Each year, the Texas Department of Insurance's fraud investigators examine fraud alleged to have been committed by persons engaged in the insurance business as well as claim fraud committed by policyholders, service providers, and others.
In 2005 and the first part of 2006, TDI's Fraud Unit successfully prosecuted 114 cases of people who got busted trying to make money through insurance fraud. Here, in no particular order, are five cases on the TDI's list of the top 10 insurance fraud offenders: 1. Walter Neuls, former Colonial Casualty Insurance Company president, along with his wife Deidra who served as vice president, schemed to defraud the company out of $750,000. The Neuls used the money to fund an elaborate lifestyle, including travel and extravagant personal purchases, resulting in the insolvency of Colonial Casualty. TDI subsequently placed the company in receivership. Both husband and wife received 120 months deferred adjudication for the offense of misapplication of fiduciary property and were ordered to pay $750,000 in restitution. 2. David Brabandt and his sister Barbara Del Aguila operated Aguila Insurance Agency in Dallas. Neither held valid licenses to sell insurance in Texas (Brabandt had never been licensed to sell insurance in Texas and Aguila's license was cancelled in 1998). They were charged in multiple indictments in April 2005 with taking payments from over 300 victims and not purchasing insurance for them. They pled guilty on Feb. 1, 2006, to two felony charges, were sentenced to two years in the Texas Department of Corrections, and were ordered to pay $183,861.29 in restitution. 3. Jack Miller Sr., a former insurance agent, used the identities of unsuspecting consumers to submit 30 fraudulent applications for life insurance to two different insurance companies. Miller's scheme enabled him to obtain $21,850.40 in advance commissions on those purported sales. Miller pled guilty in Austin to the state jail felony charge of Aggregated Theft and was sentenced to nine months in a Texas State Jail Facility. 4. An investigation into a staged accident ring in the Dallas area netted the apprehension of nine individuals. The nine were part of a ring that submitted 71 fraudulent accident claims totaling almost $600,000. Several of the claims were filed using identifying information of people without their knowledge. To date, seven of the nine have been convicted of Engaging in Organized Criminal Activity. Bobby Williams received 10 years deferred adjudication and was ordered to pay $55,021.61 in restitution; Wallace Williams received 10 years deferred adjudication and was ordered to pay restitution totaling $109,729.29; Michael Williams was sentenced to seven years in the Texas Department of Criminal Justice; Kenneth Clewis was sentenced to five years in the Texas Department of Criminal Justice, was fined $1,500 and was ordered to pay restitution in the amount of $598,431.69; Lushiul Charles Boston received 10 years probation, was fined $3,000, and was ordered to pay $89,000 in restitution; Nathaniel Williams received five years probation and was ordered to pay restitution in the amount of $59,913.20; and Brandon Williams received 10 months deferred adjudication and was fined $1,500. 5. Donn A. Bauer, using a company name of International Diagnostic Technologies, fraudulently submitted 1,371 health insurance related claims, totaling $425,682 to insurance companies for his services as a medical provider. Bauer represented himself as a licensed Doctor of Chiropractic, when, in fact, he is not. Before the scheme was detected, Bauer was able to receive approximately $344,679.87 from insurance companies. Bauer received 72 months probation for the offense of Insurance Fraud, was fined $14,000, and was ordered to pay restitution in the amount of $55,113.91.
e-News will feature the five remaining fraudsters next week.
Want to continue reading?
Become a Free PropertyCasualty360 Digital Reader
Your access to unlimited PropertyCasualty360 content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Breaking insurance news and analysis, on-site and via our newsletters and custom alerts
- Weekly Insurance Speak podcast featuring exclusive interviews with industry leaders
- Educational webcasts, white papers, and ebooks from industry thought leaders
- Critical converage of the employee benefits and financial advisory markets on our other ALM sites, BenefitsPRO and ThinkAdvisor
Already have an account? Sign In Now
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.