Mass. Man Charged With Fraudulently Collecting $28K in Comp Benefits

February 10, 2014

A Quincy, Mass., man has been indicted on charges he fraudulently collected more than $28,000 in workers’ compensation benefits while working under a false identity, authorities announced.

Paulo DaSilva, 53, is charged with Workers’ Compensation Fraud and Larceny Over $250, according to a Feb. 7 announcement from Massachusetts Attorney General Martha Coakley’s Office.

According to authorities, DaSilva suffered a work-related injury in August 2010 while working for a landscaping company and began collecting total temporary disability (TTD) benefits from NGM Insurance Co. (NGM), the company’s insurer.

While collecting benefits, DaSilva allegedly applied for another landscaping job using an assumed identity and began working in April 2011. During the time of this employment DaSilva underwent an independent medical examination to confirm that his injury was work-related and incapacitating. According to authorities, at the examination DaSilva claimed to be unable to work while he was allegedly working full-time.

According to authorities, DaSilva entered into a negotiated settlement to conclude his workers’ compensation claim with NGM in October 2011. Based on his alleged false representations that he had not worked, DaSilva fraudulently collected a combined total of more than $28,000 in workers’ compensation benefits.

A Suffolk County grand jury in Massachusetts returned indictments against DaSilva on Feb. 6. DaSilva will be arraigned on Feb. 26 in Suffolk Superior Court in Massachusetts.

In 2013, Attorney General Coakley’s Insurance and Unemployment Fraud Division (IUFD) recovered more than $1.4 million in restitution for the state. The IUFD works to protect consumers and the integrity of the insurance system by investigating and prosecuting those who commit fraud against all types of insurers, including the state’s unemployment insurance and workers’ compensation systems.

The case is being prosecuted by Assistant Attorney General Alistair Reader of Attorney General Coakley’s Insurance and Unemployment Fraud Division with assistance from investigator Steven Pfister of the Attorney General’s Office and investigators from the Insurance Fraud Bureau of Massachusetts.

Source: Massachusetts Attorney General Martha Coakley’s Office

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