Insurance Fraud

News & Analysis as of

Staged car crashes claim many victims

Many drivers throughout Chicago have become victims of fraudulent auto accident claims, which are a common way for organized crime rings to make money. Drivers are often unaware of the fraud, and quietly accept their role in...more

Complaint Filed for Alleged Insurance Fraud Scheme on Secondary Market

On October 3, 2014, a lawsuit captioned Visión en Análisis y Estrategia, S.A. de C.V., et al. v. Karl Andersen, et al., was filed in the Southern District of New York alleging an insurance fraud scheme perpetrated against the...more

More Arrests for Alleged Insurance Fraud

Just weeks before the sentencing of three insurance producers for insurance fraud and STOLI-related conduct in the Southern District of New York (covered here), two insurance producers and several insureds were arrested in...more

Los Angeles County Sues Hospital Owner for False Surgical Implant Claims to County Workers’ Compensation Program

On July 18, 2014, the County of Los Angeles (“the County”) filed a lawsuit in Los Angeles Superior Court again Michael D. Drobot, Sr., his son Michael R. Drobot, Jr. and their controlled entities, Pacific Hospital of Long...more

Unethical Companies Capitalizing on Employee Deaths: Protect Your Reputation with Compliance Training

It came as sort of a shock to me the other day when I came across the article in Fortune titled, “The many ways companies profit from hastening employees’ deaths.” What I took away from it was that companies are taking out...more

Automobile Insurance Fraud and How to Protect Yourself

Fraud occurs when an individual knowingly and intentionally lies to obtain a benefit or advantage to which he/she is not actually entitled or when an individual knowingly and intentionally denies a benefit to someone who is...more

Texas Supreme Court Orders

Today's order list does not include any opinions or any grants. But there are a couple of interesting denials. ...more

Favorable Secondary Life Market Report By Florida Regulator

The Florida Office of Insurance Regulation recently issued an opinion favorable to the insurance industry in its Secondary Life Insurance Market Report. Responding to a Florida Legislature directive, the OIR conducted a...more

"Loss Payee" v. "Lender Loss Payee": How the Difference of One Word Can Prevent a Secured Lender's Recovery on Insurance Proceeds

As a secured lender, you take a security interest in your borrower’s inventory and/or equipment and then perfect under applicable law. To further protect the value of the collateral supporting your loan, you confirm your...more

Drug Manufacturer’s Liability Under Insurance Frauds Prevention Act May Not Be Inferred From Alleged Kickbacks to Physicians

Three former employees of Bristol Myers Squibb, Inc. (BMS) brought a qui tam action alleging that BMS violated California’s Insurance Frauds Prevention Act, California Insurance Code section 1871.7 et seq. (IFPA), by giving...more

OIG Publishes Audit of Outpatient Therapy Services Seeking Return of $3.1 Million in Reimbursements

In June 2013, the Department of Health and Human Services, Office of Investigator General (OIG) published a review of its audit of an outpatient therapy services provider. The OIG concluded that the outpatient therapy...more

Maryland Insurance Bill Makes it a Fraudulent Act to Compensate for Deductible

Senate Bill 736 will enacted as Code of Maryland Insurance Article § 27-407.2. It repeals and replaces §§ 27-408(a) and (b). The bill makes it a “fraudulent insurance act for a person to pay or otherwise compensate,...more

The Top Five Crimes To Avoid Committing In Sandy’s Aftermath

The Monitor does not need a degree in meteorology to know that Storm Sandy (calling Sandy a Hurricane has certain adverse insurance coverage consequences) caused massive destruction in the Garden State, particularly along the...more

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