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...

Death Penalty for Murder for Insurance: Insurance Fraud Is NOT A Victimless Crime

The plaintiffs’ bar, many members of the public, the courts, police and prosecutors believe that insurance fraud is a victimless crime since only an impersonal, rich and disliked corporation is harmed. The California Supreme Court, in a 51 page opinion, found otherwise in People v. Rodriguez ,...

Insurance Fraud Scheme Charged as Conspiracy: Cop Guilty Of Extortion In Auto Fraud

Insurance fraud is not a charge prosecutors like. Although it is an easy crime to prove since all it requires is a single document used with an intent to defraud an insurer, prosecutors prefer to deal with more complex issues and criminal charges. An example of how simple insurance fraud charges were...