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 - March 14, 2013
Mark Twain's Club Forgets To Pay Its Workers' Compensation Insurance (NY) - The audit committee of The Players Club, located at 16 Gramercy Park South in New York City, has discovered that The Players has failed to maintain workers' compensation insurance for its employees since its policy was canceled last October for nonpayment of the premiums. The Players was founded in 1888 by a group of art patrons, including Mark Twain and General William Tecumseh Sherman. In recent years, The Players has reportedly encountered some financial difficulties. Read more
Was the Broken Hand Caused By the Grapes of Wrath? (CA) - Ivan Ruiz-Hernandez, a vineyard worker for the St. Supery Vineyards and Winery, has been convicted of workers' compensation fraud for lying about the cause of his injury. Ruiz-Hernandez claimed that he broke his hand when he fell at work at the vineyard, but an investigation revealed that he had actually injured his hand during a physical fight that was unconnected to his employment. Read more
Disabled Corrections Officer Pleads Not Guilty to Workers' Compensation Fraud (MA) - Paul Mahan, a former county corrections officer with the Suffolk County Sheriff's Department, has pled not guilty to workers' compensation fraud and larceny. Mahan had worked for only three months with the sheriff's department when he suffered a knee injury. Ultimately, he was found to be permanently disabled and was awarded workers' compensation benefits. Subsequent investigation and surveillance showed Mahan working regularly at Shamrock Motors, which was co-owned by his wife, as well as another automobile dealership. Mahan is alleged to have received $203,000 in workers' compensation benefits to which he was not entitled. Read more
Physician Ordered To Repay More Than $16,000 For Workers' Compensation Fraud (OH) - Eric Barker, D.C, who was banned from treating injured workers in 2009, has pled guilty to workers' compensation fraud after he was caught using the information of another physician in order to receive reimbursement from the Ohio Bureau of Workers' Compensation (BWC). Investigators found that after Barker purchased Teeters Chiropractic, the business was reimbursed $8,000 by BWC for chiropractic manipulation, evaluation and management and consultation services that were in fact rendered by Barker. The bills were submitted using another assigned BWC provider number as a way of circumventing Barker's exclusion from the workers' compensation system. Read more
Video Catches Disabled Plumber With His Toolbox (CA) - Enrique Argumedo has pled no contest and has been convicted of workers' compensation fraud for double-dipping. While he was receiving disability benefits from his job as a maintenance worker at the Lodi Unified School District, Argumedo was caught on surveillance video taking his toolbox into homes and doing independent plumbing jobs. Read more
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