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Workers' Comp Fraud Blotter (5/14/2015) – Fishing in Alaska Hooks Fishy Disability Claim

Workers' Comp Fraud Blotter – May 14, 2015 Fishing in Alaska Hooks Fishy Disability Claim (AK) – Amancio Agcaoili, Jr. has been sentenced to 30 months in federal prison after pleading guilty to fraud and theft charges. Agcaoili, a Postal Service employee, devised a scheme to receive...

A Rare Narrowing Of The Consumer Fraud Act's Scope: Medical Malpractice Insurance Not Covered

By Peter J. Gallagher ( @pjsgallagher ) It is not every day that a New Jersey court limits the scope of the New Jersey Consumer Fraud Act (“CFA”), [ enhanced version available to lexis.com subscribers ], so when one does, it is worth writing about. Anyone who litigates in New Jersey...

Workers' Comp Fraud Blotter (5/21/2015) – Convicted Owner of Security Sentry Firm Will Get To Know the Guards On the Other Side of the Fence

Workers' Comp Fraud Blotter – May 21, 2015 Convicted Owner of Security Sentry Firm Will Get To Know the Guards On the Other Side of the Fence (OH) – Gregory Oakes, doing business as American Sentry Inc./Delta Elite Inc., will serve 90 days in jail for altering workers’ compensation...

Maine: “Injured” Worker’s Clandestine Business Operation Results in “Theft by Deception” Conviction

The Supreme Judicial Court of Maine affirmed the conviction entered in the trial court on a jury verdict finding a person receiving workers’ compensation disability benefits guilty of theft by deception. The defendant received more than $50,000 in benefits following an injury to his left hand....

Workers' Comp Fraud Blotter (6/4/2015) – Taxi Driver For Amish Community Pleads Guilty To Theft

Workers' Comp Fraud Blotter – June 4, 2015 Taxi Driver For Amish Community Pleads Guilty To Theft (OH) – John Melvin has pled guilty to one count of theft, a fifth-degree felony. Authorities received an anonymous allegation that Melvin was working as a taxi driver for the Amish community...

Workers' Comp Fraud Blotter (6/11/2015) – Louisville Businessman Sentenced To Years In Prison and Ordered To Pay Millions in Restitution For Massive Tax and Fraud Scheme

Workers' Comp Fraud Blotter – June 11, 2015 Louisville Businessman Sentenced To Years In Prison and Ordered To Pay Millions in Restitution For Massive Tax and Fraud Scheme (NY) – Anthony Huff, a Louisville, Kentucky businessman with national business interests, has been sentenced to...

Construction Bonds - A Relatively Small Exception to Fraud and Contract Don’t Mix

Remember all of my posts about how fraud and contract claims don’t usually play well in litigation? Well, as always with the law, there are exceptions. For instance, a well plead Virginia Consumer Protection Act claim will survive a dismissal challenge . A recent opinion, [ enhanced version...

Fraud and the Detection of the Sources for Bribery

In a recent White Paper authored by Peter Smith for OFS Portal, entitled “ Procurement and Fraud in the Supply Chain ”, where he examined “fraud linked to procurement and supply chain activities.” Smith focuses on where fraud can occur in the procurement process. From this starting...

2015 Post-Season Florida Insurance Report

Political Overview Republicans fared well in the election cycle that preceded the 2015 Florida Legislative Session. Despite a tight race, Republican Governor Rick Scott won re-election as did the other three GOP Cabinet members. Additionally, Republicans took six House seats from the Democrats...

Feds Charge Texas Immigration Scammer - Law360

Law360, July 10, 2015 - "A Texas woman who authorities say ripped off immigrants in federal detention centers by pretending to represent attorneys has been charged with wire fraud and identity theft. Jessica Rivas Alva visited two detention facilities in Louisiana this year and offered the immigrants...

Is That Covered - Misrepresentations In Sale of Life Insurance

By Michael R. Kelley A Pennsylvania appellate court, [subscribers can access an enhanced version of this opinion: lexis.com | Lexis Advance ], has affirmed a $300,000 judgment against Riversource Life Insurance Co. in a suit accusing the insurer and its agent of making fraudulent misrepresentations...

How to Defeat an Arson for Profit Attempt – Suspected Arsonist’s Bad Faith Suit Fails

Arson-for-profit is the most dangerous of all methods of attempting insurance fraud. When an insurer has sufficient evidence to suspect an arson for profit attempt and denies the claim it will expect that the insured will sue the insurer for fraud and bad faith. The best way to defeat such an action...