LexisNexis® Legal Newsroom
Health Insurance Fraud – Conviction Affirmed

Health Insurance Fraud is rampant. Most people convicted of health insurance fraud are doctors and other health care providers. Where most of the money goes, however, is to people taking advantage of free or subsidized health care benefits when they are not entitled to receive the benefits because there...

Insurance Fraud “Chutzpah” – No Mercy for Insurance Criminal

This case concerns the criminal conduct of the owner of an insurance business, formerly known as Associates Insurance Agency, Inc., owned and operated by the Defendant-Appellant, Tina Woods Butler , in Dyersburg, Tennessee. On February 13, 2012, the Dyer County Grand Jury returned a seventeen-count indictment...

Florida Court Holds Criminal Conduct Exclusion In E&O Policy Applicable

In its recent decision in Certain Interested Underwriters at Lloyd’s v. AXA Equitable Life Insurance Company , 2013 U.S. Dist. LEXIS 159639 (S.D. Fla. Nov. 7, 2013) [ enhanced version available to lexis.com subscribers ], the United States District Court for the Southern District of Florida had...

Fraud Proved – Lie About Cause Of Fire Sufficient to Support Guilty Verdict

Arson for profit is a difficult crime to prove. The prosecution must both prove that the fire was intentionally set and that the owner and person insured caused the fire with the intent to defraud the insurer. Insurance fraud, on the other hand, is fairly easy to prove. The case below is evidence that...