Showing posts with label insurance fraud. Show all posts
Showing posts with label insurance fraud. Show all posts

Tuesday, October 28, 2014

MI Secretary of State Looking to Crack Down on Insurance Fraud

Mark Mandell, Esq.

Michigan Secretary of State (SOS), Ruth Johnson, convened a 56 member task force dedicated to addressing insurance fraud in the state. The task force and the SOS recently announced their 17 recommendations.

The recommendations come amid the announcement that the SOS uncovered that a whopping 16% of the documents filed by motorists from 2013-2014 were fake. And you need proof of insurance to receive a license plate in Michigan.

With 16% of documents being fake, one has to ask how that number got so high.

Pete Kuhnmuench, executive director of the Insurance Institute of Michigan, said he believes the high cost of insurance is driving the search for phony insurance coverage. He recommended a $3 fee to ramp up enforcement efforts against fraud. The SOS task force, however, did not address that.  

Secretary of State Johnson claims the problem is costing Michigan motorists around $220 million per year – which she says is a conservative figure. That's because if a driver with fake insurance coverage gets in an accident, the other drive must pick up the tab for those with no coverage.

Johnson said all sort of crooks are in the insurance fraud game, including a lady working out of a church netting some $30,000 a month to the sophisticated Internet fraud artists who produce documents that look real but are not.

The state police, local prosecutors and the state insurance director are all in on fighting back and the SOS has reported that some reforms have already cut the bogus percentage in half.

The task force’s recommendations also include: streamlining prosecution of offenders, assisting law enforcement in verifying insurance during traffic stops, cracking down on unlicensed insurance agents, and establishing a new “fraud commission.”

If you feel like you are a victim of insurance fraud, contact experienced Attorney Mark Mandell with Fausone Bohn, LLP, at (248) 380-0000. Mark has over a decade of experience fighting for his clients’ rights. 

Tuesday, February 19, 2013

Traverse City Man Pleads Guilty to Fraud

Mark J. Mandell, Esq.


William Lowder, a northern Michigan insurance broker, pleaded guilty to fraud. After manipulating clients to change their investments and encouraging them to put money in annuities handled by his Traverse City office, Lowder cost his clients more than $1 million over an eight-year period.

Only a week after charges were filed, 57-year-old Lowder pleaded guilty in Grand Rapids federal court. Lowder also pleaded guilty to a tax crime. Earlier last year, state regulators suspended his license. While he took advantage of many clients, the state regulators say he also took advantage of at least one client who was mentally incompetent.

He has been given a court-appointed attorney and will receive his sentence on May 29.

If you have questions about criminal matters, fraud or other legal issues, please contact Mark Mandell or Tariq Hafeez at 248.380.0000 or online at www.MichiganFraudLawyer.com.

To learn more and read the original article, please visit: http://www.insurancejournal.com/news/midwest/2013/01/21/278066.htm

 

Wednesday, February 13, 2013

Seventeen-Year Sentence Awaits Pharmacist

Mark J. Mandell, Esq.

 
After billing the government for more than $57 million worth of medically unnecessary painkillers, Babubhai (Bob) Patel now faces 17 years in prison.

Owning and operating more than 26 pharmacies across metro Detroit, Patel had a myriad of doctors at his fingertips. He paid such doctors to write orders and had recruiters offer cash to lower-income individuals in exchange for their Medicare or Medicaid numbers. The scheme operated on a business model that paid kickbacks to physicians in exchange for their writing prescriptions for expensive – yet unneeded – medications. As a result, between 2006 and 2011, Patel billed Medicare and Medicaid for over $57 million. At least 25 percent of those billings were for drugs that were never dispensed or were unnecessary to begin with. Not only did Patel take advantage of the government, but he also fraudulently billed to private insurers, such as Blue Cross Blue Shield of Michigan.

In addition to the years Patel will face behind bars, he has also been ordered to pay restitution in the amount of $17.3 million to Medicaid and Medicare, as well an additional $1.5 million to Blue Cross Blue Shield.

“What you have done,” the court told Patel, “is reprehensible.”

If you have questions about criminal matters, fraud or other legal issues, please contact Mark Mandell or Tariq Hafeez at 248.380.0000 or online at www.MichiganFraudLawyer.com.