WTF Sh*t's F*cked Up and Bullsh*t - a "Who Cares" thread for news

Dakota Tebaldi

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The particulars are that 2019 he “dishonestly made a false representation to insurers, namely the injuries to his legs were the result of sepsis and were not self-inflicted, intending to make a gain”. He allegedly intended to make £235,622 from one insurer and £231,031 from another.
This confuses me a little bit. Are they saying that if your legs have to be amputated after a self-inflicted injury, insurance wouldn't cover the surgery at all? That seems kinda weird.
 
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This confuses me a little bit. Are they saying that if your legs have to be amputated after a self-inflicted injury, insurance wouldn't cover the surgery at all? That seems kinda weird.
That seems to be the case at least for some insurance companies.

 

Innula Zenovka

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This confuses me a little bit. Are they saying that if your legs have to be amputated after a self-inflicted injury, insurance wouldn't cover the surgery at all? That seems kinda weird.
The case isn't about medical insurance (not such a big deal here, because of the NHS). Or at least I don't think it is. It looks to me as if he tried to make claims against his two life insurance policies, which typically include cover not just for death but also for life-changing injuries or illness.

But they don't usually cover you if the life-changing injury is deliberately self-inflicted, which seems to be the case here. His claim that he'd lost his legs because of sepsis was false, it is alleged, which would make the claim fraudulent.
 
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TW: Suicide.

They cover suicide for life insurance if the policy has been in effect for 2 years in the U.S. don't they? My logic is suicide is "self inflicted" death that is covered, so self inflicted injury should be covered if the policy has been in place for 2+ years. I mean, that's just the way I am thinking about it.
 

Innula Zenovka

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TW: Suicide.

They cover suicide for life insurance if the policy has been in effect for 2 years in the U.S. don't they? My logic is suicide is "self inflicted" death that is covered, so self inflicted injury should be covered if the policy has been in place for 2+ years. I mean, that's just the way I am thinking about it.
Possibly. Without knowing the exact terms of the policy, we don't know.

But in this case it is alleged he told the insurance company that the loss of his legs was a consequence of his contracting sepsis, not that there was nothing wrong with his legs but he decided, nevertheless, to amputate them for reasons that must have seemed good to him at the time.

That's almost certainly fraud in English law.
 

Dakota Tebaldi

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The case isn't about medical insurance (not such a big deal here, because of the NHS). Or at least I don't think it is. It looks to me as if he tried to make claims against his two life insurance policies, which typically include cover not just for death but also for life-changing injuries or illness.
Ah okay, okay. That makes more sense then.
 

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The difference is that unless you fake your own death, you can not personally profit from suicide. The time limit is long enough that someone planning to end their own life is unlikely to take out an insurance policy to benefit others as part of a suicide.

In the event of disability or dismemberment benefits, the person who takes out the policy can directly profit from self harm. Insurance companies do not want to encourage or provide an incentive for those acts, and so they will not pay claims for self harm. It would be a grey area if the harm was from an unsuccessful attempt at ending their own life.
 
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Innula Zenovka

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It depends on the policy, which is a private agreement between the underwriters and the policy holder. The courts will become involved only if they're asked to determine what actually happened, what particular terms in the policy may mean (if that's under dispute) or, if something has happened that simply isn't envisaged in the policy, what English contract law and precedent say should happen.

But both judges and the parties' legal representatives will implore them to go to arbitration rather than to ask the court to decide.

If the doctor is found guilty of fraud, the prosecution will likely ask for a confiscation order covering the amount by which he sought to profit, even if he never sees a penny of it.
 
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Beebo Brink

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This confuses me a little bit. Are they saying that if your legs have to be amputated after a self-inflicted injury, insurance wouldn't cover the surgery at all? That seems kinda weird.
I hope they covered his mental health bills.
 

Katheryne Helendale

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Innula Zenovka

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Whoa, it's been a while since we had a good cursed/Satan-possessed toy craze!

Since the doll they want to burn is was sold two months ago at auction and isn't currently on sale, I think this is more like a good old-fashioned scam. The website on the flyer exists, but provides only a couple of links (which I didn't click) for people who want to contribute. There's nothing to identify the promoters, not even a link to some crackpot influencer's YouTube or TikTok channel.
 

CronoCloud Creeggan

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Since the doll they want to burn is was sold two months ago at auction and isn't currently on sale, I think this is more like a good old-fashioned scam. The website on the flyer exists, but provides only a couple of links (which I didn't click) for people who want to contribute. There's nothing to identify the promoters, not even a link to some crackpot influencer's YouTube or TikTok channel.
They've got videos at the bottom, as far as I can tell the site is registered via and hosted on squarespace.