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$179 Million Dollar Securities Fraud Scam May 3, 2012

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Central Islip, NY-Four co defendants are charged with securities fraud, that led to a massive Ponzi scheme.  The scheme ended up defrauding investors of $179 million.  In addition, the co-defendant also where able to defraud investors out of insurance policies on their investments to the tune of $865,000+.

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Medicare Fraud In Alabama May 3, 2012

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A federal grand jury indictment accuses, Dr. Dinana K. McCutcheon of 96 counts of medicare fraud, where the doctor allegedly submitted bills to insurance providers and medicare for up to $1.3 million in fraudulent claims.

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Hearings On Medicaid And Medicare Fraud March 29, 2012

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E. Providence RI- A recent hearing on Medicaid and Medicare fraud was held by US Sen. Sheldon Whitehouse.  Sen. Whitehouse is sitting as the panel chairman.  Healthcare fraud has been made a priority by the US Justice System.

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New York State Leads Medicaid Fraud Cases In The US March 29, 2012

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Annual data shows that the state of new York is leading the pack when it comes to Medicaid fraud and lawsuits.  The data comes from the HHS Office of the Inspector General.

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Citizens Awarded For Reporting Acts Of Fraud March 29, 2012

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Tallahassee, FL- Jeff Atwater has announced the award of $25,000 to three citizens who gave tips that led to conviction in five separate insurance fraud cases, that would have gone undetected had it not been for the tips from these citizens.

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Man Charged in Insurance Fraud Scheme February 20, 2012

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Peekskill Man Charged in Insurance Fraud Scheme

White Plains, NY- The US Attorney’s Southern District of New York Office related that a Peekskille resident was one of three men who where charged with insurance fraud. James Kevin Kergil, 57 an insurance agent in Peekskilhad charges of insurance fraud and obstruction of justice brought against him.

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New Orleans Police Officer Kills Himself over insurance fraud probe February 20, 2012

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Police officer commits suicide over alleged insurance fraud probe

Insurance Fraud FBI Probe

A New Orleans police officer allegedly committed suicide on Feb 7th this after recieving news that he he and two other police officers where to be investigated for insurance fraud by the FBI. Salvatore Battaglia of St. Tammany Paris, LA shot himself in the head.

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Burlington County Insurance Producer Charged With Fraud June 30, 2010

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Lee Schaffer of Marlton, was charged with insurance fraud, theft by failure to make required disposition of property received, and theft by deception, all third-degree charges. The indictment alleges that between March 16 and July 8, 2005, Schaffer, an insurance producer who operated Focus Insurance Services, prepared a fictitious insurance proposal and  certificate of liability under the name of a fictitious insurance company, Custome Solutions.  Schaffer is then alleged to have used them in a transaction with Suburban Swim Association of South Jersey. Schaffer allegedly received $14,413 in premium payments from that company as well as Rancocas Valley Baseball League and Larchmont Barracudas Inc. for liability insurance, accident insurance, and directors’ and officers’ insurance.  However, authorities allege that Schaffer failed to pay the premiums to Bollinger Insurance Company and instead, kept the money for his own use.

Toms River Woman Charged with Insurance Fraud June 1, 2010

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A Toms River woman has been indicted for allegedly submitting a false homeowner’s insurance claim to Allstate Insurance Company.   Dorothy Sullivan-Procopio, 46, of Toms River, was charged on Thursday, May 27, with insurance fraud and attempted theft by deception, both in the third degree, as well as three counts of fourth-degree falsifying or tampering with records.

The Ocean County grand jury indictment alleges that between Nov. 18, 2007 and June 17, 2008, Sullivan-Procopio submitted a fraudulent claim for reimbursement on her homeowner’s insurance policy with the Allstate Insurance Company. It is alleged that Sullivan-Procopio falsely reported that she paid for repair work to her former residence in Bayville in order to obtain approximately $11,606 from her homeowner’s policy with Allstate. Sullivan-Procopio allegedly submitted three checks, with which she purportedly paid for the repairs, in support of the false claim to Allstate, knowing that the checks were falsified or altered.

Former Insurance Agent Charged With Submitting Life Insurance Applications Without Permission of Clients May 25, 2010

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A former Burlington County insurance agent has been indicted for allegedly forging the names of clients on insurance applications and automated banking withdrawal forms.

Michael Troise of Marlton, formerly an insurance agent with Monumental Life Insurance Company, was charged on Thursday, May 20, with two counts of third-degree forgery, one count of fourth-degree forgery and three counts of third-degree insurance fraud.

The Burlington County grand jury indictment alleges that on May 27, 2005, Troise submitted a forged application for life insurance purportedly for a client. The indictment further alleges that on June 19, 2007, Troise forged two additional applications for life insurance purportedly for two additional clients. It is alleged that two of the clients had an automated banking withdrawal option selected so that the insurance premiums would have come directly out of the clients’ bank accounts. Troise allegedly forged the applications in such a way that it appeared as if the clients has authorized the applications. The indictment alleges that the clients did not authorize him to submit the applications. Troise allegedly submitted renewal applications for additional coverage for these same three clients, knowing that they did not authorize him to do so.

The Department of Banking and Insurance routinely assists the Office of the Insurance Fraud Prosecutor with the investigation and prosecution of licensed insurance agents. This assistance enables the state to coordinate criminal investigations and prosecutions with any imposition of licensing sanctions in order to protect the public.