Thursday, April 10, 2008

Spencer County Man Must Repay Health Insurance Benefits

From Kentucky Office of Insurance
Contact: Ronda Sloan
502-564-6098
502-330-1804 (cell)

NEWS RELEASE

SPENCER COUNTY MAN LIES ON INSURANCE APPLICATION
Must repay company for all claims paid on his behalf



FRANKFORT, Ky. (March 31, 2008) – A Spencer County man must repay $9,718.66 in health insurance benefits he received after lying on the application. The case was investigated by the Kentucky Office of Insurance (KOI) Fraud Investigation Division.


Douglas Richardson, 37, of Taylorsville, admitted that he lied on a health insurance application with Anthem Blue Cross Blue Shield, stating that he didn’t have any significant health problems when he actually had several specific medical conditions. Anthem paid claims based on this fraudulent information.


He pleaded guilty to one felony count of insurance fraud and will be supervised for five years through a pretrial diversion agreement in Jefferson Circuit Court. Richardson was ordered to make restitution to Anthem for the claims paid on his behalf. In addition, he must pay a fine of $918.40 to KOI for investigative expenses. He waived his right to request that the record be expunged of this charge.


KOI is an agency of the Department of Public Protection in the Environmental and Public Protection Cabinet.



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Joyce Pinson and Charlie Pinson are Kentucky health insurance agents. For information about Triple B Insurance and KY health insurance quotes visit Triple B Insurance staff page.

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