Calif. Physician Sentenced for Eight Years

December 19, 2005

A licensed general contractor and owner of a Marin County, Calif., roofing company has pled guilty to workers’ compensation insurance premium fraud, unemployment insurance fraud and filing false income tax returns–potentially costing up to $1.4 million in combined losses.

An 18-month multi-agency state investigation revealed that Kenneth Scott Cooper, 50, of San Rafael, Calif., failed to accurately report his employee payroll at Ken Cooper Roofing and Gutter Systems of Marin County from 1999 to 2003. Cooper pled guilty to the charges in Marin County. The investigation included the California Department of Insurance (CDI), State Compensation Insurance Fund (SCIF), Franchise Tax Board (FTB), Employment Development Department (EDD) and the Marin County District Attorney’s Office, which filed charges against Cooper on May 10.

A multi-agency audit for the period Jan. 1, 1999, through Nov. 7, 2003, revealed that Cooper intentionally underreported his payroll to SCIF for the purpose of obtaining workers’ compensation insurance at less than the appropriate rates. The audit determined that Cooper owes SCIF approximately $550,000 in premiums. Additionally, the investigation revealed that Cooper was paying some of his employees a lower hourly wage than he reported to SCIF, artificially reducing his premiums. He also paid a portion of his employees’ payroll in cash, enabling him to understate the total payroll he paid his employees to both SCIF and EDD. This saved him in annual premiums and employment taxes.

According to investigators, Cooper owes EDD more than $308,000 in taxes, penalties and interest. FTB also conducted an investigation into Cooper’s state income tax returns and determined that he filed false returns from 1999 through 2003 and will owe FTB approximately $485,000 in taxes, tax penalties and interest. Cooper pled guilty to violating the California Insurance Code, the California Unemployment Insurance Code and the California Revenue and Taxation Code. Cooper will be formally sentenced and full restitution determined in the Marin County Superior Court on Jan. 13, 2006.

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Insurance Journal Magazine December 19, 2005
December 19, 2005
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