Insurance fraud

Enterprise Life Insurance Co. to return almost $5 million to affected Texas consumers

May 14, 2007 -- AUSTIN – Texas Attorney General Greg Abbott has reached a settlement with Enterprise Life Insurance Co. that protects credit insurance purchasers. The $4.9 million agreement provides an average of $230 in unearned credit insurance premiums to more than 21,000 Texas vehicle owners.    » read more »

Penalty is Largest Sum Ever Paid to Insurance Department to Resolve Alleged Violations of Insurance Laws

May 14, 2007 -- HARRISBURG – Acting Pennsylvania Insurance Commissioner Randy Rohrbaugh announced today that the parent company of ACE INA Holdings Inc., a Pennsylvania insurance company, will pay a record $9 million to settle allegations of bid-rigging and market collusion.

The payment includes a $6 million penalty, with the remainder being used to provide restitution to consumers and reimburse the state for investigative costs.    » read more »

PA to receive $9 million

May 14, 2007 -- ACE_settlement HARRISBURG - Pennsylvania Attorney General Tom Corbett today announced that the Attorney General's Office and the Pennsylvania Department of Insurance had reached a $9 million settlement with ACE, Limited.

The settlement comes as a result of ACE's involvement with other insurers and brokers to rig bids for excess casualty insurance. As a result of a previous agreement, ACE agreed to pay back $40 million to policyholders for these illegal business practices, which occurred between 2000 and early 2004.    » read more »

First Eight Weeks of Strike Force Operation Nets 34 Indicted Cases Involving More Than $142 Million in Billing

May 9, 2007 -- WASHINGTON – Thirty-eight people have been arrested in the first phase of a targeted criminal, civil and administrative effort against individuals and health care companies that fraudulently bill the Medicare program, Attorney General Alberto R. Gonzales and Secretary Michael Leavitt of the U.S. Department of Health and Human Services announced today.    » read more »

May 9, 2007 -- BENSALEM - A former Bucks County insurance broker was arrested today by the Pennsylvania Attorney General's Office for allegedly defrauding four insurance premium companies and the state's bureau of unemployment compensation out of more than $1 million.

Attorney General Tom Corbett identified the defendant as Thomas William Hurd, 50, 3831 Red Line Road, Philadelphia. Hurd was a licensed insurance agent and president of the Thomas Hurd Insurance Agency and Hurd Insurance Associates, both located at 359 Bristol Pike, Bensalem.    » read more »

May 8, 2007 -- TRENTON - New Jersey Attorney General Stuart Rabner and Criminal Justice Director Gregory A. Paw announced that a Morris County teacher pleaded guilty today to stealing health insurance claims money.

According to Insurance Fraud Prosecutor Greta Gooden Brown, Beth N. Gurtov, 32, of Parsippany, a teacher employed by the Parsippany/Troy Hills Board of Education, pleaded guilty before Superior Court Judge Salem Vincent Ahto in Morris County to a criminal accusation which charged her with third-degree theft by deception.    » read more »

May 4, 2007 -- TRENTON - New Jersey Attorney General Stuart Rabner and Criminal Justice Director Gregory A. Paw announced that an Irvington man was sentenced today for using a false identity to file fraudulent automobile insurance Personal Injury Protection (PIP) and uninsured motorist claims and to obtain other benefits for himself.    » read more »

April 27, 2007 -- TRENTON - New Jersey Attorney General Stuart Rabner and Criminal Justice Director Gregory A. Paw, announced that four co-defendants were sentenced today for their roles in an insurance fraud scheme involving an auto body shop in Roselle.

According to Insurance Fraud Prosecutor Greta Gooden Brown, the four were sentenced as follows by Superior Court Judge James C. Heimlich in Union County. All four had pleaded guilty before Judge Heimlich on March 12.    » read more »

April 25, 2007 -- Las Vegas – Nevada Attorney General Catherine Cortez Masto announced today that Las Vegan Vanxay Rasasak, age 67, was sentenced for Medicaid Fraud. The case was investigated and prosecuted by the Attorney General’s Medicaid Fraud Control Unit (MFCU). MFCU Director, Tim Terry, said the investigations began in 2006, as a result of a citizen’s complaint. Medicaid has a personal care aid program to keep people living independently in their own homes by providing basic services, including bathing, dressing, cleaning and meal preparation.    » read more »

April 26, 2007 -- TALLAHASSEE, FL – Florida Attorney General Bill McCollum today announced that a Miami-Dade husband and wife were arrested on charges they defrauded the Florida Medicaid program out of more than $200,000. Steven Stuart Sanford and Michelle Hoyer-Sanford, both licensed occupational therapists, own and operate a company which provides physical, occupational and speech therapy to children.    » read more »

April 24, 2007 -- TALLAHASSEE, FL – Florida Attorney General Bill McCollum today announced the arrest of a South Florida mental health case manager on charges that he defrauded the Florida Medicaid program out of more than $2,000. Hector Payares allegedly billed the Medicaid program for treatment provided to a Medicaid recipient even though the woman had been deceased for nearly two months.    » read more »