Each week we'll be surveying what the media, state agencies, insurance companies, and others report in terms of workers' comp fraud. Just like a police blotter, our workers' comp fraud blotter lists recent arrests, charges, convictions and investigations.
Workers' Comp Fraud Blotter - November 17, 2011
Mum's the Word For Double-Dipping Florist (OH) - James Landis has pled guilty to a felony count of workers' compensation fraud for working at his business, Mum's The Word Florist, while receiving workers' comp benefits. Landis stated on multiple occasions that he was incapable of working in any capacity, but he was the primary operator of the business while on temporary total disability. He interacted with customers, arranged and delivered flowers, set up floral displays at events, and did all of the administrative paperwork. Read more
Postal Employee Who Could Not Sit At Work Could Gamble At Cherokee Casino (NY) - Charles Phillip Smith has been sentenced to probation on charges that he lied about his physical condition in order to obtain disability retirement. He claimed that he injured his back after lifting sacks of mail and could not sit at work at the mail processing facility, but he was found to regularly sit on stools for hours at a time while gambling at Harrah's Cherokee Casino. His wife, Robin Knight Smith, has been convicted of similar charges of faking the severity of her injuries from tripping over a plastic tub at the mail processing facility. Read more
Doctor Shopping Claimant Guilty of Deception To Obtain Narcotic Drugs (OH) - Donald Johnson has been ordered to make restitution on charges that he deceptively obtained numerous workers' compensation paid narcotics from multiple physicians and multiple pharmacies. Johnson was found to have been doctor shopping for narcotic drugs. Read more
Workers' Comp Claimant and Boyfriend Charged With Hiding Her Ownership In Their Business (CA) - Lois Ventura and Keith MacBride have been arraigned on charges of workers' compensation insurance fraud, conspiracy to commit a crime, and failing to obtain workers' compensation insurance for their business. While receiving total temporary disability benefits, Ventura hid the fact that she had become a co-owner of a business with MacBride, her boyfriend, and MacBride claimed that he was the sole owner of the business during the criminal investigation of Ventura. Read more
City Employee Drove Taxi and Fixed Computers While On Disability (OH) - Daniel Engle has pled guilty to one count of workers' compensation fraud for working while receiving benefits. While receiving temporary total disability benefits, Engle owned and operated DNC Computer, where he repaired computers, sold computers, and sold computer parts. Additionally, Deluxe Transportation/New Valley Taxi employed Engle as a taxi driver. Read more
Treasury Department Police Officer Admits to Selling Police Memorabilia While On Disability (PA) -Richard Rufo, a police officer for the U.S. Treasury Department, has pled guilty in federal court to charges of collecting federal disability benefits while running his own business. While collecting $169,000 in disability benefits, Rufo operated a home based business that grossed $550,000 in sales of law enforcement badges, pins, patches, coins, T-shirts, and hats. Read more
Maintenance Man Worked On Rental Properties While Disabled (OH) - Mark Robinson has paid restitution of $7,670.63 in connection with his guilty plea to one count of workers' compensation fraud for working while receiving benefits. Robinson worked as a general contractor for Bed and Breakfast properties, performing maintenance and contractor work at various rental properties, all the while collecting temporary total disability. Read more
Businessman Pleads Guilty To Defrauding Health Care Programs For Nuclear Weapons Workers And Miners (CO) - Anthony Paul Breaux has pled guilty to health care fraud and money laundering greater than $10,000 in connection with his actions to defraud government funded health care programs meant to compensate nuclear weapons workers and certain miners. Breaux owned Honor-Bound Healthcare Providers, a home health care services provider, and he billed the government for home health care services at the rates to be charged by registered nurses, while the care was provided by family members without medical training. Read more
Parolee Filed False Claim In Order To Get Prescription Narcotics (OH) - Roger Bolin, who is currently in prison for an unrelated parole violation, has pled guilty to workers' compensation fraud and deception to obtain after he filed a false claim to receive narcotic prescriptions. Bolin filed a false claim that he was injured in September 2010, although he not worked for his former employer since June, 2010, and then used that claim to obtain a narcotic prescription by deception. Read more
Alleged Victim of Armed Robbery Arrested For Insurance Fraud (CA) - Russell Tate Allen McKinnon has been charged with two felony counts of insurance fraud and one misdemeanor count of making a false report of a criminal offense. McKinnon reportedly sustained a work-related injury when he was the victim of a robbery and was assaulted with a knife during this robbery, causing superficial injuries to his right arm. McKinnon later admitted to making false allegations of robbery as a result of losing company money that he was responsible for. Read more
Plumber Was Plumbing While On Disability (OH) - Daren Snyder has pled guilty to fraud for working while receiving benefits. Snyder returned to work as a self-employed plumber during the period that he received temporary total disability and living maintenance benefits. Read more
Amsterdam Man Received Narcotic Prescriptions From Multiple Physicians and Pharmacies (OH) - Thomas McAllister has entered a plea of guilty to deception to obtain dangerous drugs, a fifth degree felony. McAllister used deception to obtain narcotic medication from various prescribing physicians. Read more
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