIE ATCHLEY, OFFICE MANAGER OF STATE FARM INSURANCE AGENT, MR. DERYK INN SHOWN NEXT, WHERE HE INFORMED MY DAUGHTER, MIRIAM THAT WE SHOULD RECEIVE THE POLICY BOOKLET IN TWO (2) TO THREE (3) WEEKS FROM MAY 4, 2020 AND, Section 2695.5. Duties upon Receipt of Communications (e) (2)
(e) (2) (e) Upon receiving notice of claim, every insurer shall immediately, but in no event more than fifteen (15) calendar days later, do the following unless the notice of claim received is a notice of legal action: (2) provide to the claimant necessary forms, instructions, and reasonable assistance, including but not limited to, specifying the information the claimant must provide for proof of claim; Let this be understood: Based on Section 2695.5. Duties upon Receipt of Communications (e) (2) upon receiving notice of claim every insurer shall immediately, but in no event more than fifteen (15) calendar days later, provide to the claimant necessary forms, instructions and reasonable assistance. On May 4, 2020 we, through my daughter Miriam, requested for a copy of the insurance policy booklet. As per regulation shown above, you must have granted that assistance not later than May 19, 2020. However, on record you just provided that assistance only now, November 5, 2020 almost 5 months late. This fact deprived us of five (5) months chance to read the policy and understand it. It is unfair for us to be slapped by you with a denial letter on June 12, 2020 while you are depriving us of one particular reasonable assistance, providing us a copy of the policy booklet, from you for almost five (5) months. Moreover, the regulation shown above mandates that you specify the information you need as proof of claim immediately and in no event more than fifteen calendar days but until now you have not specified that information to us.THEREFORE, WE ARE HUMBLY WRITING TO YOU THAT WE ARE OBJECTING TO YOUR STATEMENT THAT: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. FOR BEING UNFAIR, UNJUST AND INEQUITABLE AND OBVIOUS MANIFESTATION OF BAD FAITH.
Please acknowledge receipt of this e-mail and kindly inform me when I should expect a reply to this email AND kindly put back the following reminder to your response which had been missing for quite some time. 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 |
822ND PERSUASIVE APPEAL_5 NOV19_TO THE SCP JUSTICIDES_ CHIEF JUSTICE BERSAMIN HAD NEVER BEEN A 'WARRIOR 'BUT A 'MERCENARY'
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967counts
SEE BELOW FOR THE 967TH TIME THE REITERATION OF DEMAND PAYMENT OF RETIREMENT PAY WHICH SHELL REFUSED TO HONOR IN THE PRESENCE AND DEEMED APPROVAL OF THE HONORABLE MAGISTRATES OF THE SUPREME COURT OF THE PHILIPPINES
Dishonest scales are an abomination to the Lord, but a just weight is His delight... Proverbs Chapter 11 v. 1
Retirement Pay Law circumvented by Shell subject to penal provision provided for by Article 288 of the Labor Code of the Philippines.
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Monday, November 4, 2019
STATE FARM RESPONSE ON POLICY BOOKLET 4NOV20 12:26PM
STATE FARM RESPONSE 4NOV20 12:26PM RESPONSE TO EMAIL:Claim Number 55-06c6-44x INSURANCE POLICY BOOKLET DATED 3NOV20 9:30PM
FOLLOW UP REQUEST FOR INSURANCE POLICY BOOKLET WOULD YOU PLEASE CLARIFY YOUR POSITION ABOUT THIS REMINDER WITH REFERENCE TO THE EMAIL FROM MR. EDDIE ATCHLEY. "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." 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 along with other emails from you since my last response to you on November 3, 2020.
Attached, please find a copy of policy 77-C3-B499-7 issued to Miriam Brual and Rosalina Buensuceso with effective dates 11/07/2019 to 11/07/2020.
There is no requirement to provide a policyholder with a copy of the policy prior to preparing a denial letter in relation to a claim. The denial letters prepared included the applicable policy language related to the denial of this claim. Our denial of this claim remains unchanged and this claim file remains closed. Please refer to our previous correspondence and email communications. All conditions previously quoted still apply.
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.
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.
As was communicated to you on November 3, 2020, we will not provide you with any other State Farm personnel’s email address. All communication related to this claim will be directed to my attention for review.
Your emails contain 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 NOTE 1 : Section 2695.5. Duties upon Receipt of Communications(e) (2) (e) Upon receiving notice of claim, every insurer shall immediately, but in no event more than fifteen (15) calendar days later, do the following unless the notice of claim received is a notice of legal action: (2) provide to the claimant necessary forms, instructions, and reasonable assistance, including but not limited to, specifying the information the claimant must provide for proof of claim; NOTE 2 : ARBITRARY COMMENTS MEANT TO DERAIL THE NEGOTIATION PROCESS BUT WE ARE NOT STOPPING GOOD FAITH NEGOTIATIONS DESPITE MR. GUENIOT'S DISPLAY OF CONTINUING BAD FAITH MANIFESTATIONS. "We will not provide you with any other State Farm personnel’s email address. All communication related to this claim will be directed to my attention for review. "
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SHELL CIRCUMVENTED RA 7641
SYNDICATED ESTAFA
HOT PURSUIT
DUTY OF LAW ENFORCEMENT ENTITIES
SHELL SWINDLING OF RETIREMENT PAY 5TH YEAR
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