Insurance Fraud Aflac last defendant

MCALLEN – The final defendant in the Aflac fraud investigation pleaded guilty in court today.

http://liarcatchers.com/insurance_fraud.html

Maria Guzman of Edinburg was convicted of making false statements relating to health care matters . The 42-year-old will remain on bond pending her sentencing hearing on June 29. She faces up to five years in federal prison without parole, a $250,000 fine, and mandatory restitution for her false statements.

Guzman was one of 36 people indicted in June for their role in the conspiracy. Investigators say the group defrauded Aflac of millions of dollars by filing false injury claims.

Prosecutors said Guzman was a policyholder under Aflac’s Accident-Only Insurance Plan. She was accused of delivering lists of fake accidents and injuries from 2005 to 2010. In the accident reports, two physicians from Reynosa claimed they provided treatment for the injuries. Investigators said the physicians got a cash kickback of about $15 for each report.

The physicians and policyholders allegedly attempted to conceal their scheme by listing minor injuries, because more serious injuries that paid higher cash benefits could potentially attract a greater level of scrutiny by Aflac’s claims department.

With this conviction, all 36 defendants have been convicted of felony offenses for their respective roles in the conspiracy

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Insurance Fraud Chad Edward Grensky

NORMAN — Chad Edward Grensky says he sold an $85,000 horse trailer, but the attorney general’s office and Farmers Insurance aren’t so sure.

On Monday, in the Cleveland County district court, Assistant Attorney General Marc S. Pate filed a charge of conspiracy to commit a felony against Grensky, 41, accusing him of insurance fraud.

According to the probable cause affidavit attached to the charge, Grensky planned to split the proceeds of a false insurance claim with a former employee, Mae Curtis, after allegedly directing her to purchase an insurance policy for a trailer and later to report the trailer as stolen.

http://liarcatchers.com/insurance_fraud.html 

Curtis, allegedly under Grensky’s direction, took out the insurance policy March 16, 2011, with Farmers Insurance agent Taylor Moore in Norman.

The affidavit states that Grensky provided a bill of sale to support the trailer’s $85,000 value and the fact that he was selling the trailer to Curtis. Grensky — via Curtis — also reportedly provided the insurance agency with photographs of the trailer, though the affidavit states that the photos were actually of a trailer for sale by a Chino Valley, Ariz., woman who had posted an advertisement to websites Equine Media World and Craigslist.

The description of the trailer provided on Grensky’s bill of sale also is reportedly a verbatim match to the Arizona woman’s advertised description. Curtis reportedly told investigators that she never purchased Grensky’s trailer.

According to the affidavit, Curtis filed a stolen vehicle report with the Ardmore Police Department on April 16 and reported the theft to the insurance agency on April 19.

The policy, however, required that the trailer be registered with the state before the claim could be processed, which further required that the insured provide a notarized copy of the bill of sale.

On June 1, Grensky provided Curtis with a notarized bill of sale, though the seller’s name changed in the second bill. Originally, the affidavit states, in the unnotarized bill, the seller’s name was listed as “Grensky Cattle Co.” It changed to “Juan Colon Jr.” in the notarized version.

In a May 5 interview, Grensky said he sold the trailer to Curtis on March 3, 2011. He reportedly said he did not have any paperwork on the trailer, as all of it was transferred to Curtis after the sale.

The Oklahoma State Courts Network indicates that a warrant for Grensky’s arrest was issued Monday. His bond has been set at $5,000.00

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Identity theft of Microsoft billionaire

PHILADELPHIA — An AWOL soldier’s simple scheme to defraud one of the richest men in the world has landed him in federal custody, according to a criminal complaint.

In the complaint unsealed Monday, federal investigators allege Brandon Lee Price changed the address on a bank account held by billionaire Microsoft co-founder Paul Allen, then had a debit card sent to his Pittsburgh home so he could use it for payments on a delinquent Armed Forces Bank account and personal expenses.

Price called Citibank in January and changed the address on an account held by Allen from Seattle to Pittsburgh, then called back three days later to say he had lost his debit card and asked for a new one to be sent to him, an FBI investigator wrote in a criminal complaint filed in February.

 

http://liarcatchers.com/identity_theft_investigation.html 

 

The card was used to attempt a $15,000 Western Union transaction and make a $658.81 payment on the Armed Forces Bank loan account the day it was activated, according to the complaint. Surveillance footage also captured Price attempting purchases at a video game store and a discount store, authorities alleged.

Investigators found Price was listed as Absent Without Leave from the Army and wanted as a deserter, authorities said in the complaint. He was arrested March 2 and ordered detained until April 2, unless the Army takes him into custody.

David Postman, a spokesman for Allen, said the fraud was detected by the bank, which alerted law enforcement officials. The only transaction — out of four listed in the complaint totaling $15,936.99 — that apparently made it through was the loan payment, Postman said.

While the financial loss is comparatively small, it shows the importance of identity theft prevention.

“Clearly, it’s a reminder that anyone can be a victim of this,” Postman said.

The complaint doesn’t specify how Price allegedly changed the address on the account.

A Citibank spokeswoman said the company does not comment on details of security breaches or customer accounts. In a written statement, spokeswoman Catherine Pulley said the company “identified the actions of a fraudulent account takeover and turned the matter over to law enforcement” and “will continue to work with law enforcement in the ongoing investigation.”

An e-mail to Price’s public defender wasn’t immediately returned, nor was a voicemail left at a phone number for Price listed in the complaint.

Allen made the bulk of his fortune founding Microsoft with Bill Gates in 1975. He left the company in 1983 and now owns the Seattle Seahawks and Portland Trail Blazers. Forbes estimates Allen’s net worth at $14.2 billion

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Insurance Fraud lunch truck accidents

Fifteen Miamians have been arrested for their roles in using lunch delivery vehicles to stage more than a dozen accidents and filing more than $800,000 in fraudulent property damage and personal injury protection insurance (PIP) claims.

http://liarcatchers.com/insurance_fraud.html

The arrests were announced Tuesday by Florida Chief Financial Officer Jeff Atwater following a two-year investigation.

The Legislature passed reforms earlier this month to Florida’s Motor Vehicle No-Fault Law in hopes of eliminating some of the runaway PIP fraud that has increased costs for the state’s drivers by over $1 billion in the past four years. Gov. Rick Scott had lobbied hard for the legislation.

Atwater’s office reported Tuesday that increased attention to PIP fraud resulted in the arrests of 392 individuals in 2011 and 166 so far in 2012.

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Wrongful Death Investigation Teri Dean Cheryl Crawford

(Galena, MO)–Two women are charged with first degree murder in the death of a man who disappeared from his Christian County home a month ago. And authorities confirm today the remains of Carl Anderson have been found in Stone County.

In a news conference this morning in Galena, Stone County Sheriff Richard Hill announced Teri Dean-Morrison and Cheryl Crawford are both charged with First Degree Murder in Anderson’s death.

Anderson was reported missing on February 25. He was last seen at Dean-Morrison’s home on Akita Run in Stone County.

According to the probable cause statement a search warrant was executed at the home of Teri Dean-Morrison, Eugene Crider and Cheryl Crawford on March 9. All three had previously been charged with the Class D felony of Tampering with Evidence.

http://liarcatchers.com/wrongful_death.html

The search warrant says a large amount of blood was found in several locations in the home on Akita Run.

Officers found that the ceiling had been cleaned and texture removed from the ceiling in an attempt to conceal evidence. Various receipts for cleaning supplies were also found.

Blood samples were sent to the Missouri State Highway Patrol Lab for DNA testing. Additionally, video taped evidence was taken from one of the stores where Teri Dean-Morrison and Gene Crider purchased cleaning products.

Today, Hill said detectives used cell phone records, which led to property on Highway OO in Stone County, where human remains were found on March 21. Lab tests confirmed the remains are those of Anderson. (right)

Here is the news release issued today by Sheriff Hill:

Today, Teri Dean, and Cheryl Crawford are being charged with Murder in the First Degree in the death of Carl Anderson. Investigation continues on Eugene Crider with the possibility of charges being filed against him at a later date.

The facts supporting these charges are as follows:
On February 25, 2012, The Christian County Sheriff’s Office took a report of a missing person, identified as Carl Glenn Anderson. Carl was last seen at the residence of Teri Dean, Eugene Crider and Cheryl Crawford, all living at 263 Akita Run, Stone County, Missouri on February 23, 2012.

On March 6, 2012, Stone County Detectives executed a search warrant at the residence on Akita Run. During the execution of the warrant, a large amount of blood was found in several locations on the ceiling in the master bedroom. The carpet flooring, exterior windows and the interior door in the master bedroom had recently been replaced. It was observed the ceiling had been cleaned and ceiling texture removed in an attempt to conceal the visibility of the blood stains. Samples of the blood were taken from various areas in the master bedroom, including the ceiling, ceiling fan housing and ceiling fan blades.

The blood samples were sent to the Missouri State Highway Patrol Crime Laboratory for identification purposes (DNA). It was determined the blood samples were that of Carl Anderson.

On March 9, 2012, Teri Dean, Gene Crider and Cheryl Crawford were arrested in Lake Ozark, Missouri. At the time of their arrest, their cell phones were seized and later searched. By examining the phone records and cross referencing the cell phone towers, it led Detectives to a property located on Highway OO in Stone County which belongs to Earl Kearney, a know associate of Teri Dean. The phone records showed that one or more of the three suspects spent a considerable amount of time at the property of Earl Kearney on the evening of Thursday, February 23rd and Friday, February 24th.

A search warrant was applied for and obtained for the property of Earl Kearney and the warrant was executed on March 19, 2012. Based on information from that search warrant and after doing further investigation, a second search warrant for the property was applied for and obtained. The second warrant was executed on March 21st. During the second search warrant, human remains were located. Laboratory exams confirmed the remains were that of Carl Glenn Anderson.

Our investigation is still ongoing so we are not at liberty to answer any questions at this time.

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drug dog sweeps in public housing

FARGO – Tenants of at least five public housing buildings here can expect a furry visitor in a few weeks: Earl the drug detection dog.

For the first time, the Fargo Housing and Redevelopment Authority plans to have the dog sniff for illegal drugs during a “non-intrusive” search of the buildings’ hallways, according to a letter dated March 16 and sent to tenants of about 500 units.

http://liarcatchers.com/drugdogsweeps.html

If the dog smells drugs, or “hits,” on a specific door, Fargo police may request a warrant to search that unit.

Executive Director Lynn Fundingsland said that in each building, the tenants and/or the FHRA’s property manager requested the search because of reports of drug use and drug dealing in the buildings.

“We’ve got kind of a vulnerable population, so we see it as kind of a safety issue for them,” he said.

The decision arose from a situation in which a methamphetamine user was becoming violent and beating up people in the 22-unit SRO building, a subsidized single-room occupancy building at 69 4th St. N. The user reportedly put one tenant in the hospital and ran off three others before the FHRA became aware of it and evicted him, Fundingsland said.

FHRA tenants, many of whom are older, disabled or low-income, often are afraid to report suspected drug use because they fear retribution, he said.

“Ideally, some tenant would just say, ‘My next-door neighbor’s dealing,’ but we don’t get it that direct,” he said.

In addition to the search planned at the SRO building, Fundingsland said the dog was requested by resident councils at the 98-unit New Horizons Manor at 2525 Broadway and the 42-unit Cooper House Apartments at 414 11th St. N., a transitional housing facility for people coming out of homelessness.

Planned searches at the 60-unit Graver Inn Apartments at 123 Roberts St. N. and the 30-unit Burrel Apartments at 409 4th St. N. were prompted by concerns reported by tenants, managers and social services, Fundingsland said.

Residents of the 249-unit Lashkowitz High Rise at 101 2nd St. S. also received the letter, but it was sent prematurely because the FHRA has yet to meet with the building’s resident council about the idea, Fundingsland said.

“I suspect we will” search the high rise, he said.

In an editorial in Thursday’s High Plains Reader, John Strand, co-owner of the newspaper, urged the FHRA to reconsider the searches “and to not go down this slippery slope.” Strand, a Fargo School Board member, wrote that “there needs to be a balance between public safety and privacy protections.”

Strand made some good points, Fundingsland said.

“If there was another way to get at the problem that was less intrusive, we would do that,” he said. “We’re certainly open to that.”

However, Fundingsland, who was attending a conference Monday with other housing authority directors from across the nation, also said the practice isn’t uncommon.

Fargo police dogs are routinely used for drug sweeps in public schools when requested by school administrators and also at hotels and apartments based on tips from tenants and managers or intelligence gathered during investigations, Deputy Chief Pat Claus said.

Police haven’t been asked by private property managers to sweep entire buildings, but some have made it clear K-9 units are always welcome, Claus said.

Sitting on the stoop in front of the Burrel Apartments, tenant David Peterson said he’s in favor of the drug-dog searches.

“(It) don’t bother me,” he said, adding the building’s biggest problem is late-night drinkers sitting on the stoop.

George Granados, who has lived at Lashkowitz High Rise for more than two years, said he thinks it’s a good idea.

“It’s good to have a dog come by to check it out, just in case there is something,” he said.

“Yeah, it goes on,” Lashkowitz resident Alanna Burdi said of drug activity in the high rise, which serves the disabled and those 55 and older. Burdi rolled her eyes when asked if she had privacy concerns.

“Doesn’t bother me at all,” she said. “My pot-smokin’ days are long gone.”

However, while she thinks it’s a good idea, Burdi said the search “won’t do any good. If you’re going to warn them, don’t bother.”

Fundingsland said residents will receive a day’s notice before the first search, which he expects to happen in two to three weeks. Possible future searches may be unannounced, he said.

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executive protection Mark Wahlberg

Mark Wahlberg’s former bodyguard is seriously miffed with the actor. Leonard Taylor told the New York Daily News that he feels “used” by various former clients and is planning to write a tell-all memoir about his experiences.

http://liarcatchers.com/executive_protection.html

“Why should I respect their privacy when they don’t care about me?” Taylor told the NYC tabloid. In addition to Wahlberg, Taylor worked for Bruce Willis, Paris and Nicky Hilton, Chris Evans, Uma Thurman and many more. So who stuck by L.T. during his bouts with addiction and homelessness? Leonard said Willis was the only one

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Drug Dog Sweep Harris vs. Florida

The US Supreme Court said Monday it will decide whether it is necessary to provide detailed documentation of drug dog’s reliability to prove that the dog is effective at finding drugs. The high court accepted a case on appeal from the state of Florida.

[image:1 align:left]The Florida Supreme Court threw evidence derived from a drug dog search, holding that police and prosecutors had not provided sufficient evidence of a drug dog’s reliability and thus had not provided probable cause to undertake the search.

 

http://liarcatchers.com/drugdogsweeps.html 

 

The case in question, Harris v. Florida, began with a pair of drug dog sniffs of a vehicle being driven by Clayton Harris in Liberty County, between Panama City and Tallahassee in 2006. In the first search, the drug dog alerted and police found pseudoephedrine and other meth-making materials. In the second sniff, the drug dog alerted, but not drugs were found.

As is common practice in Florida and many other states, at trial, prosecutors merely presented evidence that the dog and been trained and certified at drug detection. But on hearing Harris’s appeal, the Florida Supreme Court ruled that wasn’t good enough.

“Like the informant whose information forms the basis for probable cause, where the dog’s alert is the linchpin of the probable cause analysis, such as in this case, the reliability of the dog to alert to illegal substances within the vehicle is crucial to determining whether probable cause exists,” the court held. “We conclude that when a dog alerts, the fact that the dog has been trained and certified is simply not enough to establish probable cause to search the interior of the vehicle and the person.”

The state’s presentation of evidence that the dog is properly trained is just the beginning—not the end—of whether probable cause has been shown, the court said.

“Because there is no uniform standard for training and certification of drug-detection dogs, the State must explain the training and certification so that the trial court can evaluate how well the dog is trained and whether the dog falsely alerts in training (and, if so, the percentage of false alerts),” the court held in Harris.

“Further, the State should keep and present records of the dog’s performance in the field, including the dog’s successes (alerts where contraband that the dog was trained to detect was found) and failures (“unverified” alerts where no contraband that the dog was trained to detect was found). The State then has the opportunity to present evidence explaining the significance of any unverified alerts, as well as the dog’s ability to detect or distinguish residual odors. Finally, the State must present evidence of the experience and training of the officer handling the dog. Under a totality of the circumstances analysis, the court can then consider all of the presented evidence and evaluate the dog’s reliability.”

The US Supreme Court decision will be awaited with great interest by law enforcement, which has found drug dogs a very useful tool in going after drug offenders, especially since the Supreme Court has earlier ruled that a drug dog sniff is not a “search” under the meaning of the Fourth Amendment. The National Police Canine Association has filed a friend of the court brief in the case.

This is the second Florida drug dog case the high court will examine this year. In January, it said it would decide whether a drug dog sniff of the front door of a residence violates the Fourth Amendment. While it has okayed drug dog sniffs at traffic stops, at airport luggage inspections, and for shipped packages in transit, it has repeatedly emphasized that a residence is entitled to greater privacy than cars on a highway.

That case should have oral arguments next month and a decision in September. It is not yet clear when Harris v. Florida will be heard.

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Arson Investigation Andrew Dickinson

Waymart, Pa. — On Sept. 17, 2010 just before midnight, Andrew Dickinson, 58, intentionally set fire to his home, located at 136 Carbondale Road, Waymart, State Police Honesdale claim.

http://liarcatchers.com/arson_investigation.html

The fire destroyed the home where he and his wife once lived. Dickinson then filed an insurance claim for damages as a result of the fire.
After a lengthy investigation, charges were filed against Dickinson. He is currently incarcerated at SCI Albion on unrelated charges. He was transported to SCI Waymart and a warrant for his arrest was served on March 22, 2012.
Dickinson was arraigned before Magistrate District Judge Bonnie Carney and remanded back to SCI Waymart

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Insurance Fraud Dominik Sadowski

MOUNT HOLLY TWP. – A Pennsylvania man and a construction company pleaded guilty Monday for their roles in an insurance fraud scheme that targeted homes purportedly damaged by hail, Attorney General Jeffrey S. Chiesa said.

http://liarcatchers.com/insurance_fraud.html

Dominik Sadowski, 35, of Sellersville, Pa., pleaded guilty here to insurance fraud before Superior Court Judge Ronald Bookbinder. In addition, Precision Network Solutions, doing business as Precision Builders, of Voorhees, pleaded guilty to insurance fraud.

Bookbinder scheduled sentencing for June 1. Under a plea agreement, the state will recommend that Sadowski be sentenced to four years of probation conditioned on completing 100 hours of community service. Sadowski and Precision Builders are responsible for paying $68,720 in restitution. Precision Builders will also pay a $250,000 criminal fine.

Sadowski admitted that between Jan. 19 and April 25, 2011, acting on behalf of Precision Builders, he caused fraudulent property damage insurance claims to be submitted to Traveler’s Insurance Co., for property damage to two homes within Burlington and Camden counties purportedly caused by hail storms.

An investigation determined that representatives from Precision Builders were canvassing neighborhoods and were claiming that homes had been damaged in a hail storm and advising homeowners that they could get new siding and roofing at no cost.

Several homeowners told investigators that they were not aware that they had any hail damage to their homes before being solicited by Precision Builders. An investigation determined that, after homeowners filed claims with their insurance carrier, Sadowski would visit and damage the properties prior to the adjusters’ inspections. It is alleged that Sadowski’s co-defendant, Marcin Gradziel, 33, of Norristown, Pa., would also visit and damage the properties prior to the adjusters’ inspections. The charges against Gradziel are pending.

As a result of the fraud, acting on behalf of Precision Builders, Sadowski caused approximately $15,256 in claim monies to be obtained for Precision Builders from Traveler’s Insurance Co. It is alleged that Gradziel caused approximately $53,464 in claim monies to be obtained Precision Builders.

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