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Florida CFO Sink Announces 47 Suspects Arrested In Statewide Search For Insurance Fraud
28 Jan, 2008 WorkersCompensation.com
Tallahassee,
FL (CompNewsNetwork) - Florida Chief Financial Officer Alex Sink today announced 47
Floridians have been arrested so far in a statewide, three-day operation that began Tuesday
and will continue through today, targeting 84 individuals for various insurance fraud
charges. The arrests, which range from Pensacola to Miami, involve alleged fraud
schemes uncovered during months-long investigations with millions of dollars in potential
losses.
Arrests on Tuesday included a Clearwater couple accused of title
insurance fraud estimated at more than $7 million.
"Insurance fraud causes
real financial pain and hurts Florida's families, businesses and communities," said CFO
Sink, who oversees the Department of Financial Services. "Criminals need to know
that we will not tolerate insurance fraud of any kind and we will aggressively pursue those
who commit fraud on innocent Floridians."
The charges stem from
investigations by the Department of Financial Services' Division of Insurance Fraud (DIF),
a sworn statewide law enforcement agency responsible for the investigation of insurance
fraud. The DIF made more than 800 insurance fraud-related arrests in the last fiscal
year.
Arrests are taking place in numerous cities including Tallahassee,
Pensacola, Jacksonville, Ocala, Orlando, St. Petersburg, Tampa, West Palm Beach, Fort
Myers, Plantation and Miami. Charges are varied and include workers' compensation
fraud, title fraud, staging automobile accidents and grand theft. The operation is
being organized through DIF's regional offices, with charges being prosecuted by state
attorney offices in the various jurisdictions. Potential sentences could range from
five years to 30 years in prison per count.
Insurance fraud in Florida has
been estimated to cost Floridians as much as $1,400 a year. The DIF investigates
various forms of fraud in insurance, including health, life, auto, property and workers'
compensation insurance. Depending on the estimated loss amount, the department will
pay up to $25,000 for information directly leading to an arrest and conviction.
Anyone with information about this or any other suspected insurance fraud is asked to call
the department's Fraud Fighters Hotline at 1-800-378-0445 or log on to www.MyFloridaCFO.com/fraud. Complaints can
be tracked online.
Arrest Sweep Arrest List 1-22-08
Larry Zeigler, DOB 01/23/1953, Quincy, FL
Charges: Workers'
Compensation Fraud and Perjury
Synopsis: In a deposition Zeigler allegedly failed
to disclose his complete medical history regarding his knee injuries. Zeigler is now
claiming a knee injury as a result of injuries occurring at current
employer.
Bettye Bradwell, DOB 05/28/1966, Tallahassee, FL
Charges: Workers' Compensation Fraud, Perjury and Grand
Theft
Synopsis: In deposition, Bradwell allegedly failed to disclose her complete
medical history regarding her neck and back problems. Bradwell is now claiming a back
injury.
Sharmey Leo Burney, DOB 8-31-74, Tallahassee, FL
Charges:
False or fraudulent proof of motor vehicle insurance,
James Francis McClure,
DOB 07/07/1946, Tallahassee, FL
Charges: Insurance Fraud
Synopsis: The
Department of Financial Services, Division of Insurance Fraud (DIF) received a referral
from Fidelity Title Group, Inc./ Chicago Title Company alleging that Accurate Land Title,
LLC/James "Jim" Francis McClure collected $22,950.58 to pay for flood/hazard insurance
for a property in Cape San Blas, Port. St. Joe. FL. Accurate Land Title, LLC then sent the
checks to Arrigoni Insurance Agency, Inc., and the checks were returned for insufficient
funds.
Charlotte M. Cromartie, DOB 2/23/1958, Tallahassee, FL.
Charges:
Insurance Fraud
Synopsis: Investigation conducted by Blue Cross Blue Shield of Florida/
Capital Health Plan indicated that on October 29, 1998, while employed by Capital Health
Plan, Cromartie completed a CHP Enrollment Application and allegedly listed "Eubanks,
Andre M" as a son and made a handwritten note listing "Williams, Kadyja" as a daughter.
Information received by CHP indicated that Andre Eubanks and Kadyja Williams were
Cromartie's grandchildren and not her children as listed on the enrollment application.
From January 1, 2003, through July 31, 2007, Capital Health Plan paid $ 2,127.12 for
Eubanks, Andre M, medical expenses and $ 1,142.12 for Williams, Kadyja medical expenses, in
which they were not entitled to.
Luciano Mendoza, DOB 6/30/1980, Havana FL
Charges: Workers' Compensation Fraud
Jeffery Duane Harvell, DOB
10/07/1965, Pensacola, FL
Charges: Insurance Fraud, Uttering a Forged
Instrument, Forgery, Obtaining Control Substance by Fraud
Synopsis: Harvell
allegedly used another person's insurance information to receive scheduled II
prescriptions (Oxycontin).
Deborah Stefan, DOB 11/01/1954, Summerfield, FL
Charges: Insurance Fraud
Synopsis: Stefan allegedly
submitted a disability claim form to the carrier that had altered disability dates.
The doctor verified that his office did not complete, sign or alter the disability
form.
Randall Lane, DOB 01/03/1969, Jacksonville, FL
Charges: Workers' Compensation Fraud and Perjury
Synopsis:
Lane reported a work-related injury to his employer on May 11, 2006, and during his
deposition on February 27, 2007. At that time, Lane reported he injured his left leg, groin
and lower extremities when he was struck on the left leg by a wrench thrown at him by
another employee. Claim file material and medical reports for the claim revealed a similar
accident with prior injuries (pre-existing condition left leg) reported on 01/16/1997 by
Trauma Flight Services, University Medical Center, Jacksonville, Florida. On February
27, 2007, Lane was deposed in this matter and he allegedly denied prior injury to his left
leg. Surveillance of the claimant was conducted and the claimant was observed
conducting activities in conflict of his stated medical condition.
John
Ghademi, DOB 05/05/1962, Jacksonville, FL
Charges: Workers'
Compensation Fraud, Grand Theft and Perjury
Synopsis: Ghademi pursued a workers'
compensation claim against his employer, The Haskell Company, that allegedly occurred on
August 6, 2004. He claimed severe injuries and disabilities to his doctors and in his
deposition. Surveillance starkly revealed no disability. Ghademi's treating doctor
signed a statement that the presentation on film of Ghademi versus in his office was
grossly different.
Delphine Blue, DOB 07/27/1953, Jacksonville, FL
Charges: Workers' Compensation Fraud and Perjury
Synopsis: On
December 4, 2004, Delphine Blue, store manager of the McDonalds in Jacksonville, alleged
that she struck her foot on the cap to a drain, which was in the middle of the floor while
she worked. Ms. Blue received long term disability, which was terminated in late
2006. On October 20, 2006, Ms. Blue contacted her employer and filed a workers'
compensation claim with Florida Hospitality Mutual Insurance Company. On February 26,
2007, Ms. Blue's deposition was taken and she denied any prior problems with her feet.
Medical records were obtained from the Podiatry Associates of Northeast Florida Inc, which
revealed that Ms. Blue was treated at various times between March 17, 1998, and December
20, 2004, for calluses and bunions on both her feet.
Yacop Mnierji, DOB
07/07/1965, Orlando, FL
Charges: 1 count Insurance Fraud and 1 count
Grand Theft
Synopsis: Subject owns a body shop and allegedly put more damage on
vehicles for larger claim.
Stephen Watts, DOB 09/05/1956, Orlando,
FL
Charges: 1 Count Scheme to Defraud
Synopsis:
Allegedly misrepresented sale of insurance policies and annuities
Antonio
Streeter, DOB 12-3-73, Orlando, FL
Charges: 2 Counts Grand
Theft
Synopsis: Allegedly collected twice from insurance company for same
vehicle damage.
Christopher Millsap, DOB 6-15-61, Orlando,
FL
Charges: 4 Counts Grand Theft
Synopsis: Subject is an insurance agent.
He allegedly collected premiums from victims and then pocketed the money; no coverage ever
issued for victims.
Jarrell L. Britts, DOB 8-18-1952, Clearwater Beach,
FL
Katherine J Britts, DOB 9-2-1960, Clearwater Beach, FL
Charges:
Defalcation of Escrow Funds over $100,000, Conspiracy, Money Laundering
Synopsis:
Title Fraud - theft of Escrow Funds. The Britts allegedly stole $2,553,302.65 from
their company's escrow funds and then made false entries to mask these thefts. They
allegedly then stole $3,177,030.92, via fraudulent representation of their manipulated
books, to buyers of his business. Following the sale of their business, Jarrell Britts
continued to act as general manager for the purchasers of this new entity. While in this
capacity, Britts allegedly stole another $2,087,086.38 from the purchasers of this
business.
Earl Craig Mintzer, DOB 11/21/55, Lutz, FL
Charges:
Insurance fraud, grand theft.
Synopsis: Mintzer failed to remove his ex-wife as an
eligible dependant from his Blue Cross Blue Shield medical policy and allegedly provided
false information concerning his ex-wife's status resulting in more than $1,900 in claims
payments during the period of 5/22/03 and 6/24/05.
Essie Malone
Fields, DOB 07-17-47, Delray Beach, FL
Charges: Insurance
Fraud
Synopsis: On August 2, 2007, at the Palm Beach South County Tax Collector's
Office located in Delray Beach, , Fields allegedly presented a false or fraudulent
insurance card as proof of insurance required to register or renew the registration of a
motor vehicle. Fields was denied registration based on the fraudulent insurance
card.
Subsequently, on August 17, 2007, Fields appeared at the Palm Beach South
County Tax Collector's Office and allegedly presented a false or fraudulent insurance
verification letter.
Marc Rene, DOB 1/12/1979, Boynton Beach,
FL
Charges: Insurance Fraud (Staged Accident)
Synopsis: Rene allegedly
was involved in a staged traffic to help another friend (driver of V-2) who was having
vehicle problems and wanted to dispose of his Lexus.
Jean Berrette, DOB 10/31/1979, Boynton Beach, FL
Charges: Insurance Fraud
(Staged Accident)
Synopsis: Berrette allegedly was involved in a staged traffic
crash along with his friend Marc Rene. Berette allegedly was the driver of a U-Haul
vehicle and set up the crash to help another friend (driver of V-2) who was having vehicle
problems and wanted to dispose of his Lexus.
Stephanie Lefes, DOB 04/21/1953,
Palm Beach, FL
Charges: Insurance Fraud (1st degree Felony), Grand
Theft (1st Degree Felony)
Synopsis: Investigation found that Lefes allegedly has
collected disability insurance payments from a CIGNA LTD policy since 1987, despite having
obtained a real estate brokers license and owning her own business. On 10/11/2006,
the subject signed and completed a supplementary claim disability benefits application
containing a Fraud Warning regarding misrepresentations. On 04/30/2007, the subject
signed and completed a disability questionnaire which contained the Fraud Warning as
well. She allegedly made misrepresentations relating to her working and owning a
business. CIGNA, paid Lefes $125,905.51 as a result of these alleged
misrepresentations.
John Picano, DOB 04/17/1948, Port St. Lucie,
FL
Charges: Fraudulent Proof of Vehicle Insurance, Application
Fraud
Synopsis: Allegedly presented false certificate of commercial vehicle
liability coverage to St. Lucie County Tax Collector and made material misrepresentations
concerning for-hire use on vehicle insurance application.
Juan Reyes, DOB
09/29/1961, Okeechobee, FL
Charges: Fraudulent Insurance
Claim
Synopsis: Allegedly submitted fraudulent written and oral statements in
support of a homeowners' claim on behalf of Ligia Hunt for additional living expenses,
stating she was renting from him when such was not the case.
Ligia Hunt, DOB
12/25/1975, Okeechobee, FL
Charges: Fraudulent Insurance Claim, Grand Theft over
$100,000
Synopsis: Allegedly submitted fraudulent written and oral statements in
support of a homeowners' claim for damaged personal property and additional living
expenses, resulting from a fire at the property she was renting to
tenants.
Albert Zamek, DOB 08/29/1961, Palm Beach Gardens,
FL
Charges: Insurance Fraud
Synopsis: Zamek allegedly billed for
medical services not rendered in St Lucie County. Zamek treated a patient on April
26, 2005, and continued to bill her insurance company for an additional four (4) visits
over a six (6) month period for services and visits that never happened.
Lorna Cummings, DOB 07/29/1952, Ft. Lauderdale,
FL
Charges: Organized scheme to defraud, Solicitation
Synopsis:
Cummings, a former nurse at Broward General and Plantation General hospitals, allegedly
obtained and sold auto vehicle accident patient information.
Mariela Valdez
Lopez, DOB 10/20/84, Cape Coral, FL
Charge: Passenger in a staged
accident.
Roger Garcia, DOB 1/15/77, Lehigh Acres, FL
Charges: Working
without workers' compensation coverage
William Wheeler, DOB 1/18/60, Pompano,
FL
Charge: Presenting a fraudulent certificate of commercial liability
insurance.
Johnny Rodriguez, DOB 1/23/90, Miami, FL
Charges:
Racketeering, Insurance Fraud, Grand Theft
Synopsis: Auto accident on March 22, 2007,
in which defendant Rodriguez was a passenger, was allegedly staged. As a result of
this staged accident and the defendant's actions, personal injury claims were filed by MTG
diagnostics and T&A diagnostics, both located in Dade County, for alleged medical
treatment.
Latronida Alford, DOB 4/22/78, Ft. Pierce, FL
Charges: 3 counts of workers' compensation fraud F.S.S. 440.105 (4)(b)
1,2,3. 1 count grand theft F.S.S. 812.014
Synopsis: Alford was allegedly working while
collecting indemnity benefits from First Commercial Insurance Corp.
Santiago
Andrade, DOB 11/22/1979, Ft. Pierce, FL
Charges: Scheme to
defraud
Synopsis: Andrade was working at R & F Roofing in Vero Beach and
suffered a work-related injury. Andrade allegedly used a false social security number
to gain employment and medical benefits.
Franklin Lainez,
DOB 06/17/1975, Miami, FL
Charges: Working without workers'
compensation coverage.
Albert Lee Perry, DOB 11/30/1946, Miami,
FL
Charges: Working without workers' compensation coverage.
Luis
Carlos Diaz, DOB April 25, 1964, Miami, FL
Charges: Workers' Compensation
Insurance Fraud
Synopsis: Diaz was injured in a work-related accident. Diaz
allegedly denied prior accident and injuries in IME.
Elpidio Matos, DOB
02/28/1957, Miami, FL
Charges: Workers' Compensation Insurance
Fraud
Synopsis: Matos was injured in a work-related accident. Matos
allegedly denied prior accident and injuries.
Lisa Lentz, DOB 4/7/1959,
Coconut Creek, FL
Charges: Grand Theft, Criminal Enforcement
Synopsis:
Revoked agent allegedly still operating and stealing premium.
Vinson Duca, DOB
6/27/1946, Oakland Park, FL
Charges: Application
Fraud
Synopsis: Subject allegedly falsified application, habitual insurance
claimant.
Robert Siravo, Jr., DOB 4-13-60, Deerfield Beach,
FL
Charges: Grand Theft
Synopsis: Siravo, of Land
& Sea Brokers Inc., 835 NE 42nd St, Deerfield Beach, allegedly submitted altered
receipts to an insurance company for repairs on a vehicle. Investigation determined
receipts had been inflated.
Michael Arzillo, DOB 02/27/1947, Cooper City,
FL
Charges: Insurance Fraud
Synopsis: Arzillo indicated that he was the
driver of a vehicle that was rear ended in an accident. The vehicle was really driven
by his son, Michael Arzillo Jr., who called his father to the scene after the
accident. Arzillo Sr. then allegedly exchanged insurance information with the other
driver and then allegedly treated for injuries he claimed he suffered as a result of being
involved in the accident.
Emma Yasset Milian, DOB 4/7/1977, Miami, FL
Charges: Application Fraud
Synopsis: Milian allegedly forged
signature on an application for health insurance.
Allen Muñiz, DOB 5/14/1958,
address unknown
Charges: Organized Fraud, Uttering Forged
Instruments
Synopsis: Muniz, a managing agent, received commission checks for his
agents and failed to forward to them. Instead, he allegedly signed another name and
endorsed checks as if they signed it over to him. He allegedly deposited checks into
his account.
Guy Weston, DOB 10/14/78, Belle Glade, FL
Charges:
Insurance Fraud
Synopsis: Weston had no auto insurance, got into accident and allegedly
obtained an auto policy after the fact, then claimed accident after policy in
place.
Jose Santoyo, DOB 5/21/1984, Belle Glade,
FL
Charges: Insurance Fraud
Synopsis: Agent who insured Guy Weston's vehicle
without inspecting it and allegedly falsified document to indicate he did see
it.
Brian Lowe, DOB 05/27/1970, Orange Park, FL
Charges:
Workers' Compensation Fraud
Synopsis: On July 11, 2006, Brian Lowe filed a
workers' compensation claim with FCCI for a lower back injury. Investigation revealed that
Lowe allegedly lied about having a prior workers' compensation back
injury.
David J. Long, DOB 12/13/1961, Niceville, FL
Charges:
Working in Violation of Stop-Work Order
Synopsis: On January 26, 2006, Long was
issued a Stop-Work Order for failure to have workers' compensation coverage for employees.
On February 01, 2006, long was served an Amended Order of Penalty Assessment in the amount
of $26,402.57. On March 01, 2006, Long entered into a Payment Agreement
Schedule for Periodic Payment of Penalty. On May 18, 2006, Long formed another
corporation then received workers' compensation exemptions under this corporation. On May
24, 2007, an Order Reinstating Stop-Work Order was provided via certified mail to Long for
non-compliance with the March 01, 2006, agreement. On June 15, 2007, the Stop-Work
Order was reinstated. On October 08, 2007, David J. Long and another subject were
observed working on a new home that was under construction. Long was issued an Order
Assessing Penalty for working in violation of the Stop-Work Order in the amount of
$115,000.
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