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Posts Tagged ‘Law Crime’

Man Seeks Prison Sentence For Medical Care

June 21st, 11

Most bank robberies steal because they’re after the code hard cash. But for James Verone, the motivation was healthcare. According to WHP-tv, Verone, 59, took $1 from a bank because he wanted to go to prison as a way to access healthcare. Verone is from Gason County, North Carolina and thought that prison would be a welcomed change because it meant a solid roof and medical care.

Verone told authorities he has a growth on his chest and two ruptured disks. The medical issues need attention, but he’s out of work and has no insurance. WHP-tv says Verone walked into a Gastonia, North Carolina bank with a note saying, “This is a bank robbery. Please only give me one dollar.” Then he calmly waited to be arrested.

According to WCNC-tv in Charlotte, Verone is hoping to stay behind bars for three years. The TV station reported, “He is hoping for a three-year sentence. He would then be able to collect Social Security when he got out and said he would head for the beach. ‘I’ve already looked at a condominium. I’ve spoken to a realtor on Myrtle Beach,’ Verone said.” Authorities say they’ll charge him with larceny– not bank robbery. Which could foil Verone’s prison plan.

Tags: WHP-tv, Law Crime, growth, Gastonia North Carolina, station, bank robberies
 

California Officials Bust $17 Million Insurance Scam

June 14th, 11

A radiologist, a neurologist and two other people are accused in a $17 million workers’ compensation insurance over-billing scheme, according to Insurance Journal. The Orange County, California District Attorney’s Office and the California Department of Insurance released details of the case this week.

According to officials Dr. Sim Carlisle Hoffman of Newport Beach, a radiologist and owner of several medical practices, is charged with 592 felony counts of insurance fraud for one of his businesses, and 291 felony counts of insurance fraud for another. That means if he’s convicted he could face a sentence ranging from two years to more than 892 years in state prison. He’s currently been released on bail. Insurance Journal reports that Beverly Jane Mitchell, who served as the administrator in charge of insurance billing at  Hoffman’s businesses, faces the same charges and sentence.

Another doctor, neurologist Thomas Michael Heric, worked with Hoffman and faces 296 counts of insurance fraud. He could face any where from two years to more than 315 years in state prison. Finally a fourth man, Louis Umberto Santillan, worked for Hoffman in his billing collections area and faces 141 felony counts of insurance fraud. All four will be arraigned on June 22.

Authorities say Hoffman billed certain tests as many as 20 times per patient, but he never completed the test. Insurance billings that should have cost about $2,000 were inflated to $10,000. Hoffman is accused of fraudulently billing seven different insurance companies for millions of dollars in fake claims.

Tags: compensation, Law Crime, charge, scheme, billing, bail
 

Forced Health Insurance Ruled Unconstitutional By Florida Judge

February 1st, 11

Health care reform has been deemed unconstitutional by a federal judge in Florida. The judge ruled that the government can’t force people to buy health insurance. The lawsuit was brought forward by 26 states pushing to overturn the 2010 law pushed by the Obama administration that would have required people to purchase insurance by 2014. Most people are not surprised by the ruling since the judge is a republican and was appointed by President Reagan in the 80s.

Judge Roger Vinson announced his decision on Monday, saying that the law should be overturned as long as higher courts follow his opinion. “The act, like a defectively designed watch, needs to be redesigned and reconstructed by the watchmaker,’’ Vinson wrote. Vinson also said that the law would remain in effect until all appeals were wrapped up which could take as long as two years.

Other lawmakers are responding to the news including House Speaker John Boehner of Ohio who said in a statement, “The House has passed legislation to do just that, and I hope Senate Democratic leaders will bring up the measure for an up-or-down vote.” According to the Boston Globe, the Tea Party movement is speaking out about the move. “We’ll be happy to see this law go and we look forward to the Supreme Court siding with the Constitution,’’ Tea Party spokeswoman Shelby Blakely said according to the Boston Globe.

Tags: Ronald Reagan, president reagan, Law Crime, democratic leaders, house speaker, Forced
 

Be Rewarded For Reporting Insurance Fraud

January 28th, 11

Eight Florida residents helped law enforcement arrest and convict people in five major insurance fraud cases, according to the Insurance Journal. Now they’re being rewarded for their help. The report says that the eight Floridians received $50,500 in total rewards. But the wrongdoing they helped uncover was more than $2 million in fraudulent insurance billings. Most of the cases involved PIP or Personal Injury Protection claims.

From the tips offs, more than 26 arrests followed, according to Florida Chief Financial Officer Jeff Atwater. “These citizens stepped up and made a tremendous contribution to the fight against insurance fraud,” Atwater told the Insurance Journal. “Their actions go beyond these cases—they have helped every Floridian who pays more than they should for insurance premiums.”

Atwater told Insurance Journal that cracking down on these cases is one of his top priorities. “It is unfair and unconscionable that every person who buys an auto insurance policy in the state of Florida is paying for the thieves and enabling industries who are gaming the system, and it won’t be tolerated,” Atwater told Insurance Journal. According to the report, here’s a look at the rewards that people received for their good deeds:

  • A tip that a Tampa accident clinic was billing insurance companies after it closed lead to a $10,000 reward.
  • Two other closed Tampa clinics that were still submitting insurance claims were reported and that witness also received $10,000.
  • Another witness received $2500 for tipping authorities off to a fake auto accident.
So far the Department of Financial Services says it’s handed out a quarter million dollars in rewards to about 40 people in its Anti-Fraud Reward Program. If you witness fraud and want to report it there are several ways you can do that. Most states have a fraud bureau. You can contact this office with the information. You can also reach out to the insurance company you think was defrauded. Tell them what you know and they will investigate. Another avenue to take is by calling the National Insurance Crime Bureau at 1-800-835-6422. And hopefully you’ll be rewarded for your good deed.
Tags: policy, still submitting insurance claims, Law Crime, the Insurance Journal, fight
 

Lawsuit Filed Against Nationwide Insurance For Company Policies

May 10th, 09

A case has been filed against Nationwide Company in the U.S. District Court. The possible lawsuit involves health plans purchased by Washington State residents through employers between April 16th, 2003, and August 27, 2008.

Tags: Law Crime, Nationwide representatives, violation, Life Insurance, Nationwide Life Insurance Company