Insurance Fraud NEWS
Illinois sales representative indicted for insurance fraud
August 09, 2018, Springfield, IL
An Illinois man was indicted today in federal court in Boston in connection with submitting false insurance information for a high-priced cholesterol drug in 2014 and 2015.
Mark Moffett, 45, of Springfield, Ill., was indicted on one count of conspiring to commit wire fraud, three counts of wire fraud, and one count of aggravated identity theft. Moffett was arrested on a criminal complaint in June and is currently on release on conditions. He is scheduled to appear in federal court in Boston on Aug. 28, 2018.
As alleged in the indictment, Moffett, who was a sales representative in central Illinois, conspired with others at his former employer to defraud insurance companies by providing false information concerning patients for whom doctors had prescribed his employer’s cholesterol drug. Moffett also falsified medical records purportedly signed by a doctor and then submitted them to insurance companies in order to convince patients’ health plans to cover the drug, which cost over $27,000 per month.
The conspiracy and fraud charges provide for a sentence of no greater than 20 years in prison, three years of supervised release and a fine of $250,000 or the amount of the financial loss to the victims of the fraud. The charge of aggravated identity theft carries a mandatory two-year sentence that must run consecutively to any other sentence imposed, one year of supervised release, and a fine of $250,000. Sentences are imposed by a federal district court judge based on the U.S. Sentencing Guidelines and other statutory factors.
United States Attorney Andrew E. Lelling; Harold H. Shaw, Special Agent in Charge of the Federal Bureau of Investigation, Boston Field Division; Phillip Coyne Special Agent in Charge of the U.S. Department of Health and Human Services Office of Inspector General; and Carol S. Hamilton, Acting Regional Director of the U.S. Department of Labor, Employee Benefits Security Administration, Boston Regional Office made the announcement today. Assistant U.S. Attorney Kriss Basil of Lelling’s Criminal Division is prosecuting the case.
The details contained in the indictment are allegations. The defendant is presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law.
Source: CRWE World