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Strange is our situation here upon earth. Though he wasn’t thinking about insurance claims, Albert Einstein’s words could be engraved on the doors of many insurance
claims adjusters, examiners and investigators. Most of the time,
insurance claims are run-of-the-mill. Sometimes claims fall on the
wrong side of the law, like when a driver decides to torch his own car.
Occasionally, a claim that crosses an insurance adjuster's desk is
downright bizarre.
Man’s best friend makes for numerous unusual
claims. According to Veterinary Pet Insurance (VPI), the largest
provider of pet insurance in the United States, dogs get mixed up in
all sorts of trouble. That includes a dog that locked itself in a
refrigerator during the holidays and ate the family’s entire
Thanksgiving ham while waiting to be found. The pooch suffered from a
mild case of hypothermia but no serious injuries.
Then there was the mixed breed that chased its own
tail and caught it — coming close to chewing it off — and a French
bulldog that ingested more than 50 tealight candles. In both cases, the
owners made claims for medical treatment and the insurance company paid.
In another case, a Jack Russell ate a wild turtle,
which lodged part of its shell in the canine’s nasal cavity. The
problem was left undiscovered for several weeks until a surgeon noticed
it while operating on the dog due to respiratory problems. VPI also
received claims for a Boston terrier that shut itself into a recliner
and a Labrador retriever who ate a box of disposable razors. Pet
insurance covered the medical bills in each of these incidents.
Some damaged items just cannot be replaced.
Chauncey Nickson, who works in State Farm’s claims department,
specializes in replacing rare and unique insured items. In the early
stage of his career with State Farm, he dealt with a claim for two
Egyptian mummies. The ancient duo (insured at $40,000 a piece) was
stored behind glass in two individual sarcophaguses inside someone’s
home.
"The homeowner had a party and someone had too much to drink and broke the glass," Nickson says.
While the ancient human mummies were left
unscathed, the broken glass scratched the wooden surface of their
sarcophaguses. Priceless artifacts, the sarcophaguses could not be
replaced, but State Farm paid to have them restored.
In another case, the insurance company was asked to
replace a human brain. A doctor had insured a brain (not his own),
which he kept inside a jar. It had long been a family heirloom. One
day, his office was burglarized — and the prized brain stolen.
"Well, it was illegal for us to purchase a [human]
brain," Nickson says. "So we were able to replace it with a plastic
brain instead — and he was happy with it."
But what do you do when it’s next to impossible to
determine a claim’s value? Nickson had one one of those cases too. A
toilet seat that had been painted by artist Jackson Pollock.
"The policyholder was friends with Jackson,"
Nickson says. "One day, they had a party and Jackson had too much to
drink and locked himself in the bathroom and decided to paint on the
toilet seat." Decades after Pollock’s death, the policyholder’s home
suffered great damage in a fire — including the toilet seat. When the
claim was filed, insurance adjusters were scratching their heads when
trying to figure out the toilet seat’s value.
"His paintings were going for $1 million each,"
Nickson says. "So we had to come to some sort of average between a $1
million painting and a $20 toilet seat." The final decision: The man
settled for $820 cash.
As you might expect, people have a tendency to
insure items once owned by celebrities. Nickson says that State Farm
insures a variety of memorabilia, especially items once owned by the
Beatles and Elvis Presley. Whenever possible, Nickson’s job is to
replace the item. For example, a lot of folks insure scarves once owned
by Elvis (he was known to wipe his sweat on them). During his career
with State Farm, Nickson has replaced two Elvis scarves — one that was
blown away by a tornado. The insurance company replaced both scarves
with others that Elvis once owned.
"I have a relationship with people throughout the country, so that we can get our hands on these types of items," he says.
Then
there's the Oregon man who demanded to be reimbursed for his stolen
marijuana. Normally, you’d think someone wouldn’t report such a theft
for fear of criminal prosecution, but in this case "he had legal
permission to smoke marijuana and grow it," says Kathy Jones, an
independent agent and certified insurance counselor from Washington,
adding that the drugs were used to alleviate pain that the man suffered
as a result of chronic disease. "He grew five marijuana plants that
were 9 feet tall in his yard."
Then the man asked to be paid the "street value" of
his drugs. His insurance company argued that since the stolen items
were plants, it would pay no more than $500 per plant or a total sum of
$1,000 — the maximum coverage for damaged/stolen plants under his home
insurance policy.
Some folks go the extra mile to try to get a claim
paid. Take the case of the man whose girlfriend crashed his motorcycle.
Worried the claim wouldn’t be paid, he told his Progressive Insurance
representative that he’d been driving the bike. In order to support his
story, he tied himself to the back of a truck and asked a friend to
drag him around "a little bit" to produce a road rash. He didn’t know
that his girlfriend already told investigators that she caused the
accident.
It’s fairly common for uninsured drivers to attempt
to buy insurance coverage after a vehicle has been damaged. It’s much
less common for a person to purchase insurance from the scene of an
accident. While lying on the side of the road with a ruptured spleen
after he wiped out his motorcycle, a man dialed 1-800-PROGRESSIVE on
his cell phone to buy coverage on the spot. Unfortunately for him, a
witness heard him make the call and reported it to the insurance
company.
"Some of those claims might sound outrageous, but
insurance fraud isn't funny and it isn't a victimless crime," says Jeff
Moore, who works for Progressive's special investigations unit.
"Fraudulent insurance claims cause costs to go up and honest customers
are the ones who pay the price."
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