workers’ compensation fraud News

Texas Doctor Gets 5 Years in Prison on Workers’ Comp Fraud Charges

Texas Mutual Insurance Co. reported that Howard T. Douglas III, M.D. of Frisco was sentenced to five years’ confinement. On May 16, 2014, a Travis County jury convicted Douglas on felony workers’ compensation fraud-related charges for overbilling Texas Mutual for …

Texas Doctor Convicted Again on Workers’ Comp Fraud Charges

Texas Mutual Insurance Co. reported that a Travis County jury convicted Howard T. Douglas III, M.D. of Frisco, Texas, on felony workers’ compensation fraud-related charges for overbilling Texas Mutual for functional capacity evaluations. Sentencing is set for June 19, 2014. …

N.J. Roofing Company Exec Gets Jail Time for Misleading Workers’ Comp Carrier

New Jersey authorities said the president of a New Jersey roofing company was sentenced to jail Friday for providing false and misleading information to the company’s workers’ compensation insurance carrier to avoid paying hundreds of thousands of dollars in premiums …

Maine Man Sentenced to 1 Year in Jail, $50K Restitution for Comp Fraud

A Maine man was sentenced this week in Aroostook County Superior Court to serve 42 months in jail, with all but one year suspended for workers’ compensation fraud. Workers’ comp insurer MEMIC — whose special investigation unit had examined the …

Ohio Woman Must Repay $32K in Workers’ Comp Benefits

An Ohio woman was ordered to repay more than $32,000 in connection with working while collecting workplace injury benefits. Laura Brown pleaded guilty April 9 in Franklin County Court of Common Pleas to workers’ compensation fraud, a fifth-degree felony. “Ms. …

Maine Man Found Guilty of Workers’ Comp Fraud

An Aroostook County jury in Maine has convicted a northern Maine man of theft of more than $10,000 in workers’ compensation benefits. Prosecutors said last Friday that 63-year-old Stephen Tucker Sr. received more than $45,000 in benefits after injuring his …

N.J. Roofing Co. Exec Admits to Misleading Its Workers’ Comp Carrier

Authorities said the president of a roofing company in New Jersey pleaded guilty to providing false and misleading information to the company’s workers’ compensation carrier in order to avoid paying hundreds of thousands of dollars in insurance premiums that he …

N.Y. Grand Jury Report Recommends Changes to Prevent Workers’ Comp Fraud

New York’s Manhattan District Attorney Cyrus R. Vance, Jr. announced Tuesday that a New York State Supreme Court grand jury has issued a report examining the vulnerability of New York’s workers’ compensation insurance system to fraud and misuse. The grand …

Workers’ Compensation Fraud and the Insurance Producer

There are essentially two types of workers’ compensation fraud — premium fraud and claimant fraud — and insurance producers can play a role in the discovery and resolution of both, according to one investigator who has brought some 800 cases of workers’ comp fraud …

Courts Order Combined $10K in Restitution to Texas Mutual

Travis County, Texas, district courts sentenced two men, in separate cases, on workers’ compensation fraud-related charges. The men collected a combined $9,928 in benefits they were not entitled to, according to Texas Mutual Insurance Co. Jose Rodrigo Ramirez-Valdez of Giddings …