Fraud Investigation 4 Frauds You’ve Probably Never Heard Of

You’ve probably heard of the infamous Enron and WorldCom scandals, but you may be interested to learn of history’s lesser-known, large-scale frauds. While all of these swindles have been surpassed in scale by recent corporate scandals, these earlier cases of fraud still bear mention, as some of these events led to major changes in the accounting profession and the introduction of new government laws.

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Equity Funding Corporation of America
Equity Funding Corporation of America (EFCA) began selling life insurance in the early 1960s, with an innovative twist that combined the safety of traditional life insurance with the growth potential of stock mutual funds. The company would sell a mutual fund to a customer, who would then borrow against the fund to purchase life insurance. This strategy was predicated on the assumption that the return on the mutual fund would be sufficient to pay the premiums on the insurance policy.

The fraud began in 1964, when EFCA was bumping up against a deadline to complete and issue its annual report. The company’s new mainframe computer couldn’t produce the needed numbers in time and Stanley Goldblum, the CEO of the company, ordered fictitious accounting entries made to the company’s financial statements to meet the deadline.

Goldblum and other employees of EFCA continued this fraud by creating phony life insurance policies to produce revenue to back up these earlier false entries. The company then reinsured these fake policies with a number of other insurers, and even faked the deaths of some of these nonexistent individuals.

The fraud eventually reached mammoth-sized proportions, with tens of thousands of phony insurance policies and nearly $2 billion in nonexistent revenues over a multi-year period. One shocking component of the fraud was the number of employees that participated. Prosecutors successfully charged 22 individuals and estimated that 50 others at the company had knowledge of the fraud.

In 1973, a disgruntled employee, who had been fired by Equity Funding Corporation of America, reported the fraud to Ray Dirks, a Wall Street analyst who covered the insurance industry. Dirks did his own research and then discussed the company with his clients, many of whom sold the stock prior to the fraud becoming public knowledge.

Another noteworthy part of the case is that it led to the establishment of a new legal precedent regarding insider trading by the courts. After the fraud became public, the Securities and Exchange Commission (SEC) censured Dirks for aiding and abetting violations of the Securities Exchange Act of 1934 and Rule 10b-5, which prohibits insider trading.

Dirks fought the censure through several appeals until he found himself before the Supreme Court in 1983. The court ruled in his favor, and said that no violation occurred because Dirks had no fiduciary duty to the shareholders of EFCA and did not misappropriate or illegally obtain the information.

The fraud at EFCA is considered by some to be the first computer-based fraud, as the creation of phony documents needed to back up the phony policies became so cumbersome that the company started using computers to automate the deception.

Crazy Eddie
Crazy Eddie was a retail store chain run by the Antar family, which began operations as a private company in the 1960s. The fraud at Crazy Eddie was one of the longest running in modern times, lasting from 1969 to 1987.
The fraud began almost immediately, with the management of Crazy Eddie underreporting taxable income through skimming cash sales, paying employees in cash to avoid payroll taxes and reporting fake insurance claims to the company’s carriers.

 

As the chain grew in size, the Antar family started planning for an initial public offering (IPO) of Crazy Eddie and scaled back the fraud so that the company would be more profitable and get a higher valuation from the public market. This strategy was a success and Crazy Eddie went public in 1984 at $8 per share.

The final phase of the Crazy Eddie fraud began after the IPO and was motivated by a desire to increase profits so the stock price could move higher and the Antar family could sell its holdings over time. Management now reversed the flow of skimmed cash and moved funds from secret bank accounts and safety deposit boxes into company coffers, booking the cash as revenue. The scheme also involved inflating and creating phony inventory on the books and reducing accounts payable to boost profits at the company.

The fraud was uncovered in 1987 after the Antar family was ousted from Crazy Eddie after a successful hostile takeover by an investment group. Crazy Eddie limped along for another year before being liquidated to pay creditors.

Eddie Antar, the CEO of Crazy Eddie, was charged with securities fraud and other crimes, but fled before his trial. He spent three years in hiding before he was caught and extradited back to the U.S. Antar and two other family members were also convicted for their role in the fraud.

McKesson & Robbins
McKesson & Robbins was a drug and chemical company in the mid-1920s that attracted the attention of Philip Musica, an individual with an unsavory past that included criminal acts and multiple fake names.

Under the name Frank D. Costa, Musica greeted the advent of U.S. Prohibition in 1919 with the creation of a company that manufactured hair tonic and other products that had high alcohol content. These products were sold to bootleggers, which used the alcohol to produce liquor to sell to customers.

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Musica purchased McKesson & Robbins in 1924 using the name F. Donald Coster, and seeded the company with family members to help loot the company. The fraud involved fake purchase orders, inflated inventory and skimming cash from company sales, and occurred despite the presence of Price Waterhouse as the company’s auditors. When the scam was finally detected in 1937, the SEC determined that $19 million in fictitious inventory was on the balance sheet of the company. This is equal to approximately $285 million in current dollars.

McKesson & Robbins had a profound impact on the accounting industry and led to the adoption of Generally Accepted Auditing Standards (GAAS), including the concept of an independent audit committee. Another change included having auditors personally inspect inventory to verify its existence.

Republic of Poyais
The Poyais fraud was a major scandal in the 1800s. This fraud was certainly the most audacious and imaginative of all, as the perpetrator, Gregor MacGregor, created a fictional country in Central America.

MacGregor served in the British army and was involved in various operations in the Americas. During his travels, he visited the coastal areas of present-day Honduras and Belize. MacGregor claimed to have received a land grant from a local native leader, and upon his return to London, announced the new nation of the Republic of Poyais.

MacGregor created a flag, a coat of arms, currency and other trappings of a sovereign nation and then proceeded to sell off land to investors and settlers in the London markets. He also issued sovereign debt backed by the promise of this new nation, and induced settlers with glowing accounts of the capital city and the fertility of the soil.

The first group of settlers arrived in Poyais in 1823, and found nothing except dense jungle and abandoned wood shacks. Three other shiploads of settlers arrived over the next few years and found a similar situation. Disease and hunger soon worked through the settlers, and almost 200 colonists died.

The news eventually reached London and the authorities arrested MacGregor. While awaiting trial, he fled to France and attempted the same Poyais scam on French investors. MacGregor ended up in Venezuela, where he helped the nation in its fight for independence and for his efforts was awarded a pension and the title of general by the newly established government.

The Bottom Line
As you now know, corporate fraud has a long and extensive history. Despite the best regulatory efforts of various federal governments, these large-scale swindles only seem to be increasing and escalating.

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Wrongful Death James Michael Crowe UPDATE

The man who killed a Floyd County teenager will learn his sentence Wednesday. Beforehand, James Michael Crowe’s family prepared what they’ll say to the killer when they to address him for the first time.

Alexander Muniz gunned down Crowe in April last year in Versailles. Crowe’s family calls him a monster and says the 20 years Muniz is expected to serve in jail isn’t justice enough for James Michael.

http://liarcatchers.com/wrongful_death.html

Hours before it’s her turn to talk, Jackie Ousley wonders what she’ll say to the man convicted of killing her nephew.

“I don’t know how, I don’t, I mean we have to, right,” questioned Ousley who raised 18-year-old Crowe for a decade and considered him a son.

“We need some closure; it’s just hard because I don’t think Michael’s been justified at all,” said Ousley.

Crowe’s murderer signed a plea agreement last month meaning Muniz agreed to a manslaughter charge, avoided trial and faces 15 years in prison. Ousley preferred a life sentence.

“I feel like there is no jury in this world that would let him walk and that’s in my heart and if the people would have stood up for Michael that were there, he would have been gone for awhile,” said Ousley.

It was broad daylight when Crowe was killed in a Versailles apartment lot April 22, 2011. Police never said a motive, but the victim’s family has their suspicions and questions they think won’t ever be answered once the last chapter in their life is closed for good tomorrow.

“It’s the hardest thing I’ve ever in my life had to think about; who would even think about having to do something like this,” asked Ousley.

Muniz was also charged with tampering with physical evidence and could be sentenced to another five years for that.

Muniz goes before a Woodford County judge Wednesday at 9:30 a.m.

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Wrongful Death Shawn Akridge

A Garrard County man charged with killing an intellectually-disabled man at a group home where he worked and the patient lived pleaded guilty to lesser charges Tuesday.

On June 12, 2011, Chester Watkins, another patient, was arrested after Shawn Akridge was found beaten and kicked to death. State Police say 21-year-old Tyler Brock had originally pointed the finger at Watkins.

http://liarcatchers.com/wrongful_death.html

But after further questioning, police say Brock couldn’t keep his story straight. He originally told police he saw Watkins strangle Akridge. Police say autopsy results show Akridge died from internal bleeding.

Brock was arrested after he turned himself in to police.

On Tuesday, Brock pled guilty to second-degree manslaughter and abuse of an adult. Both charges carry 10-year prison sentences.

Brock will be formally sentenced in July.

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Identity Theft Susan D Stultz

A sentencing date has been set for a Linden woman accused of using another woman’s identity to establish utility and credit card accounts.

Susan D. Stultz, 50, will be sentenced in Montgomery County Superior Court on July 9. A plea agreement has been filed in the case, but the terms of that agreement have not been made public.

Stultz faces three Class D felony counts of identity deception.

http://liarcatchers.com/identity_theft_investigation.html

Class D felonies are punishable by three years in jail. The advisory sentence is one year.

Court records said Stultz opened cell phone and home phone service, as well as a Capital One credit card account, in the name of a former co-worker. Stultz was able to obtain the victim’s personal information because she had in the past prepared the victim’s income tax returns.

The fraudulent accounts were opened in the summer and fall of 2011 and were discovered by the alleged victim several months later, court records said.

Stultz was interviewed by police on March 20. She at first denied any knowledge of the accounts, but ultimately admitted she had opened the accounts online from her home, court records said.

Stultz told police all the accounts had been closed. The total still outstanding on the accounts is listed on court documents as $3,280.46.

Stultz told police she “felt guilty and was sorry,” court records said.

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Accident Reconstruction Clark County

A bad accident on eastbound I-64 Tuesday afternoon in Clark County has resulted in a request to Lexington Police for assistance.

The accident happened at about 3 p.m. near mile marker 94. The accident was a head-on crash between a car and a pickup truck, which police say was driving the wrong way on the interstate.

http://liarcatchers.com/accident_reconstruction.html

The woman in the car had to be cut out of the vehicle, and was taken to the hospital by ambulance. The driver of the truck was airlifted to the hospital from the scene.

All eastbound lanes in the area remained closed before re-opening at about 4:30 p.m.

So far, there is no word on the identities or conditions of the victims.

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Missing Person Luis Valencia

FAIRBURN, Ga. — The family of a 56-year-old Fairburn man fears the worst. He went for a walk on May 24 and his family hasn’t seen him since.

Fulton County Police have put out an alert for Luis Valencia after Valencia’s brother called them to report him missing.

“I went around at night to look around the neighborhood and the area, but I didn’t find him nowhere,” Ivan Valencia said.

http://liarcatchers.com/missing_persons_investigations.html

Ivan Valencia said he brought his brother up from Florida to live with him after the missing man recovered from a three-month coma. Valencia said his brother has suffered strokes and had brain surgery after fracturing his skull. “He’s not going to know the way to come back or ask somebody,” he said.

Ivan Valencia said his brother would walk for miles and sometimes get lost, but he would return after a day or two. “He came back all the other times, so I waited,” Valencia said. “But after a week, I thought it was time to call the police.”

Ivan Valencia said his brother takes medication for seizures, blood pressure and diabetes, but he has none of those medications with him. “He’d survive like … four days but it’s too long, especially in his condition,” he said.

Ivan Valencia said he called the police, hospitals and local jails. Grady Memorial Hospital told him his brother was at the hospital on May 26, two days after he disappeared. Ivan Valencia said his brother signed in but was gone by the time the doctors called him.

Ivan Valencia said he checks the parks around Grady every day to see if his brother is with any of the homeless people. “I can’t be in peace until I know that he’s okay, that he’s back here,” he said.

Fulton County Police are asking anyone who knows where Luis Valencia is to call their Criminal Investigation Division at 404-613-6600.

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Insurance Fraud NJ Working to Crackdown on Medicaid Fraud

New Jersey is making substantial efforts to crackdown on Medicaid fraud — recovering an estimated $310 million in claims in 2011 alone. But at least one legislator believes the state needs to do even more as it moves an estimated additional 250,000 patients into the Medicaid system due to changes ordered by the Affordable Care Act.

“We are not doing such a bad job compared to other states, but I still think until we really do a better job of screening [questionable claims] up front, a lot of fraudulent transactions are not going to be caught,” said Sen. Bob Gordon (D-Bergen) following a hearing Monday by the Senate Legislative Oversight Committee.

http://liarcatchers.com/insurance_fraud.html

The committee heard testimony from state fraud investigators and health insurers, who through managed care contracts, deliver Medicaid services to the majority of New Jersey’s 1.3 million Medicaid members. The state will spend more than $4 billion on Medicaid in fiscal the 2013 budget, he said. When the federal matching dollars are included, Medicaid is about a $10 billion a year program.

With more patients coming, this is a good time for New Jersey to get tough on Medicaid fraud by tightening regulations aimed at preventing overbilling and waste, and by increasing the use of technology to identify fraud before the money goes out the door, Gordon said.

Mark Anderson, director of the Medicaid Fraud Division in the state comptroller’s office, said his division recovered more than $100 million through Medicaid fraud investigations in fiscal year 2011. His office has also reported that it saved another $210 million that year, by refusing to make payments on questionable claims.

Gordon said the state should be recovering several hundred million dollars a year in Medicaid fraud. But several experts discounted national Medicaid fraud estimates, arguing that the healthcare services covered by Medicaid vary from state to state, and some services are more vulnerable to fraud than others.

“We are reporting some of the program integrity activities but probably not reporting all of them, so all of the work that the MCOs [Medicaid managed care organizations] are doing is probably not being comprehensively reported,” said Kathy Runkle, assistant vice president in the fraud investigation unit of Amerigroup, one of the state’s four Medicaid managed care providers.

The state Department of Human Services has been transitioning more of the Medicaid population into managed care, and if a proposal now before the federal government is approved, nearly all of the 1.3 million Medicaid members will get services from one of the MCOs.

Runkle said last year home healthcare services were moved into managed care, and Amerigroup took steps to proactively avoid fraud by reaching out to Anderson’s team. “We asked ‘which home health agencies are on their watch list?’ and we didn’t contract with them.”

The MCOs have regular meetings to review Medicaid fraud issues. “We go around the table and name names and tax ID numbers, and pass around spread sheets with our new cases,” she said.

Runkle cited one case eventually referred for prosecution in which Amerigroup refused to pay a suspicious claim, and the healthcare provider tried to back up the claim with fraudulent documents.

“I was pleased to hear that the MCOs are focusing their attention on filtering out fraudulent transactions,” Gordon said after the hearing. “My sense is we can be doing a better job. The numbers are so large in terms of total expenditures [for Medicaid] and cost recoveries are so low — just intuitively I think we should be doing a better job.”

Anderson testified that his office currently has 200 active investigations and more than 20 ongoing audits, which include a diverse field of Medicaid providers, including pharmaceutical, adult medical day care, laboratory, durable medical equipment, hospitals and transportation providers. His office does investigations to determine if recipients of New Jersey FamilyCare, the state-funded expansion of Medicaid, are eligible for benefits.

Anderson’s staff and the fraud investigators at the managed care companies, all use “data mining” to identify fraudulent patterns of activity in Medicaid claims data, which enables them to flag dishonest providers and halt the payment of claims.

Stephen Eells, state auditor, testified that his staff has identified questionable billings through its audit of Medicaid expenditures. Using data mining, an audit found unusual patterns of billing by hearing aid providers. “One provider actually admitted submitting duplicate claims totaling $53,000.”

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Accident Reconstruction Betty McKinzie Died

One woman was killed and three other people were hurt in a crash on the Mountain Parkway in Powell County Tuesday morning.

The incident happened at about 8:30 a.m. in the eastbound lanes near the Wolfe County line at mile marker 34. Police say a car carrying a grandmother, mother and granddaughter had made a stop on their way from Pike County to Lexington and realized that they had gotten back on the eastbound lanes of the parkway. The driver, the granddaughter, attempted a u-turn when the car was struck by a van that was also traveling eastbound.

http://liarcatchers.com/accident_reconstruction.html

One of the passengers in the backseat of the car, Betty McKinzie, 68, of Ivel in Floyd County was ejected from the vehicle and died at the scene.

The male driver of the van as well as the two other women in the car were transported to local hospitals with non life-threatening injuries.

The parkway was closed for about two hours but has since re-opened.

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Identity Theft Candidate Says Charge Against Her is a Moot Point

Linda K. Armstrong, a candidate for the Shawnee County Commission, said Monday that her having received diversion on an identity theft charge filed in 2008 “is a moot point, because it’s not a conviction.”

Shawnee County District Court records show the charge against Armstrong, 52, of 3013 S.E. Downing Drive, was dropped in October 2010 after she successfully completed a diversion program.

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Armstrong is among three Democrats running for the county commission’s 2nd District seat. The others are incumbent Mary M. Thomas, 56, of 3511 S.E. Tomahawk Court, and Kevin Cook, 37, of 1512 S.W. 3rd. No Republicans are seeking the seat.

The Topeka Capital-Journal, while carrying out its standard practice of checking to see if commission candidates had been charged with any crimes in Shawnee County District Court, learned the district attorney’s office in July 2008 charged Armstrong with identity theft with intent to defraud for economic benefit in the amount of less than $100,000 or, in the alternative, identity fraud. Both are felonies.

Court records show prosecutors alleged Armstrong stole or sought to steal the identity of a female acquaintance.

When asked about the case Monday by The Capital-Journal, Armstrong said, “It was a personal matter.”

Court records show Armstrong in October 2008 signed a diversion agreement that deferred prosecution of the case for 24 months provided Armstrong complied with various requirements and conditions. Those included her making restitution payments of $1,265.45 plus interest and paying $172 in court costs.

The charges were dismissed after Armstrong successfully completed diversion in October 2010.

Court records include a letter written by Armstrong to the district court clerk’s office last November noting that details of the case were still available for public view on the district court website.

Armstrong indicated an assistant district attorney told her “that once the diversion was completed these charges would be removed and no public access would be allowed.”

She asked that information about the case be removed from the website, adding that the public access had caused her to be turned down for a job promotion.

The court responded the following month with a letter saying: “The case will not be removed from public access because the charges are dismissed. They are usually only removed when the case is expunged. You will need to contact the D.A. or your attorney for those questions.”

The district court website also indicates a “Mary Thomas” was charged in 1990 with disorderly conduct and in 1995 with battery, criminal trespassing and criminal damage to property. Both cases were subsequently dismissed.

Commissioner Mary Thomas said Monday she wasn’t the person against whom those charges were filed.

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Drug Dog Sweep Finds Meth in Teddy Bear

Merced County sheriff’s deputies arrested a woman Sunday who was allegedly hiding drugs and drug paraphernalia in her child’s stuffed animal.

Deputies assigned to the Assembly Bill 109 task force were conducting a compliance check on 28-year-old Sandra Oseguera around 1 p.m. in the 5000 block of Highway 140 when a sheriff’s dog with the department’s K9 division smelled the scent of drugs coming from a teddy bear on Oseguera’s bed that belonged to her 2-year-old son, said Deputy Tom MacKenzie, sheriff’s spokesman.

http://liarcatchers.com/drugdogsweeps.html

After the sheriff’s dog, a 2-year-old black Labrador named Rally, alerted its handler, Deputy Brankel Nobari, he looked inside the teddy bear and found a gram of methamphetamine, a small scale and a straw used to inhale meth, MacKenzie said.
Drugs recovered from child’s stuffed animal

Sandra Oseguera

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Oseguera was arrested in January for possession of methamphetamine and possession of meth for sale, but was released under AB 109 — legislation that shifted some state prisoners to the local level and allowed for the early release of some prison inmates who aren’t sex offenders or convicted of violent or other serious crimes.

After Sunday’s arrest, Oseguera will face a new charge of possession of meth, MacKenzie said.

Oseguera’s son wasn’t at home during the incident, MacKenzie said. The child was staying with his father.

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