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Coalition Against Insurance Fraud

California woman makes multiple claims for same injuries

August 21, 2019, Oxnard, CA — District Attorney Gregory D. Totten announced today that Ernestina Rodriguez (DOB 2/27/1963), of Oxnard, was placed on formal probation for a period of 36 months after having pled guilty to a felony violation oflnsurance Code section 1871.4(a)(l), making a false or fraudulent statement of a material fact for the purpose of obtaining workers' compensation benefits. She had previously made restitution in full to the victim, Zenith Insurance Company, in the amount of $9,333.50 and will serve 150 days in the Ventura County jail as a condition of probation.

Rodriguez was employed as a field worker in Oxnard and filed a workers' compensation claim for injuries to her back, neck, and knees on February 14, 2015. She was placed off work and began receiving medical treatment and temporary total disability benefits provided by Zenith Insurance. During the time she received treatment, she denied to her treating physicians, a Qualified Medical Examiner, and at a deposition that she had ever filed any prior workers' compensation claims involving the same body parts as she was claiming in February 2015. In fact, the defendant had filed and settled two prior workers' compensation claims for the same body parts in 2002 and 2010. Her material misrepresentations affected the way her claim was apportioned and caused Zenith Insurance to pay her $9,333.50 in benefits that she was not entitled to receive.

Workers' compensation insurance fraud is not a victimless crime. Fraudulent claims increase insurance rates for businesses. Our office will vigorously prosecute dishonest employees who make fraudulent claims, as well as unscrupulous business owners who fail to provide insurance coverage for their employees.

Source: Ventura County District Attorney

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