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 21, 2013
Disability Benefits Did Not Stop Him From Whacking and Pulling Those Weeds (OH) - Mark Mefferd has pled guilty to workers' compensation fraud for working while receiving benefits. Mefferd returned to work for his business, Buckeye Landscaping, while receiving disability benefits. Investigators obtained evidence that Mefferd operated his landscaping business spreading fertilizer, mulching, operating a weed eater, trimming trees and bushes, pulling weeds and planting flowers for numerous businesses in the Northwest Ohio area while receiving temporary total disability, living maintenance, and non-working living maintenance benefits. Read more
Insurance Agent Issued Bogus Certificates Of Insurance (GA) - Marc Coleman, the owner of Arrow Auto Insurance Agency and Walker Auto Insurance Agency, has been charged with felony insurance fraud. Coleman is accused of accepting premium payments from clients for non-existent workers' compensation insurance policies and issuing fake certificates of coverage to hide the fact that he had not obtained actual coverage for his clients. Read more
College Student Registered and Then Dropped Classes To Keep Death Benefits (OH) - Andrew Fristoe had pled guilty to workers' compensation fraud for inappropriately collecting death benefits by erroneously reporting that he was a full-time college student in order to continue receiving the benefits. Investigators obtained records from three colleges that showed Fristoe would register for classes, provide the registration documentation to continue the benefits, and then later drop the classes. On two occasions, Fristoe registered and dropped the classes on the same day and only provided the registration class forms for his benefits. Read more
Contractor For Supermarket Chain Paid Employees With Cash To Avoid Higher Workers' Compensation Premiums (CA) - Antonio Torres Arias and Nayeli Iliana Torres, a father and daughter who ran Torres Services and Torres Cleaning, have been charged with misrepresentation and tax evasion in a scheme that fraudulently reduced their workers' compensation premiums. Their companies, which provided contract services for the Cardenas Markets supermarket chain, allegedly paid employees with cash, misclassified employees, and hid work injuries in order to pay artificially low insurance premiums. Read more
Carpenter Is Nailed After Admitting During Medical Exam To Double-Dipping (OH) - Jerry Armstrong has pled guilty to workers' compensation fraud for working while receiving benefits. After receiving a tip that Armstrong had stated during a medical evaluation that he was working, investigators found that Armstrong continued working for a cabinet contractor following an injury that he sustained while working as a carpenter for a home remodeling company. Read more
Nurse Continued To Work While Receiving Temporary Total Disability (OH) - Carolann Humberston has pled guilty to working as a nurse while receiving temporary total disability benefits for a prior workplace injury. An Ohio Department of Job and Family Services wage cross match indicated that Humberston earned wages from a Columbus business during the same time period she was receiving disability payments. The investigation produced evidence that Humberston was knowingly working as a nurse while receiving her temporary total disability benefits. Read more
Claimant Faked Injury From Robbery At Work After Being Injured During Road Rage (OH) - Teron Barnes has pled guilty to workers' compensation fraud for filing a false claim. Barnes filed a claim alleging that he was injured at Winston Heating and Cooling during an attempted robbery at the business. Investigators discovered that Barnes admitted to a police detective investigating the robbery that he fabricated the story so he could take time off work. Barnes admitted that his injury was a result of a fight from a road rage incident. Read more
Disabled Employee Hauled Campers Out of State (OH) - Bruce VanSchoyck has pled guilty to workers' compensation fraud for working while receiving benefits. Investigators found VanSchoyck worked for Buckeye Transcor/B&C Logistics hauling campers from Ohio to Tucker, Georgia and Lexington, North Carolina while he was collecting temporary total disability benefits. Read more
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