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Home / Insurance / Zalma's Insurance Fraud Letter – December 1, 2021

Zalma's Insurance Fraud Letter – December 1, 2021



See the full video summary at https://rumble.com/vq0rym-zalmas-insurance-fraud-letter-december-1-2021.html and at https: // youtu. be / Y7awRS5xNGE

The full .pdf version is available here.

Admitted Crop Insurance Fraud Perpetrator Attempts ZIFL-12-01-2021 Limit Restitution

Crooked Prison and 5 Million Pay $ 50 and $ 50 Million Pay in $ 90. ] The accused Ronnie Jolly pleaded guilty to fraud with crop insurance, money laundering and conspiracy to defraud the United States and to commit fraud by mail or bank transfer. The government requested a refund of money paid by the plant insurance program and Jolly moved to avoid or limit the repayment orders.

In USA v. Ronnie Jolly CRIMINAL No. 5: 18- 32-KKC, United States District Court, ED Kentucky, Central Division, Lexington (November 1, 2021), the court considered the restoration decision.

ZIFL OPINION

Insurance criminals have no shame. After acknowledging the widespread nature of his fraud, Jolly had an unabashed stomach trying to limit or eliminate the ordered refund. He managed to limit what was to be paid to the private insurer to only compensation payments and failed in his obligation to repay the harvest insurance program which he had admittedly cheated. The government should take all Jolly's assets up to the amount he stole and he should have to spend all the time booked at the gray bar hotel.

Pyrrhic Victory – Partial Wins Makes Conviction for Insurance Fraud Easier

] Because insurance fraud is a crime that Prosecutes Offenses Wastefully

Following a preliminary hearing, Sanjoy Banerjee, a physician, was charged with two counts of making a false or fraudulent claim to a health care provider, and three forms of perjury insurance fraud. The Supreme Court rejected Banerjee's request to dismiss the information as it was not supported for reasonable or probable cause and he requested a restraining order to eliminate the allegations. In Sanjoy Banerjee v. The Superior Court of Riverside County, The People, Real Party of Interest, E076291, California Court of Appeals, Fourth District, Second Division (October 5, 2021), the Court of Appeal banned perjury from counting and allowed insurance fraud charges to continue. .

INTRODUCTION. The People claim that the evidence supports a strong suspicion that Banerjee committed two cases of insurance fraud and three cases of perjury.

Between 2014 and 2016, Banerjee invoiced an occupational injury insurance for services he provided to patients through his professional company and through his professional company. two other legal entities that he owned and controlled. The insurance fraud fees are based on Banerjee's invoices 2014-2016 to the insurer through the other two units. The allegations of perjury are based on three cases in which Banerjee signed medical reports and testified under penalty of perjury that he had not violated "section 139.3."

ZIFL OPINION

The crime of insurance fraud is a simple, direct crime. To prove. If a fraudulent bill is sent to an insurance company, the crime can be proven. As the evidence showed that Banerjee, by using the two additional units, could bill $ 9,000 more than if he billed it directly, may have a jury conclude that he issued the bills with the intent to defraud the insurer. The Court of Appeal, by removing the accusations of perjury, made the case simple, clean and direct instead of complicating the trial with difficult to prove and less than clear statutes. Banerjee was partially successful, making it easier for the state to convict him of insurance fraud. ] The California Department of Insurance issued orders to discontinue and waive and to show cause that takes effect immediately after Opulent Marketing, Inc. does business as Infinite Auto Protection (Infinite Auto) for the alleged sale of illegal vehicle service contracts (VSCs) to 25 California consumers

Health Insurance Fraud Convictions

Seven Plead Guilty to Health Care Fraud

Wrights Care Services, LLC a North Carolina rebased health care service engaged in health care fraud and seven of its owners and employees pleaded guilty to charges related to a Medicaid fraudulent conspiracy stemming from false billing of behavioral care services for children.

Other insurance fraud convictions

Individuals in LA-based organized fraud were sentenced to prison for staging car collisions to collect resulted in severe injuries

Victor Valle-Diaz 55 Eduardo Retana 25, and Ausencio 1994 59.20 in the state prison, sentenced to prison 199459.20 in the state after for not invoking any allegations of insurance fraud and assault for their involvement in organized car fraud. The three defendants were involved in 15 staged collisions involving 21 victims, some of whom were seriously injured, in a system to fraudulently collect nearly $ 330,000 from insurance companies.

"Chutzpah" to appeal a conviction where overwhelming $ 1,300 million is overwhelming.

Correctly convicted of fraud in healthcare

"Chutzpah" is Yiddish for "unimproved bile". It has been defined as a request for mercy from a defendant convicted of murdering his parents because he is an orphan.

In United States of America v Patrick Tonge, Serge Francois No. 18-11165, United States Court of Appeals, Eleventh Circuit (November 22, 2021), the defendants made a series of false accusations in appealing their conviction for conducting a fraudulent conspiracy and a system to defraud state-sponsored health insurance programs.

Patrick Tonge and Serge Francois were convicted of federal crimes arising from their work at Atlantic Pharmacy & Compounding a Florida pharmacy that collected millions of claims from Florida. federal insurance program.

Barry Zalma, Esq., CFE

Barry Zalma, Esq., his CFE, Esq. specialized in insurance coverage, insurance claims management, insurance fraud and insurance fraud almost equally for insurers and policyholders. He also acts as an arbitrator or mediator for insurance-related disputes. He practiced law in California for more than 44 years as a lawyer for insurance coverage and claims management and more than 54 years in the insurance industry. He is available at http://www.zalma.com and zalma@zalma.com.

Mr. Zalma is the first recipient of the first annual Claims Magazine / ACE Legend Award.

For the past 54 years, Barry Zalma has devoted his life to insurance, insurance claims and the need to defeat insurance fraud. He has created the following libraries of books and other materials to enable insurers and their claimants to become professionals in insurance claims.

Barry Zalma, Inc., 4441 Sepulveda Boulevard, CULVER CITY CA 90230 – 4847, 310-390-4455;

Subscribe to Excellence in Claims Handling at https://barryzalma.substack.com/welcome. Write to Mr Zalma at zalma@zalma.com; http://www.zalma.com; http://zalma.com/blog; I publish daily articles at https://zalma.substack.com, Go to the podcast Zalma On Insurance at https://anchor.fm/barry-zalma; Follow Zalma on Twitter at https://twitter.com/bzalma ; Go to Barry Zalma videos on Rumble.com at https://rumble.com/c/c-262921; Go to Barry Zalma on YouTube- https://www.youtube.com/channel/UCysiZklEtxZsSF9DfC0Expg ; Go to Insurance Claims Library – https://zalma.com/blog/insurance-claims-library/ Read posts from Barry Zalma at Go to Insurance Claims Library – https: // zalma .com / blog / insurance-claims-library /


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