workers’ compensation fraud News

Ohio Man Must Repay $35K in Ohio Workers’ Comp Benefits

A Columbus man on disability benefits for a workplace injury must reimburse the Ohio Bureau of Workers’ Compensation (BWC) $35,000 after investigators found him collecting and selling 46 tons of scrap metal during a time he purported to be disabled. …

Private Insurer Will No Longer Fund Fraud Prosecutions in Texas

Note: This article originally ran in the Texas Tribune. Thanks to new money and oversight from the Texas Legislature, the state can now pursue workers’ compensation fraud cases without relying on an unusual and much-criticized funding deal between a private …

Florida Woman Caught Faking Workers’ Comp Injury Gets Probation

A South Florida woman was convicted of fraud May 3 and must serve 18 months of probation after she was caught hitting herself in the head with a ceiling sprinkler at work. The incident happened in October 2015 at CinqueáTerre …

Appeals Court Affirms Texas Physician’s Workers’ Comp Fraud Conviction

The Third Court of Appeals in Austin, Texas, has affirmed a trial court’s 2014 conviction of Howard Douglas, III, M.D., of Frisco on felony fraud charges, according to Texas Mutual Insurance Co. Douglas was convicted and sentenced to five years’ …

CEOs of California Sewing Firms Sentenced for Workers’ Comp Fraud

Sisters who are CEOs of sewing companies that are subcontracted by True Religion jeans have been sentenced for conspiring with their accountant to hide tens of millions in payroll to avoid paying for workers’ compensation insurance. Sung Hyun Kim and …

Texas Ex-Postal Employee Sentenced for Workers’ Comp Fraud Scheme

McArthur Baker, 69, a former U.S. Postal Service employee, has been sentenced to 21 months in federal prison for his role in a scheme to defraud the Department of Labor’s (DOL) Office of Workers’ Compensation Program (OWCP), according to U.S. …

Ohio Man Pleads Guilty to Workers’ Comp Fraud

A Marion, Ohio, man who was injured on the job as an emergency medical technician in 2010 recently pleaded guilty to workers’ compensation fraud after investigators discovered him working as a high school bowling coach, the Ohio Bureau of Workers’ …

California Stays More than $1B in Liens Linked to Workers’ Comp Fraud Charges

California’s Department of Industrial Relations (DIR) has stayed more than 200,000 liens worth a combined claim value of more than $1 billion that are linked to 75 medical providers facing criminal fraud charges. The DIR announced the liens in conjunction …

2 Former Postal Employees Convicted in Dallas for Workers’ Comp Fraud

Two former U.S. Postal Service employees have been convicted on felony charges related to a workers’ compensation fraud scheme, U.S. Attorney John Parker of the Northern District of Texas announced. McArthur Baker, 69, and Tonya Evans, 52, both of Dallas, …

Texas Health Clinic Owner Sentenced for Workers’ Comp, Insurance Fraud

The owner of a Houston health clinic pled guilty to insurance fraud after billing for medical services – often provided to injured employees – despite having no licensed medical staff at the clinic, the Texas Department of Insurance reported. Instead, …