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 - February 2, 2012
Fake Bullet Holes Leads To Arrest Of Bus Driver For Fraud and Making False Robbery Report (MA) - Nancy Parker has been charged with worker's compensation fraud, making a false police report, and misleading an investigator. Parker was driving a Massachusetts Bay Transportation Authority Bus in 2007 when she called the police and falsely claimed that a passenger pulled a gun, demanded her money, shot at her once as she sat in her seat and three more times after she tried to escape from him, and stole her wallet. After showing the police three alleged bullet holes in her bus uniform jacket, but not suffering any injuries, she changed her story and told investigators a second false story that the gunman had been sent by a former intimate partner to collect a debt she owed. Read more
Naval Air Station Firefighter Inflated Travel Distance To See Doctors (AL) - Ronald Wayne Maddox, who suffered severe injuries when he fell from the roof of an aircraft hangar while working as a firefighter at the Pensacola Naval Air Station, has been sentenced in federal court to five years of probation with six months of home confinement for workers compensation fraud. For almost eight years, Maddox falsified workers compensation travel forms by exaggerating the distance he drove to doctor's appointments and unlawfully collected an additional $69,000. Read more
Harness Racer and Horse Trainer Charged with Illegally Receiving Disability Insurance Benefits (NJ) - Louis L. Dubrel has been charged with insurance fraud, theft by deception, and perjury, for allegedly collecting more than $22,000 in temporary disability insurance benefits to which he was not entitled. Dubrel, who sustained a work-related injury while employed as an auto mechanic for Maple Crest Auto Group, claimed that he was unable to complete common household chores and daily physical activities, when, in fact, he participated as driver in several harness horse racing qualifying starts and as a horse trainer during the period that he received temporary disability benefits. Read more
Local Government Painting Contractor Failed To Pay Prevailing Wages And Underreported Payroll (CA) - Frances Ann Doherty, the owner of Doherty Painting & Construction, a painting contracting company that was awarded numerous public contracts with the City and County of San Francisco, San Francisco Unified School District, and other public agencies, has been arrested on 57 felony counts related to payroll theft and workers' compensation insurance premium fraud. In order to win dozens of public agency painting contracts, Doherty promised to pay her workers San Francisco's prevailing wage, and in job after job she allegedly submitted false documentation claiming that she did so. She also submitted fraudulent payroll information to her workers' compensation insurance carriers, thus unlawfully lowering her insurance premiums. Read more
Roofing Contractor Arrested For Insurance Fraud (LA) - Theron McKinley, the owner of McKinley Roofing & Construction, has been arrested on charges of willfully violating the Louisiana workers' compensation statute and insurance fraud by providing false information as to whether his business was providing workers' compensation benefits to his employees. Read more
Insulation Business Unable To Cover Up Workers' Compensation Fraud (TX) - AB Abatement, Inc. has pled guilty to workers' compensation fraud-related charges and has been ordered to pay $70,000 in restitution to Texas Mutual Insurance Company. Vanco Insulation, Inc., owned by Robert Crow, obtained workers' compensation coverage through Texas Mutual from April 2003 to October 2006. During that time, a related company, AB Abatement, Inc., underreported the number of its employees and payroll that were associated with the Vanco Insulation workers' compensation policies from Texas Mutual. Read more
Mother and Daughter Charged With Insurance Fraud After They Faked Time Cards (CA) - Theresa Forrest and her daughter, Monique Forrest, have been charged with insurance fraud, forgery, dependant adult abuse, and grand theft. The mother and daughter were hired to provide caregiver services to a claimant who had sustained an industrial injury. Evidence was uncovered that showed that although they were compensated for various hours of work as caregivers to the claimant, they were also found to be employed at other jobs where they were also compensated during the exact same dates and times, and that they had submitted forged time cards for their work for the claimant. Read more
Employee To Prison For Five Years For False Workers' Compensation Statements (LA) -Gino Dane Zari has agreed to a plea bargain and been sentenced to five years of incarceration with the Louisiana Department of Corrections. Zari pleaded guilty to willful misrepresentations concerning the payment of workers' compensation benefits and felony theft after illegally collecting more than $28,000 in workers' compensation indemnity benefits. Zari had made numerous false statements to his employer and its insurer for the purpose of obtaining workers' compensation benefits. Read more
Drug Task Force Investigation Finds Workers' Compensation Pills Were Sold On The Street (NY) - Wayne Buzard has been arrested on charges of sale of a controlled substance, possession of a controlled substance, and criminal nuisance. A county drug task force investigation found that Buzard received prescription pills as a result of a workers' compensation claim and then he allegedly resold those pills unlawfully. Read more
Tobacco Shop Shuttered After Workers' Compensation and Black Market Violations (NY) - Shopping at the One Stop Shop has ceased after the business was shut down by the New York State Workers' Compensation Board. The store was raided after an investigation found that untaxed tobacco and cigars were being sold. Fire safety and health code violations were also discovered, and the owners of the store had failed to provide workers' compensation insurance for the employees. Read more
Forgery and False Statement Indictment (GA) - A county grand jury has issued a true bill of indictment against Shanna Wiseman Bailey for forgery in the first degree and making false statement to obtain workers' compensation benefits. Read more
Louisiana Businessman Charged With Lying About Workers' Compensation Insurance (LA) - Marrion Louis Russell, the owner of Mr. Exhibit Services, Inc., has been arrested for violations of the Louisiana workers' compensation statute and insurance fraud. Russell allegedly made false representations with regards to whether his business had maintained valid workers' compensation coverage. Read more
For more information about LexisNexis products and solutions connect with us through our corporate site.