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May 2010
*Special note for NY
insurance brokers and agents*
Brokers & agents
are required to earn 15 Continuing Education Credits every 2 years in
order to maintain their license in NY. Harry P. Mirijanian, President
Applied Risk, has developed a new 8 credit course for St. John’s
University. This new class, “Risk Control Organizational Impact”
will be presented for the first time on September 23, 2010 at St.
Johns downtown campus (Murray Street).
If you are interested
in attending, contact St. Johns Admission office at 212-277-5161.
Insurance Broker
Sentenced To 10 Years In Prison For Grand Theft And Insurance Fraud
By Taking $4.6 Million In Premiums
SANTA ANA - An
insurance broker pleaded guilty yesterday to a court offer of 10
years in state prison for grand theft and insurance fraud by taking
$4.6 million in premiums and issuing false certificates of insurance
to four companies. Mitchell Basil Zogob, 51, San Juan Capistrano,
pleaded guilty April 5, 2010, to five felony counts of grand theft by
embezzlement, five felony counts of insurance fraud, five felony
counts of transacting as an insurance business without a certificate
of authority, four felony counts of forgery, three felony counts of
tax fraud, one felony count of premium fraud, and sentencing
enhancement allegations for aggravated white collar crime over
$500,000 and the taking of over $2.5 million.
"These types of
fraud are especially egregious because it leaves companies who are
buying insurance for their workers and their employees unprotected.
It hurts legitimately injured workers from receiving the benefit they
deserve. Any defendant fraudulently collecting millions of dollars to
support their fancy lifestyle deserves to go to prison," said
Insurance Commissioner Steve Poizner.
Between January 2002
and April 2004, Zogob worked as an insurance broker and operated two
businesses, Professional Employers Assurance Group (PEAG) and Program
Administrators, Inc., out of a Newport Beach office on Birch Street.
He was a licensed broker for over 20 years but did not renew his
license in October 2002.
Between January 2002
and February 2003, the defendant sold workers' compensation insurance
policies to MicroSource Management and Joint Employers Group. These
companies outsource the management of payroll, workers' compensation,
human resources and employee benefits to other companies. Zogob
collected the premium from MicroSource Management, who had 60 client
companies and 16,000 employees, and issued a forged certificate of
insurance. Zogob collected the premium from Joint Employers Group,
who had over 75 payroll companies and 3,500 employees, and issued a
forged certificate of insurance. The defendant kept the money for
himself and spent it on his extravagant lifestyle.
The defendant also sold
workers' compensation insurance to two payroll companies, Media
Services Inc. and Olympic Partners/C.A.P.S. who provide services to
the entertainment industry and covered over 60,000 employees. Zogob
fraudulently used AIG/Granite State, Hartford, Regency, and
Transglobal Indemnity Ltd., as insurance carriers on the forged
certificates. Hartford, although a valid policy, was an extended
coverage from a Texas business' personal office insurance policy
which the defendant used to issue bogus certificates of insurance.
Regency and Transglobal Indemnity Ltd. are alleged off-shore
companies whose status could not be verified and are not authorized
to write insurance policies in California. Zogob had received
insurance from AIG/Granite State for PEAG and fraudulently used that
insurance carrier name and certificate number to issue MicroSource
Management certificates of insurance.
Between January 2003
and January 2004, Zogob did business with Kellogg & Associates.
He sold the company workers' compensation insurance but failed to
provide a valid certificate of insurance.
The workers'
compensation insurance claims filed by individual employees and paid
out by the victimized companies is still under review and the amount
is yet to be determined.
From April 2001 to
April 2003, Zogob willfully failed to file a tax return and presently
owes the Franchise Tax Board over $122,000.
Source
www.insurance.ca.gov
US Labor
Department's OSHA proposes $130,800 in fines for Yonkers, NY,
woodwork manufacturer for fire, chemical and amputation hazards
TARRYTOWN, N.Y. - The
U.S. Department of Labor's Occupational Safety and Health
Administration has cited H&H Woodworking Inc., a Yonkers, N.Y.,
manufacturer of custom architectural woodwork, for 26 alleged willful
and serious violations of safety and health standards after an
employee sustained a partial hand amputation on an unguarded radial
arm saw. The company faces a total of $130,800 in proposed fines.
"Our inspection
found that the blades on this and other saws lacked the guarding
designed to prevent just this type of accident," said Diana
Cortez, OSHA's area director in Tarrytown. "In addition, we
identified a range of mechanical, chemical and fire hazards that, if
uncorrected, expose employees to the dangers of flash fires, eye
injury, hazardous substances and an inability to exit the workplace
swiftly in the event of a fire or other emergency."
The unguarded saw
blades resulted in OSHA issuing the company two willful citations
with $84,000 in proposed fines. OSHA defines a willful violation as
one committed with plain indifference to or intentional disregard for
employee safety and health.
The inspection also
identified potential fire hazards including the accumulation of
combustible wood dust; a failure to ground and bond segments of the
plant's dust collection system; unbonded containers of flammable
liquids; combustible residue accumulation on surfaces of spray
booths; and no training in fire extinguisher use. Other hazards
included a locked exit door; obstructed exit route; untrained
forklift operators; no lockout-tagout program for energy sources;
respirator deficiencies; no chemical hazard communication program;
allowing workers to consume food in areas where hazardous chemicals
are used; a lack of quick drenching facilities for workers exposed to
corrosive liquids; and insufficient protective measures for employees
working with methylene chloride. These conditions resulted in the
issuance of 24 serious citations, with $46,800 in fines. OSHA issues
serious citations when death or serious physical harm is likely to
result from hazards about which the employer knew or should have
known.
"One means of
preventing recurring hazards is for employers to establish effective
comprehensive workplace safety and health programs that involve their
workers in proactively evaluating, identifying and eliminating those
hazards," said Robert Kulick, OSHA's regional administrator in
New York.
Source:
www.osha.gov
US Labor
Department's OSHA fines Lowe's Home Center $110,000 for continual
record keeping violations at Cincinnati and Dayton stores
CINCINNATI. - The U.S.
Department of Labor's Occupational Safety and Health Administration
has cited Lowe's Home Centers Inc. in Cincinnati and Dayton, Ohio,
with $110,000 in proposed penalties for continually failing to
document and report employee injuries and illnesses.
As a result of an
October 2009 inspection in Cincinnati, OSHA issued Lowe's four
willful citations with a proposed penalty of $40,000. Based on a
November 2009 inspection, OSHA issued the Dayton store seven willful
citations with a proposed penalty of $70,000. A willful violation is
one committed with intentional, knowing or voluntary disregard for
the law's requirement, or plain indifference to employee safety and
health.
OSHA requires employers
to record and maintain occupational injuries and illnesses on the
OSHA 300 log.
"Accurate injury
and illness records are vital to protect workers' health and safety,"
said OSHA Area Director Richard Gilgrist in Cincinnati. "Accurate
records are an important tool that employers and workers can use to
identify hazards in the workplace, and they also enable OSHA to
better target its resources."
The company has 15
business days from receipt of its citations and penalties to comply,
request an informal conference with OSHA's area director or contest
the findings before the independent Occupational Safety and Health
Review Commission.
Source:
www.osha.gov
Tioga County
Contractor Accused of Insurance Fraud
A Tioga County
contractor was arrested Tuesday after investigators discovered that
he inflated an insurance claim in connection with damages resulting
from a faulty plumbing fixture, the New York State Insurance
Department reported.
State police at Owego
arrested Joseph Watson, 70, of Owego, after an investigation by the
Insurance Department’s Frauds Bureau.
Investigators said
Watson filed a $7,800 claim with Chartis Insurance Company after he
installed a faucet that proved to be defective and caused water
damage to a house he was working on. He later admitted to
investigators that the actual damages amounted to just $1,000.
Chartis insures the manufacturer of the faucet.
Watson was charged with
third degree insurance fraud. A hearing will be scheduled in Town of
Owego Court.
Source:
www.ins.state.ny.us
Workers' Comp Case
Leads to Identity Theft, Fraud Charges
A Kingston woman whose
former employer noticed her working at a fast food restaurant in the
Town of Ulster while she was collecting workers' compensation
benefits for an injured back was arrested Wednesday.
Erika Bravo, 35, of St.
James Street, is accused of fraudulently accepting $34,900 in
benefits over a two-year period. She was arrested after a joint
investigation by the New York State Insurance Department's Frauds
Bureau and the Town of Ulster Police Department. She is being held
without bail pending a May 11 hearing on an unrelated immigration
investigation.
Bravo started
collecting the benefits after hurting her back while employed as a
housekeeper at a senior citizens residence in August 2007. However,
she accepted the benefits while continuing to work at what had been
her second job at a fast food restaurant.
She testified at a
workers' compensation hearing in 2008 that she was no longer working.
However, some time after the hearing, her former employer at the
senior citizen residence noticed her working in another area fast
food restaurant. The employer contacted investigators who discovered
that Bravo had gained employment at the restaurant using the name of
a distant relative, as well as a fictitious address and Social
Security number.
Bravo faces charges of
perjury, insurance fraud, identity theft and workers' compensation
fraud. She could be sentenced to up to seven years in prison if she
is convicted. A hearing will be held in Ulster County Court.
Source:
www.ins.state.ny.us
Insurance
Commissioner Poizner Announces Street Race Video on YouTube Leads to
Arrest of Diamond Bar Siblings for Alleged Auto Fraud
Brother, Sister Submit
Claim For Nissan GT-R ‘Supercar’ Accident Found on Video Sharing
Site
California Insurance
Commissioner Steve Poizner announced today that on Friday, March 5,
Jay Xi Chen, 21, and his sister, Tracy Chen Chen, 29, both of Diamond
Bar, were arrested at their residence on felony auto insurance fraud
charges for filing an allegedly false insurance claim surrounding
damage done to a Nissan GT-R supercar. Jay was charged with six
counts; Tracy was charged with one.
"We are all
victims of auto insurance fraud by paying for our fellow consumers'
false claims," said Commissioner Poizner. "This case also
highlights the diligence and creativity with which we will pursue
allegedly fraudulent claims."
A four-month
investigation revealed that Jay reported to Farmers Insurance
Exchange that his sister had been driving the GT-R when it was
involved in a collision on Interstate 10 on March 16, 2009. Tracy
corroborated this story. Jay later withdrew this claim, stating he
would pay for the repairs himself.
On June 2, 2009, Jay
reported another claim with the same vehicle, stating that this time
he crashed the auto while driving on Highway 60 in Riverside County.
However, ICC Collision
Center reported that it had Jay's unrepaired Nissan GT-R in its shop
since March 2009.
Furthermore, a video
found on YouTube (http://www.youtube.com/watch?v=MXKUd8oCKSQ)
showed a Nissan GT-R being driven on Glendora Mountain Road during
what appears to be a street race. The supercar crashed into a wall.
Detailed inspection of the video showed the GT-R has the same damage
as the one in Jay's claim. The potential loss of this claim was
$76,000.
The criminal charges
were filed against the Chens by the San Bernardino County District
Attorney's Office, which is prosecuting the case. Each count could
result in a penalty of up to five years in prison and/or $10,000 in
fines if convicted.
Source www.insurance.ca.gov
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