|
Media Release
IWIF Communications:
Claudia Ciolfi, 410-494-2193
Jim Taylor, 410-494-2023
cciolfi@iwif.com
jtaylor@iwif.com
|
RELEASE DATE: August
22, 2005
|

|
|
IWIF Claimant and Former Policyholder
Busted for Fraud
(TOWSON, MD)-Carlos Cruz, a painter employed by Maryland Management,
was recently found guilty of felony theft over $500 against the Injured
Workers' Insurance Fund (IWIF) in Montgomery County District Court.
Judge C. J. Vaughey sentenced Cruz to 18 months incarceration, suspended,
18 months of supervised probation and ordered him to pay IWIF restitution
in the amount of $1,192.71. In addition, Cruz was ordered to pay a
$500 fine and $50 court fees.
Cruz alleged he injured his right knee while working for Maryland
Management. He collected temporary total disability benefits from
IWIF from January 2002 to April 2002 and again in November 2002 through
June 2003.
An official from the management company alerted IWIF's Special Investigations
Unit to possible claimant fraud due to suspicious circumstances surrounding
the claimant's alleged injury. IWIF's investigation revealed Cruz
was collecting benefits from IWIF while he was employed as a carpenter
for a construction company located in Middle River, Maryland from
May to June 2003.
In another recent case, a routine premium audit performed on a current
IWIF policyholder uncovered a fraudulent certificate of insurance
submitted by a former IWIF policyholder. On September 2004, Dave R.
Rajeshkumar, trading as R. Rajesh Home Improvement, presented a false
IWIF certificate of insurance to Michaelson, Connor and Boul, a housing
management firm and IWIF policyholder. Upon verification, the IWIF
auditor discovered the certificate had been altered to reflect Rajeshkumar
had workers' compensation insurance coverage from June 10, 2004 to
June 10, 2005. The case was then assigned to IWIF's Special Investigations
Unit. IWIF records show Rajeshkumar had canceled his coverage on June
10, 2003.
During the investigation, Rajeshkumar originally denied changing the
dates on his certificate. He later admitted altering the certificate
but claimed that he thought his policy would automatically reinstate
itself if he simply changed the dates on his old certificate of insurance.
Rajeshkumar pleaded guilty to an agreed statement of facts in Baltimore
City District Court. Judge Timothy Doory sentenced Rajeshkumar to
18 months of unsupervised probation and ordered him to pay $57 in
court costs.
Established in 1914, IWIF is the largest provider of workers' compensation
insurance in Maryland.
|

|