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Floridians awarded for tips leading to insurance fraud arrests

ALLAHASSEE, Fla. — Florida Chief Financial Officer Jeff Atwater today announced $25,000 in rewards for three Floridians who provided key information that led to arrests and convictions in five major insurance fraud cases.  T

These citizens helped the Florida Department of Financial Services Division of Insurance Fraud uncover almost $560,000 in fraudulent insurance billings leading to 10 arrests to date.

“These individuals had the courage to come forward and report suspected insurance fraud ultimately helping protect their fellow Floridians from this costly crime,” CFO Atwater said. “Without their assistance these fraudsters would still be on the streets, stealing your hard-earned dollars.”

The following rewards were issued:

  • $10,000 was awarded to a citizen whose report of a solicitation to participate in a staged automobile accident led to the arrest of an accident clinic owner, recruiter and massage therapist all from the same clinic.
  • $10,000 was awarded to a citizen who was able to obtain audio as well as video evidence demonstrating the daily operation of an illegal accident clinic.  The citizen provided invaluable time and effort by taking time from his job and personal life to assist fraud detectives.
  • $5,000 was awarded to a citizen who provided detectives with assistance in uncovering a scheme to intentionally destroy a vehicle and making a fraudulent insurance claim.

These cases were investigated by the Division of Insurance Fraud, the law enforcement arm of the Department of Financial Services responsible for investigating all insurance fraud in Florida.  Anyone with information about these or any other incidents of suspected insurance fraud is asked to call 1-800-378-0455. Citizens who provide tips can remain anonymous.

The Department of Financial Services to date has awarded almost $275,000 to more than 40 citizens as part of its Anti-Fraud Reward Program.  The program rewards individuals up to $25,000 for information that directly leads to an arrest and conviction in an insurance fraud scheme.

Money for nothing: couple scammed out of $13,000

By Danielle VandenBrink/The Whig-Standard

Posted 14 hours ago

Danielle VandenBrink

The Whig-Standard

It wasn’t long after Barbra Brousseau and her husband, Eric, wired more than $13,000 to purchase a used vehicle that they knew they had been duped.

Until that point, the Kingston couple had been negotiating a deal to buy a 2003 Ford Excursion from a Montreal-area woman named “Kate,” who said she was working overseas.

The ad for the vehicle — which was supposedly located in the Yukon — was posted on Kijiji, a popular classifieds website. The Brousseaus agreed to purchase it in August 2010.

Because she was out of the country, Kate said she would arrange the sale through eBay Motors, an online website used to buy and sell used vehicles in Canada. The vehicle would then be shipped to them, the seller promised.

Skeptical, the Brousseaus ran the vehicle’s identification number through their mechanic, asked around for advice on using eBay Motors and even asked their bank for input.

Everything appeared genuine.

“All of the (correspondence) looked legitimate,” Barbra Brousseau said. “The bank transferred the money, and within 30 minutes of the transfer we got an e-mail from the seller.”

Brousseau said the message “just didn’t seem right.” It contained sloppy grammar and seemed out of character for the woman with whom they had been communicating for nearly a month.

The couple said they immediately contacted eBay Motors to confirm the transaction.

They received a grim response.

“They told me, ‘You’re in trouble,’ ” Brousseau said. The seller had used a fraudulent e-mail address to mimic eBay.

The Brousseaus called police and their credit union in an attempt to freeze the transferred funds, she said. At that point, however, the bank claimed there was little that could be done.

The Brousseaus had just joined the more than 10,400 people in Canada who fell victim to mass-marketing fraud in 2010.

According to the Canadian Anti-Fraud Centre, mass-marketing fraud includes scams such as Internet fraud, telemarketing fraud and identify fraud — an area of crime that continues to cost Canadians millions of dollars each year.

Last year, the number of victims grew to more than 11,800.

When the Brousseaus were contacted by a detective at the Kingston Police Force a week later, they were told the money had been withdrawn slowly over the period of one week.

“The moment that we knew it was a fraud, at the most they had only withdrawn $600 from the account,” Brousseau said, frustrated with her bank not being able to undo the transfer or alert the seller’s financial institution of a potential fraud.

“The subsequent withdrawals happened over the next week.”

Det.-Const. Daniel Silver, the officer who investigated the Brousseaus’ case, tracked the transfer to an account holder in Montreal, who was captured on video withdrawing cash from his account.

Silver said he contacted the man, a 31-year-old immigrant from Romania, via Facebook and was able to convince him to come to Kingston to be questioned.

The man, who was eventually granted diversion in court, is not being named.

Silver said the man told police he accepted the transfer on behalf of an acquaintance — a man he knew from the Romanian community in Montreal who convinced him to start a vehicle-importing business.

Silver said the man, claiming he was a victim as well, withdrew the Brousseaus’ money to give to his partner.

He did not keep a dime, he claimed.

“He claims he didn’t know it was money obtained through a scam,” Silver said. “At best, he was very negligent and foolish.”

Silver said the “architect” of the scheme, 31-year-old Nicolaie Vladescu, was never caught.

There is a warrant for his arrest, although Silver said he believes Vladescu has fled the country.

The man who received the money was ordered to pay the Brousseaus $1,000, and was not convicted in court.

“At the end of the day, he took responsibility … and the courts agreed to go by way of diversion,” Silver said. “Typically, upon conviction in a fraud case, quite often the court will order restitution, but they are not necessarily going to order the amount that was stolen because they take into account the ability to pay.”

The Brousseaus, however, believe that was unfair.

“No one asked us … what the impact of us repaying the loan would be,” Brousseau said. “We have to repay that (money).

“It (was) frustrating that the person who was part of the fraud (had) his financial situation taken into account but the impact on our financial situation was not taken into account.”

Brousseau criticized the Crown attorney who prosecuted the case for not seeking their input and not informing them of any court dates.

“So this person will be able to travel, this person will be able to continue on with really just a $1,000 payment,” she said. “I don’t even know if he was in court. I don’t know if a lawyer showed up on his behalf or if it was done by electronic means.

“I don’t know if he was inconvenienced at all.”

Brousseau said the couple struggled to understand why the man was only ordered to pay $1,000, and suggested there might be a way to recoup the total amount over a longer period of time.

“What’s $50 a month?” she said. “It would take forever but maybe, eventually, he would get tired of paying $50 a month and pay it off.

“It’s just so frustrating that we’re still paying for nothing. Absolutely nothing.”

Brousseau said the impact of losing more than $13,000 has been difficult.

“There was certainly a level of stress,” she said. “We were upfront with the kids with what had happened and (how) we were going to be paying for something that we didn’t have (and) the extras aren’t going to be there for the next little while while we pay off this debt. Thirteen thousand dollars is not insignificant, at least, not to us.”

Silver said the Brousseaus’ case is just one example of the financial and emotional impact fraud-related crimes can have on victims.

“I always hear people say fraud is a victimless crime,” he said. “It’s not violent, but it’s not a victimless crime.

“There’s definitely a sense of violation.”

Silver said the feeling of being violated is also common in identify-theft cases.

“Someone you don’t know has your name, your date of birth, your driver’s licence number, your address, and the victims’ bank account is emptied,” Silver said.

“You feel helpless and it can be traumatic for people.”

According to Kingston Police, last year detectives investigated 438 cases. This year, there have already been more than 90 occurrences investigated.

Since June 2011, Kingston police have laid 224 fraud-related charges.

When it comes to mass marketing fraud, the Canadian Anti-Fraud Centre reports Canadians lost more than $48 million last year alone. That’s up almost $10 million from 2010, according to a report.

As a result of identify theft, the Centre reports Canadians lost more than $13 million last year, up more than $3.6 million from 2010.

The figures take into account all complaints reported to the centre, but Silver said it’s hard to get accurate figures because not all incidents are reported to police.

“A lot of people won’t report these types of crimes because they’re embarrassed,” Silver said. “It wouldn’t surprise me at all if … more than 50% of the victims are not reporting it.”

Silver gave an example of a case he’s currently working on where, based on a victim’s complaint, he traced a bank account to the alleged scammer. Silver said the account revealed several victims in the area.

“Only one other person reported it to police,” he said. “The other ones did not.”

Having been victimized, the Brousseaus said they understand that sense of embarrassment.

“You just feel ridiculous,” Brousseau said, “because we really felt that we had talked to a lot of people. You think that because you’re intelligent, you’re educated … that it won’t happen. You don’t think that there’s people out there doing that.”

Eric Brousseau agreed.

“It’s feeling foolish and embarrassed”, he said. “Do you really want to tell everybody you just blew $13,000 in getting scammed?”

The Brousseaus agreed to speak with the Whig-Standard to explain how easy it is, even for people who believe they’re being careful, to become victims of fraud.

Looking back, they say there were a number of red flags that they might have heeded.

One came at the time of the money transfer, when the vendors originally gave the Brousseaus a bank account located in Spain. Because the address on the account didn’t match the transit and account numbers, the transfer wasn’t successful. That’s when the account in Montreal was used.

Another flag was that the correspondence from eBay Motors was not coming from an eBay domain — @ebay.ca — but rather an address that had a domain — “ebay@payment-customer-support.com” — made to appear legitimate.

“We’re a little bit more cautious, a little bit more diligent and, certainly online, any purchases are with an established company,” Barbra Brousseau said. “(We’re) doing a lot more face-to-face negotiation as opposed to e-mail negotiation.”

Although Silver said he sees people becoming more aware of existing scams, many people are still susceptible.

“If someone hasn’t been the victim of a crime before … they may just take it for granted that people are above board,” he said. “There are, unfortunately, bad guys that are going to take advantage of that naivete.”

He said people should be skeptical when making online purchases or meeting anyone online who requests money.

“If you’re sending money to someone you don’t know, there’s obviously a risk there,” he said. “My advice is you need a healthy dose of skepticism, you need to question everything you see.

“If you’re going to accept everything at face value, you will be taken advantage of at some point. It’s inevitable.”

Silver said websites such as Kijiji and eBay have areas on their website that inform users about scams, and some websites even have a verification process to deter fraudsters.

Money transfer services, such as Western Union, make it difficult to trace money sent to criminals because often they only need a code to claim funds.

Silver urges people using the Internet to purchase goods to assess the value of each item. If it’s being sold for much less than it’s worth it should be avoided, he said.

Because of the nature of online scams, Silver said there are barriers to securing a conviction in court. This is especially true when money is sent overseas, he said.

“If the money is going overseas or anywhere outside of Canada it’s virtually impossible to identify the suspects and certainly next to impossible to prosecute them,” he said.

Although there may have been thousands of dollars stolen, Silver said it’s often not worth going beyond Canada’s border.

“Realistically, we’re not going to be extraditing people for that, even if we can identify the person,” he said.

For scams that occur outside of Ontario, however, Silver said there are changes that need to take place to make it easier to secure a conviction.

“Unfortunately, our justice system is set up that when it comes to getting production orders, search warrants, etc., it’s different for each province and it’s a lot harder to get one for another province.

“That’s not to say it’s impossible, but it does have its challenges.”

Even if a change is laid, he said prosecutors often won’t pay to have the accused brought to Ontario. This is also true for transporting witnesses who live outside of the province.

“So you hope that the person’s going to plead guilty, or something along those lines,” Silver said.

Silver said he’d like to see the process streamlined, making court orders valid across the country.

“Why wouldn’t it be?” he said. “It’s still the Criminal Code, which is federal and applies to all of Canada.”

Silver referred to the United Kingdom, where a database for fraudulent activity has been created. The database includes information from police, financial institutions, health-care institutions, insurance companies and others who track fraud when it occurs.

This makes it easier for police to track suspicious activity, and ultimately bring a stronger case to court, Silver said.

“By comparison, we’re playing blind man’s bluff in the dark,” he said. “They’re operating with the lights on.”

In regards to privacy, Silver said a database would still protect people’s rights because police would still require a warrant from the courts. In the case of the UK, he said, the database has allowed police to identify networks of organized criminals.

“My understanding is they’re starting to spread that system throughout Europe and eventually there will be a European-wide network,” he said. “We need one for North America. There’s no way around it.”

As technology evolves, Silver said, so do scams and fraud.

This includes the growing use of prepaid cellphones (as opposed to land lines or cellphones on contract), and voice over Internet protocol, which allows users to place long-distance — and often untraceable — calls over the Internet.

“Internet cellphone technology is practically the wild west,” Silver said. “It is very difficult to track these criminals down by way of the phones that they’re using.”

The use of technology is especially hitting seniors hard, he said, as many fraudsters are targeting the elderly.

Because of this, Kingston Police have assigned a detective to investigate elder abuse, which often involves scams and embezzlement, he said.

Silver encourages residents to report fraud and attempts to defraud to the Canadian Anti-Fraud Centre, which compiles data that can be used to identify activity across the country, and can be used to alert the public to ongoing schemes.

The centre can be contacted at 1-888-495-8501 or by e-mail at info@antifraudcentre.ca.

danielle.vandenbrink@sunmedia.ca

BMO Offers Tips for Small Businesses to Protect Against Fraud

March is Fraud Prevention Month – Fraud is a direct threat to the financial well-being of businesses, costing millions of dollars each year – BMO Bank of Montreal offers eight tips to strengthen defences against internet fraudsters

TORONTO, ONTARIO, Mar 26, 2012 (MARKETWIRE via COMTEX) — In recognition of Fraud Prevention Month, BMO Financial Group advises Canadian business owners on actions they can take year-round to ensure that they are protected from data breaches and other forms of online fraud.

“The online space offers some of the most valuable tools to run a small business from marketing to day to day communications with vendors, customer communications and e-commerce. Yet the risk of online fraud and breaches of data security is very real,” said Cathy Pin, Vice President, Commercial Banking, BMO Bank of Montreal.

According to the Government of Canada’s Anti-Fraud Centre, every year over 16,000 people are identified as victims of fraud, accounting for an estimated $54 million in losses. Internet scams, virtually unheard of a decade ago, now cost millions in fraud each year. The Government of Canada estimates these types of incidents of fraud have risen 77 per cent since 2005.

As data security breaches become an increasing concern for businesses and consumers, governments around the world are tightening their fraud regulations. The Canadian government has recently proposed legislation that would require mandatory reporting of security breaches to the Privacy Commissioner of Canada.

“Fraud is a direct threat to the success of our business customers. At BMO, we want to help business owners with precautions that they can take and provide helpful advice,” added Pin.

BMO offers the following eight tips to help business owners to minimize the occurrence of data security breaches:

        1.  Prevent Hacking: Talk to your financial institution about how to protect
            your online accounts from hackers and phishing scams. This includes
            understanding what your institution will and won't ask for by email or
            online, such as password and account information.
        2.  Limit Access to Account Data: Ensure that you have rigorous internal
            processes set up to manage functions like payroll accounts and bank
            transfers. All it takes is your account number and bank transit
            information (from the bottom of any cheque) to initiate fraudulent bank
            transfers from unauthorized sources.
        3.  Limit the Amount of Customer Data Needed for Storage: If it is not an
            essential element for doing business, do not store personal customer
            data such as Social Insurance Numbers.
        4.  Record Storage & Disposal: Your sensitive data should never just be
            thrown out with the trash - that's the number one way that fraudsters
            can gain access to restricted information and customer data.
        5.  Encrypt Your Laptop and Tablet Data; Laptops and tablets are the biggest
            data security breach points. They should be stored overnight and not
            left in cars or unattended in public spaces.
        6.  Advertise Your Security Certifications and Encryption Technologies:
            Customers want to feel secure in their e-commerce transactions. By
            identifying on your website that you have state of the art
            certifications, they will proceed with greater confidence.
        7.  Don't Use Free Email Services to Conduct Business: Web based email is
            great for your personal life, but it shouldn't be your primary channel
            for conducting business and exchanging sensitive data and customer
            information.
        8.  Check Your Bank Accounts: Regularly log-on to review your bank account
            and monitor for any discrepancies. Talk to you banker about any suspect
            charges or irregularities.

About BMO Financial Group

Established in 1817 as Bank of Montreal, BMO Financial Group is a highly-diversified North American financial services organization. With total assets of $538 billion as at January 31, 2012, and more than 47,000 employees, BMO Financial Group provides a broad range of retail banking, wealth management and investment banking products and solutions.

        Contacts:
        For media enquiries:
        Paul Cunliffe, Toronto
        416-867-3996
        paul.cunliffe@bmo.com

        Sarah Bensadoun, Montreal
        (514) 877-8224
        sarah.bensadoun@bmo.com

        Laurie Grant, Vancouver
        (604) 665-7596
        laurie.grant@bmo.com

SOURCE: BMO Financial Group and BMO Bank of Montreal

        mailto:paul.cunliffe@bmo.com
        mailto:sarah.bensadoun@bmo.com
        mailto:laurie.grant@bmo.com

Copyright 2012 Marketwire, Inc., All rights reserved.

Former financial adviser gets 18 months for fraud — Jeffrey McWhinney also a former Rotarian of the Year

By Linda Richardson

Updated 1 day ago

Jeffrey McWhinney preyed upon vulnerable senior citizens, stealing $315,000 out of greed, a judge said Monday when she sentenced the former independent insurance agent to 18 months jail.

“There is no way to sugar coat Mr. McWhinney’s actions,” Ontario Court Justice Nathalie Gregson said.

“He stole and defrauded from five of his clients over the course of five years. These clients not only trusted Mr. McWhinney, they were vulnerable senior citizens.”

Calling the breach of trust “profound,” she told the high-profile 50-year-old Sault Ste. Marie man that he must be incarcerated for his actions.

He also will be on probation for two years once he completes his jail sentence.

McWhinney pleaded guilty in June to five counts of fraud for misappropriating the funds between December 1997 and August 2002.

A former president of the Sault North Rotary Club (1991-92) and Rotarian of the Year, he was named the Chamber of Commerce’s volunteer of the year in 2008.

At a sentencing hearing in January, lawyer Peter Berlingieri said his client stole the money to keep his failing business afloat.

The situation was made worse because McWhinney used volunteering to escape his troubles and that affected the business, he said.

When she gave her decision Monday, Gregson said the accused stole out of greed to continue his ongoing lifestyle.

McWhinney continued to live in his home, to raise his children, to take trips and to maintain his business.

“There is absolutely no justification for Mr. McWhinney’s shameful behaviour,” she said.

Gregson said while McWhinney’s volunteerism is commendable, “his good deeds contributed to his criminal offences.”

McWhinney touted himself as a person who should be held in a position of trust, she said.

“His accolades suggested to others they should invest with him as he was known for his integrity and for being a good citizen who had high ethical standards.”

The victims trusted him with the investment of their money for their own financial security or for their children’s future, Gregson said.

Prosecutor Nancy Komsa had called for a three-to-five-year federal penitentiary term for what she termed a large-scale fraud.

The assistant Crown attorney pointed to numerous aggravating factors, including the amount of the loss, number of victims, the length of the dishonesty, degree of sophistication and impact on the victims.

As an alternative, if the court didn’t want to impose a penitentiary sentence, she proposed two years less a day in jail, followed by probation.

Berlingieri sought a conditional sentence of two years less a day, which would be served in the community.

He cited a number of mitigating factors, including McWhinney’s pleas of guilt, his remorse, volunteer work, positive reference letters and lack of a prior record.

When she rejected the conditional sentence, Gregson said that the need for general deterrence and denunciation is paramount given the nature of the offences.

“Incarceration is necessary to send a strong message to denounce Mr. McWhinney’s conduct and to deter others from engaging in similar conduct.”

The judge described McWhinney’s premeditation to commit the frauds, which included adjusting records and falsifying documents, as troublesome.

“He committed the same type of fraudulent offence several times, over several years, preying on senior citizens.”

His actions have had devastating consequences, which include far more than the loss of money for his victims, she said.

In impact statements, filed with the court, the victims or their family members talked about losing trust in individuals handling their financial transactions.

One woman said she and her husband had trusted McWhinney, considered him a friend and recommended his services to her brother (one of the other fraud victims).

Outside the courtroom, Komsa called the jail term a fair and just sentence, but said it doesn’t give money back to the victims.

“I think it’s a deterrent to Mr. McWhinney and others who steal from the elderly,” she said.

“Talk about elder abuse, to steal from elderly, vulnerable people who scrape and save to put money is a secure place,” Komsa said. “That’s the message that’s being sent and I think it’s a good one.”

Berlingieri said the sentence was based on case law, which had a range of 18 to 24 months for such offences, and the judge decided on the low end of the range.

McWhinney had a lot of good things going for him, but society has a heightened sensitivity to these types of crimes and courts are responding to this, he said.

When he’s on probation, McWhinney can’t assume any position involving trust concerning others finances.

Gregson also imposed a stand-alone restitution order, which can be enforced in a civil court, for repayment of money to four of the victims.

One has already been reimbursed through an insurance company.

GTA Rehabilitation Clinics, Clinic Owners and Directors Face 28 Charges Related to Submitting False Invoices to Insurers for Payment

Posted on March 12, 2012 by admin

February 23, 2012. Toronto – The Financial Services Commission of Ontario (FSCO) has charged four rehabilitation clinics and six individuals affiliated with these clinics with offences under Ontario’s Insurance Act. These clinics and individuals are alleged to have submitted false invoices to insurers as part of a staged auto accident ring.

 

On February 23, 2012, the following clinics were charged with one count each of knowingly making false or misleading statements to an auto insurer to obtain payment for goods and services provided to an insured and engaging in an unfair or deceptive act or practice:

  • McCowan Rehabilitation Clinic (1583 Ellesmere Road, Suite 104, Scarborough, Ontario)
  • Ontario Rehabilitation Clinic (3031 Markham Road, Suite 31, Scarborough, Ontario)
  • Physiotherapy Clinic (1920 Ellesmere Road, Suite 110, Scarborough, Ontario)
  • North York Health & Rehabilitation Centre (1280 Finch Avenue West, Suite 519, Toronto, Ontario)

Several individuals affiliated with these clinics were also charged with the following offences:

  • Vishnukanthan Sabapathy (four counts each of: knowingly making false or misleading statements to an auto insurer to obtain payment for goods and services provided to an insured and engaging in an unfair or deceptive act or practice pertaining to each of the four rehabilitation clinics identified above)
  • Thayalan Thamootharampillai (one count each of: failing to take reasonable care to prevent the company from making false statements to an insurer and from engaging in an unfair or deceptive act or practice)
  • Jeyakanthan Thivendran (one count each of: failing to take reasonable care to prevent the company from making false statements to an insurer and from engaging in an unfair or deceptive act or practice)
  • Sujeegah Kanagalingam (one count each of: failing to take reasonable care to prevent the company from making false statements to an insurer and from engaging in an unfair or deceptive act or practice)
  • Sipaskaran Sabaratnam (one count each of: failing to take reasonable care to prevent the company from making false statements to an insurer and from engaging in an unfair or deceptive act or practice)
  • Nishanathan Ponnuthurai (one count each of: failing to take reasonable care to prevent the company from making false statements to an insurer and from engaging in an unfair or deceptive act or practice).

The Toronto Police Service has also laid criminal charges in relation to these matters.

FSCO investigates allegations of misconduct, unfair practices and non-compliance with legislation or regulations in its regulated sectors. When warranted, FSCO takes enforcement action.

FSCO is an agency of the Ministry of Finance established under the Financial Services Commission of Ontario Act, 1997. It regulates insurance, pension plans, loan and trust companies, credit unions and caisses populaires, co-operative corporations and mortgage brokerages and administrators in Ontario.

QUOTES

“Auto insurance fraud and accident benefit abuses cost all drivers. Fraudsters’ schemes take money out of the pockets of consumers by driving up auto insurance premiums. Today’s actions should send a strong message that fraud will not be tolerated.” – Philip Howell, CEO and Superintendent of FSCO

QUICK FACTS

  • Auto insurance fraud has become a major financial problem for both insurance companies and consumers. Every time an insurance company pays a fraudulent claim, it increases its cost of doing business, which in turn is reflected in higher premiums.
  • The Government of Ontario has established an Auto Insurance Anti-Fraud Task Force to determine the scope of auto insurance fraud in the province and to make recommendations on detection, investigation, enforcement and consumer education.
  • As of February 1, 2011, all Ontario health care facilities or providers were required to transmit auto insurance claim forms to insurers through Health Claims for Auto Insurance (HCAI). FSCO is working with the Task Force to investigate how HCAI could be used to detect and prevent fraud.
  • Insurers have rights and responsibilities under the Statutory Accident Benefits Schedule (SABS) to challenge questionable or abusive claims, including verifying invoices and expenses.

Source: http://www.fsco.gov.on.ca

Task Force Tackles Auto Insurance Fraud: McGuinty Government Reducing Costs and Making Roads Safer

December 2, 2011. Ontario is cracking down on auto insurance fraud to reduce insurance premiums, make roads safer and ensure people who are hurt in car accidents receive the treatment they need.

 

In an Interim Report delivered today, the Auto Insurance Anti-Fraud Task Force recommends preliminary measures to reduce fraud in prevention, detection, investigation and enforcement, as well as regulatory practices and consumer education. In addition, the report identifies several major issues that the task force will examine in the coming months, including:

  • the licensing and/or regulation of health clinics, and other possible gaps in regulation;
  • the establishment of a dedicated fraud investigation unit;
  • the development of a consumer engagement and education strategy; and
  • the creation of a single web portal for Ontario auto insurance claimants.

Announced in the 2011 Ontario Budget, the task force builds on a series of recent government initiatives to help address auto insurance fraud. These include:

  • implementing a package of auto insurance reforms in September 2010 to stabilize rates and crack down on fraud;
  • using the Health Claims for Auto Insurance database to detect potentially fraudulent activity; and
  • introducing new rules to ensure that treatments are provided to patients as invoiced.

The government is working to ensure auto insurance rates are affordable and that coverage provides Ontarians with the best possible protection.

Under the McGuinty government, auto insurance rates have risen at a slower pace than inflation, and Ontario’s accident benefits remain the most generous in Canada when compared to other provinces with similar auto insurance marketplaces.

QUICK FACTS

  • Accident benefits claims costs increased by 118 per cent from 2006 to 2010, despite a reduction in the number of auto accidents, number of people injured in auto accidents and the severity of injuries suffered over the same time period.
  • Auto insurance fraud generally falls into three categories: opportunistic fraud is the padding of originally legitimate claims; premeditated fraud involves an individual consistently invoicing an insurer for goods and services that are either not provided or unnecessary; and organized fraud involves many individuals creating an organized scheme designed to generate cash flow through a pattern of fraudulent activity.

Source: http://www.fsco.gov.on.ca

Fraud can happen to anyone. Take steps to protect yourself.

TTAWA, March 2, 2012 /PRNewswire via COMTEX/ — Financial Consumer Agency of Canada offers tips to help Canadian consumers

Fraudsters have discovered new ways to steal money and information thanks to the popularity of social networking sites, unsecured public Internet access points and online activities like shopping, buying and selling, dating and gaming. Online fraud may be the latest way to scam people, but it is not the only approach that is used.

“The best way to avoid becoming a victim of fraud is to protect your personal and financial information at all times. Whether you’re at home, in a public place, on the phone or online, keep in mind that someone could steal personal information if it is not properly protected,” says Ursula Menke, Commissioner of the Financial Consumer Agency of Canada (FCAC). “Fraud can be committed by anyone—someone close to you, someone in your community, or a distant stranger,” she added.

Fraud: recognize it, report it, stop it.

FCAC has produced a number of tip sheets and online information dealing with fraud that can help you identify it and protect yourself from it. You can also find the steps to take if you have become a victim of fraud.

Preventing fraud:

Never provide your personal or financial information unless you trust the person you are communicating with. Some fraudsters pretend to be from reputable organizations in order to get the details they need.

Keep your personal information in a secure place and dispose of it by shredding it.

Never email your personal or financial information.

Be very wary of clicking on links included in emails, because they may lead to fraudulent websites pretending to be legitimate.Instead, enter the website address of the organization you are looking for in the address bar of your browser yourself.

Before entering any personal or financial information, look for websites with addresses starting with “https” or that have a padlock image in the address bar.This will indicate that the information entered on these pages is secure.

Keep your computer antivirus, firewall and spyware software up to date.

Regularly check your accounts and statements for any suspicious or incorrect activity and report it immediately to your financial institution.

If you become a victim:

Don’t be embarrassed to report it. Fraud can happen to anyone.

Start a written log: write down when you noticed the fraud and the actions you took, including names of people you spoke to and dates of communications.

File a report with your local police.

Contact your financial institutions and any other companies (for example, your phone company, cable provider, etc.) where your accounts were tampered with, or are at risk of being tampered with.

Advise Canada’s two credit rating agencies, TransUnion and Equifax. Ask them to put a fraud alert on your file.

Contact the Canadian Anti-Fraud Centre’s national anti-fraud call centre at 1-888-495-8501 or by email at: info@antifraudcentre.ca.

Building consumer confidence

More information about fraud is available on FCAC’s website. There are tip sheets on how to protect yourself from different types of fraud, including identity fraud, debit card fraud, credit card fraud, email and phone fraud and real estate fraud. The Online Fraud page includes tips on how to prevent identity theft and fraud when using public wireless Internet access and social networking sites. If you are looking to rent or buy a home, you might be interested to learn more about spotting housing frauds and scams. Job seekers should watch out for employment fraud.

About FCAC

With educational materials and interactive tools, the Financial Consumer Agency of Canada (FCAC) provides objective information about financial products and services to help Canadians increase their financial knowledge and confidence in managing their personal finances. FCAC informs consumers about their rights and responsibilities when dealing with banks and federally regulated trust, loan and insurance companies. FCAC also makes sure that federally regulated financial institutions, payment card network operators and external complaints bodies comply with legislation and industry commitments intended to protect consumers.

You can reach us through the FCAC Consumer Services Centre by calling toll-free 1-866-461-3222 (tty:613-947-7771 or 1-866-914-6097) or by visiting our website: fcac.gc.ca.

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SOURCE Financial Consumer Agency of Canada

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Former Quebec doctor charged in $375M fraud in U.S.

A former Quebec doctor is facing charges in what officials are calling one of the largest Medicare fraud schemes in U.S. history.

Dr. Jacques Roy, 54, and six other people are alleged to have defrauded the Medicare system of almost $375 million.

“This represents the single largest fraud amount, orchestrated by one doctor, in the history of our Medicare fraud strike force operations,” U.S. Deputy Attorney General James Cole told a news conference Tuesday.

Prosecutors allege Dr. Jacques Roy created a false identity and socked away millions of dollars in assets.Prosecutors allege Dr. Jacques Roy created a false identity and socked away millions of dollars in assets. (Courtesy of CBS)He is facing 10 charges relating to patients he recruited and services he billed the government for, but allegedly never provided.

If convicted, he could face up to 100 years in prison.

Roy created medical ‘cottage industry’: document

Roy owned and operated Medistat Group Associates in the Dallas area.

Medistat was a group of health-care providers that primarily performed patient home visits and home health certifications.

Between January 2006 and November 2011, Medistat certified more than 11,000 Medicare patients for home health care, more than any other medical practice in the U.S.

“By certifying thousands of patients for home health services, he has created a cottage industry in and around Dallas-Fort Worth and made millions of dollars at the expense of taxpayers by billing Medicare and Medicaid for unnecessary services,” according to a document filed in U.S. District Court outlining the allegations.

Federal agents raided Roy’s home last June and allege the evidence found shows that he was attempting to establish a fake identity.

Among the items seized were:

  • A fake Texas driver’s licence with Roy’s picture and the name Michel Poulin
  • A Canadian birth certificate in the name of Michel Poulin and an application for a Canadian passport and social insurance number in that name.
  • Bank deposit slips for an account in the Cayman Islands
  • A copy of the book Hide Your A$$et$ and Disappear, A Step-by-Step Guide to Vanishing Without a Trace.

Prosecutors allege even after those raids, the doctor continued the illegal practice under a different company name.

Roy’s lawyer, Patrick McLain, said his client is hard working and was taking care of patients who needed medical help.

“Most physicians don’t want to take care of very poor people in rough neighbourhoods,” he said.

Roy held a medical licence in Quebec from 1981 until 1995.

Quebec’s college of physicians says he had no record of disciplinary action.

Roy made his first appearance in a Texas court this week. He’ll return to court for arraignment next week.

Car insurance scam: 37 arrested in Project Whiplash raids

Wendy Gillis and Josh Tapper Staff Reporters

A lengthy investigation into a multi-million dollar auto-insurance scam led to the arrest of 37 people Thursday, many in the South Asian community, with police cracking down on an escalating problem that’s made the GTA Canada’s phony collision capital.

In early morning raids across the GTA — part of an investigation dubbed Project Whiplash — police arrested dozens, laying a total of 130 charges stemming from 77 collisions police say were staged and have helped send insurance premiums skyrocketing in the province. Additional arrests are expected.

“The victims of this crime are all of us who operate motor vehicles,” said Toronto Police Chief Bill Blair at a news conference to announce the arrests.

Auto insurance fraud costs Ontario drivers as much as $1.3 billion per year, between 10 and 15 per cent of all premiums, according to a recent report by the Auditor General of Ontario.

“There’s no question that the GTA is the staged collision capital of Canada,” said Rick Dubin, vice-president of investigative services for the Insurance Bureau of Canada (IBC), which was a key player in Project Whiplash.

The Toronto police’s traffic services division first probed the scam in 2009, said Insp. Gord Jones. A joint investigation with IBC and Financial Services Commission of Ontario (FISCO) uncovered a sophisticated scam ring operating primarily in the GTA’s Tamil community.

Police say the ring is allegedly headed by 10 people from Markham and Toronto, all facing a slew of charges, including fraud, forgery and falsification of books or documents.

It works like this: scammers orchestrate, or in some cases fabricate, an accident, then file a fraudulent insurance claim for vehicle damage and bodily harm.

If pulled off, the phony accidents can be lucrative, said Sgt. Mike McCulloch — as much as $50,000 per scam.

While exact figures are not known, Jones said the scams accounted for millions of dollars in losses.

State Farm Insurance, one of the first companies to suspect fraud by the accused, said its losses alone amounted to $4 million. A State Farm spokesperson confirmed that some of the accused were named in an affirmative action civil lawsuit launched by the insurance company in December 2010.

Some of the accused worked as paralegals, helping to file false insurance claims. Others operated rehabilitation or medical clinics in Scarborough, Toronto and Markham, and are accused of submitting false invoices to insurers.

Four of the implicated clinics face separate charges, laid by FISCO, under Ontario’s Insurance Act with one count each of knowingly making false or misleading statements to an auto insurer.

The clinics are: McCowan Rehabilitation Clinic, Ontario Rehabilitation Clinic, Physiotherapy Clinic and North York Health & Rehabilitation Centre in Toronto.

Many of the accused hail from the GTA’s South Asian community. Of the 10 alleged ringleaders, who range in age from 32 to 57, most are Tamil, said Det. Const. Kajamuganthan Kathiravelu, who made a separate appeal to the Tamil community at Thursday’s news conference.

Investigators contend the accused recruited largely from within their community, preying on new immigrants with few English-language skills.

“This gives a bad reputation to the community,” said Markham Councillor Logan Kanapathi, who is Tamil. “These people have let down their families and their community.”

It remains unclear if the alleged ringleaders previously knew their recruits, Kathiravelu said.

False claims have escalated in the province over the last five years. In a report released in December, the Ontario Auto Insurance Anti-Fraud Task Force said auto insurance fraud “is extensive, increasing and having a substantial impact on auto insurance premiums.”

From 2006 to 2010, overall auto insurance claims costs in Ontario rose by $3 billion — about $450 per registered vehicle.

Of that total increase, $2.4 billion, or 80 per cent, came from accident benefit costs, an increase that “cannot be explained by factors that would normally be expected to lead to increased costs,” such as a higher number, or a greater severity, of accidents.

Police named nine of the accused in Project Whiplash: Pirapaharan Nadesu, 33, of Toronto; Sipaskaran Sabaratnam, 32, of Markham; Nishanthan Ponnuthurai, 32, of Markham; Jeyakanthan Theivendran, 43, of Markham; Baskaran Tharmakulasingam, 35, of Toronto; Mahaletchumy Pathmanathan, 57, of Markham; Sujeegah Kanagalingam, 32, of Markham; Ravigunathas Gunasingam, 40, of Toronto; and Vishnukanthan Sabapathy, 35, of Toronto.

Police bust massive auto chop shop fraud ring

Five Toronto men and one from the Niagara Region were charged in connection to the theft of 100 stolen vehicles, many of which ended up back on the road after passing fraudulent structural safety inspections.

Police allege the suspects would steal vehicles and register them with vehicle identification numbers taken from cars and trucks that had been written off and purchased as salvaged parts.

Police said the suspects would give the vehicles fraudulent insurance and structural certificates before putting them up for sale at used car shops.

The investigation, titled Project Enterprise, began in 2009 and grew in scope to include the Ontario Provincial Police, Niagara Regional Police and the Ministry of Transportation’s enforcement unit.

“They were taking stolen vehicles,” Sgt. Tim Burrows alleged on Thursday. “They were taking vehicles that had been written off in collisions and assembling the parts using the documentation of one to cover up the tracks and put these vehicles back on the road.

“Members of the public are buying these vehicles, and they are not ‘too good to be true’ prices. They are situations where you believe you are getting a valid vehicle. Before you purchase anything of this nature from a used vehicle supplier of any time, it is an excellent idea … to have it inspected.”

The Ontario Motor Vehicle Council is available to assist anyone who believes they may be a victim of such a crime, Burrows said.

Auto theft costs Canadians an estimated $1 billion every year, according to the Insurance Bureau of Canada. An average of 420 vehicles is stolen across the country every day.

Police say several search warrants were executed on a Niagara Region auto body shop named Auto Enterprise in June.

Niagara police recovered more than 60 stolen chopped vehicles and more than 200 high-end vehicles that had been surgically stripped of their components.

George Tsigirlash, 42, of Niagara-on-the-Lake, was charged with two counts of possession of stolen property over $5,000 and two counts of fraud over $5,000.

On Wednesday, Tsigirlash was charged with more offences, including 10 counts of possession of stolen property over $5,000, three counts of fraud over $5,000 and breach of recognizance.

Toronto police have charged another five men in connection to the investigation, many of them owners and operators of local body shops.

John Keen, 51, owner of Downtown Collision, was charged with 52 counts of fraud under $5,000 and 52 counts of uttering forged documents.

Giovanni Bellisario, 53, of Toronto, was charged with 125 counts of fraud under $5,000 and 125 counts of uttering forged documents.

Osvaldo Savia, 57, the operator of Car Care Centre, was charged with 73 counts of fraud under $5,000 and 73 counts of uttering forged documents.

David De Oliveira, 33, the owner of Prestige Collision, was charged with property obtained by crime over $5,000, fraud over $5,000 and two counts of uttering forged documents.

Gabor Toth, 39, of Toronto, was charged with seven counts of property obtained by crime and three of counts of uttering forged documents.

All five Toronto men were scheduled to appear in court of Thursday.