New York Woman Sentenced To Federal Prison For Making Fraudulent Health Care Claims

Hartford, CT (WorkersCompensation.com) - David B. Fein, United States Attorney for the District of Connecticut, today announced that HALINA MIELCZAREK, 47, of Queens, N.Y., was sentenced yesterday by United States District Judge Robert N. Chatigny in Hartford to five months of imprisonment, five months of home confinement with electronic monitoring, and three years of supervised release, for making thousands of dollars in false medical claims.

According to court documents and statements made in court, MIELCZAREK was employed by the United Nations Federal Credit Union (UNFCU) as an investment accountant. UNFCU self-insures its employees, but uses Connecticut-based Aetna to administer its insurance claims. Between 2009 and 2011, MIELCZAREK submitted approximately 157 medical claims for services rendered in 2009 and 2010.

owever, 145 of those claims were fictitious, and she received approximately $87,000 for medical expenses that she and her family members never occurred. When asked to provide documentation justifying her claims, MIELCZAREK altered checks and other documents used to make other non-medical payments and submitted the fraudulent records to Aetna.

MIELCZAREK was ordered to pay restitution of $87,000.

On June 28, 2012, MIELCZAREK pleaded guilty to one count of receipt of stolen property.

This matter was investigated by the United States Postal Inspection Service. The case was prosecuted by Assistant United States Attorney Liam Brennan and Department of Justice Trial Attorney Justin Goodyear of the Criminal Division's Fraud Section.

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