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ISSUE DATE
#1
.. June 1999
#2
.. July 1999
#3
.. August 1999
#4
.. September 1999
#5
.. October 1999
#6
.. November 1999
#7
.. December 1999
#8
.. January 2000
#9
.. February 2000
#10
March 2000
#11
April 2000
#12
May 2000
SECTION I: SUBJECT INDEX
A.M. BEST
House Commerce subcommittee to probe Medicare contractor fraud, Iss. 3, 8/99, p27
ABUSE of a POSITION of TRUST
US v. Geiger, Iss. 5, 10/99, p12C
US v. Gutman, Iss. 6, 11/99, p14K
ACCIDENT SCHEMES / STAGED ACCIDENTS
[See also AUTOMOBILE SCHEMES and/or PERSONAL INJURY SCHEMES]
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Allstate Insurance v. Acevedo, Iss. 7, 12/99, p18
Allstate Indemnity v. Breton, Iss. 5, 10/99, p6*
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
California/Western United Insurance v. Husodo, Iss. 2, 7/99, p19*
Farris v. Texas, Iss. 3, 8/99, p16A
Re Harris-Smith, four jailed in Calif. for faked accident, Iss. 5, 10/99, p23
New Jersey v. Beato, Iss. 7, 12/99, p18
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
New Jersey prosecutor gets grant to assist in ongoing investigation of staged auto accidents, Iss. 1, 6/99, p26
"Operation Auto" sweeps up 9 in phony crash scheme, Iss. 10, 3/00, p30
Pennsylvania National Mutual v. Gomez, Iss. 7, 12/99, p18
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
Selective Insurance v. Jimenez, Iss. 7, 12/99, p18
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
State Farm Indemnity v. Doe, Iss. 10, 3/00, p20*
State Farm Insurance v. Rodriguez, Iss. 10, 3/00, p20*
State Farm Mutual v. Stein, Iss. 1, 6/99, p16H
Re Tarlowe, NJ insurance agent indicted for phony slip-and-fall, Iss. 11, 4/00, p22
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Duru, Iss. 11, 4/00, p17
US v. Ivory, Iss. 1, 6/99, p15F
US v. Megel, Iss. 5, 10/99 p22; Iss. 6, 11/99, p21*
US v. Rozenberg, Iss. 1, 6/99, p17; Iss. 6, 11/99, p25
US v. Wilson, Iss. 4, 9/99, p14I
ACCIDENTAL DEATH POLICY
[See LIFE INSURANCE]
ACTUAL DAMAGES
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Haddle v. Garrison, Iss. 8, 1/00, p6
Overcast v. Billings Mutual Insurance, Iss. 10, 3/00, p21E
ACUPUNCTURISTS
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Sorenson, Iss. 6, 11/99, p15*
ADJUSTER CONDUCT / MISCONDUCT / LIABILITY
[See also INSURANCE AGENTS / INSURANCE ADJUSTERS / INSURANCE COMPANY OWNERS / FORMER INSURANCE COMPANY EMPLOYEES]
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
ADJUSTMENT EXPENSES
[See INVESTIGATION COSTS / SEARCH COSTS]
ADMINISTRATIVE FEE
Perelman v. Nevada, Iss. 1, 6/99, p20K; Iss. 4, 9/99, p20D
ADULT CARE CENTERS
New York v. Friedman, Iss. 8, 1/00, p11C
ADVICE of COUNSEL
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
AGENT CONDUCT / MISCONDUCT / LIABILITY
[See also INSURANCE AGENTS / INSURANCE ADJUSTERS / INSURANCE COMPANY OWNERS / FORMER INSURANCE COMPANY EMPLOYEES]
Clark v. Security Life Insurance, Iss. 3, 8/99, p12C
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Griffin v. American General Life, Iss. 6, 11/99, p18L
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
AIDING and ABETTING
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Cooperman, Iss. 2, 7/99, p16
US v. Wilson, Iss. 4, 9/99, p14I
AIRPLANE CRASH
US v. Brennan, Iss. 2, 7/99, p23*
ALIASES / FALSE NAMES / FICTITIOUS NAMES
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
California v. Ferguson, Iss. 10, 3/00, p29*
California v. Kreitenberg, Iss. 9, 2/00, p17
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Re Johnson, former insurance co. employee pleads guilty to identity theft, Iss. 6, 11/99, p25
Massachusetts v. Ellis, Iss. 11, 4/00, p4
New Jersey v. Macias, Iss. 4, 9/99, p22*
New Jersey v. Woodson, Iss. 5, 10/99, p20G
Re Pedroza, three indicted in Mass. for wide-ranging fraud, Iss. 8, 1/00, p22
State Farm Indemnity v. Doe, Iss. 10, 3/00, p20*
State Farm Insurance v. Gueye, Iss. 1, 6/99, p17*
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Megel, Iss. 6, 11/99, p21*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Stewart, Iss. 2, 7/99, p25*
ALLOCATION of LIABILITY
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
US v. Brennan, Iss. 2, 7/99, p23*
ALTER EGO
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
ALTERED DOCUMENTS / REPORTS
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
Allstate Insurance v. Schick, Iss. 9, 2/00, p14J
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
US v. Abelhady, Iss. 9, 2/00, p19*
US v. Haswell, Iss. 12, 5/00, p12*
US v. Ramirez, Iss. 9, 2/00, p19*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
ALTERED POLICIES
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
AMBULANCE CHASERS
[See also "RUNNERS"]
New Jersey S-1696, NJ criminalizes ambulance chasing, Iss. 2, 7/99, p28
AMBULANCE SERVICES
[See MEDICAL TRANSPORTATION SERVICES]
AMERICAN ARBITRATION ASSOCIATION (AAA)
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
AMERICAN INSURANCE SERVICES GROUP
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
AMICUS CURIAE BRIEFS
Smith v. Globe Life Insurance, Life Insurance Assn. of Mich., Iss. 3, 8/99, p5*
US v. Brennan, Iss. 2, 7/99, p23*
ANESTHESIOLOGISTS
Re Gomez, Pittsburgh doctor gets 2 years & fine for health care fraud, Iss. 7, 12/99, p25
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*
"ANTICIPATION of LITIGATION"
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
ANTI-FRAUD GROUPS / COALITION AGAINST INSURANCE FRAUD
[See also COALITION AGAINST INSURANCE FRAUD]
NAIC announces anti-fraud coordinator, Iss. 10, 3/00, p31
ANTI-FRAUD PROVISIONS
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Florida program offers rewards for fraud tips, Iss. 2, 7/99, p29
ANTITRUST
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Forsyth v. Humana, Iss. 3, 8/99, p14*
APPLICATION for INSURANCE
[See also DISCLOSURE of PENDING SUITS / of POSSIBLE FUTURE SUITS and/or FALSE ADDRESS/INCORRECT ADDRESS and/or FALSE REPRESENTATION/INTENTIONAL MISREPRESENTATION and/or MEDICAL HISTORY/PREEXISTING CONDITIONS and/or MISREPRESENTATION and/or PREVIOUS LOSSES / PREVIOUS CLAIM HISTORY]
Re Cahall, Fla. arrests 8 for viatical fraud, Iss. 12, 5/00, p30
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Florida v. Scheele, Iss. 10, 3/00, p28
Agent's Mistake
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Application Altered by Agent
Clark v. Security Life Insurance, Iss. 3, 8/99, p12C
Application Completed by Agent
[See also AGENT CONDUCT / MISCONDUCT / LIABILITY]
Flores v. First Penn Life Insurance, Iss. 11, 4/00, p7G
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Application Completed by Other Party
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Application for Life Insurance by an "Already Deceased Person"
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
Disclosure of Alcohol / Drug Use
Boyd v. Allstate Life Insurance, Iss. 8, 1/00, p14J
Mullen v. Independence Savings Bank, Iss. 8, 1/00, p14F
Raffaele v. US Life Insurance, Iss. 7, 12/99, p20A
Disclosure of Medical History to Agent / Not on Application
[See also AGENT CONDUCT / MISCONDUCT / LIABILITY]
Provident Life & Casualty v. Ginther, Iss. 12, 5/00, p18H
Forged Signature
[See also FORGERY / UTTERING and/or AGENT CONDUCT / MISCONDUCT / LIABILITY]
Clark v. Security Life Insurance, Iss. 3, 8/99, p12C
Griffin v. American General Life, Iss. 6, 11/99, p18L
Mississippi v. Leedom, Iss. 4, 9/99, p18
Re Operation Terminal Illness, Iss. 9, 2/00, p8
Loss History
Brown v. USF&G, Iss. 3, 8/99, p25*
Material Misrepresentation / Misrepresentation
See also MISREPRESENTATION, Material Misrepresentation]
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Boyd v. Allstate Life Insurance, Iss. 8, 1/00, p14J
Brown v. USF&G, Iss. 3, 8/99, p25*
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Flores v. First Penn Life Insurance, Iss. 11, 4/00, p7G
Griffin v. American General Life, Iss. 6, 11/99, p18L
Ingram v. Old Line Insurance, Iss. 2, 7/99, p21G
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Mullen v. Independence Savings Bank, Iss. 8, 1/00, p14F
Progressive Northern Insurance v. Corder, Iss. 12, 5/00, p13A
Provident Life & Casualty v. Ginther, Iss. 12, 5/00, p18H
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Raffaele v. US Life Insurance, Iss. 7, 12/99, p20A
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
Smith v. Colonial Insurance, Iss. 2, 7/99, p18*
Smith v. Globe Life Insurance, Iss. 3, 8/99, p5*
Sweat v. Prudential Insurance, Iss. 5, 10/99, p19D
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
USAA v. Clarke, Iss. 12, 5/00, p17J
US v. Dillon, Iss. 3, 8/99, p5
US v. McDonald, Iss. 3, 8/99, p4E; Iss. 9, 2/00, p14
US v. Sanders, Iss. 2, 7/99, p17B
York Mutual Insurance v. Bowman, Iss. 10, 3/00, p16A
Medical History / Pre-Existing Conditions
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Clark v. Security Life Insurance, Iss. 3, 8/99, p12C
Flores v. First Penn Life Insurance, Iss. 11, 4/00, p7G
Florida v. Future First Financial Group, Iss. 9, 2/00, p13*
Florida v. Stephan, Iss. 6, 11/99, p22*
Florida v. Viatical Services, Iss. 3, 8/99, p3F
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Griffin v. American General Life, Iss. 6, 11/99, p18L
Ingram v. Old Line Insurance, Iss. 2, 7/99, p21G
Mississippi v. Leedom, Iss. 4, 9/99, p18
Provident Life & Casualty v. Ginther, Iss. 12, 5/00, p18H
Sweat v. Prudential Insurance, Iss. 5, 10/99, p19D
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
US v. McDonald, Iss. 3, 8/99, p4E; Iss. 9, 2/00, p14
Submission of Application After Loss
Re Hermann, woman pleads guilty in life insurance scam, Iss. 8, 1/00, p23
APPLICATION ATTACHED to POLICY REQUIRMENT
Flores v. First Penn Life Insurance, Iss. 11, 4/00, p7G
APPRAISAL / APPRAISERS
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Illinois v. Dyson, Iss. 5, 10/99, p8*
Illinois v. Johnson, Iss. 5, 10/99, p8*
Illinois v. Muldrow, Iss. 5, 10/99, p8*
Illinois v. West, Iss. 5, 10/99, p8*
APPROPRIATED IDENTITY
[See UNAUTHORIZED USE of ANOTHER'S NAME and/or SIGNATURE]
ARBITRATION
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
State Farm Insurance v. Gueye, Iss. 1, 6/99, p17*
Stay of Arbitration
Allstate Indemnity v. Breton, Iss. 5, 10/99, p6*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
ARSON / SUSPICIOUS FIRES
[See also FIRE INSURANCE]
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
Brown v. USF&G, Iss. 3, 8/99, p25*
Carroll v. State Farm Fire & Casualty, Iss. 12, 5/00, p23I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "In the Line of Fire: An Analysis of Insurers' Obligation to Arsonists' Spouse," by Lawrence J. Sher, Iss. 10, 3/00, p33
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Re Fazli, owner pleads guilty to burning his restaurant, Iss. 6, 11/99, p24
Florida v. Tidwell, Iss. 1, 6/99, p3
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L; Iss. 10, 3/00, p25
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
Re Kaminski, NY arsonist sentenced to 4 years, Iss. 4, 9/99, p24
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Mississippi v. Leedom, Iss. 4, 9/99, p18
Ohio v. Kaine, Iss. 7, 12/99, p21B
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J; Iss. 10, 3/00, p21E
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Rose v. Hartford Underwriters Insurance, Iss. 10, 3/00, p24F
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Tennessee Farmers Mutual v. Bradford, Iss. 3, 8/99, p24D
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
Texas Farmers Insurance v. Murphy, Iss. 2, 7/99, p12J
Travelers Indemnity v. Andersen, Iss. 4, 9/99, p19E
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Delgado, Iss. 9, 2/00, p20C
US v. Gardner, Iss. 12, 5/00, p20B
US v. Gibson, Iss. 8, 1/00, p18*; Iss. 12, 5/00, p25
US v. Kroledge, Iss. 8, 1/00, p16H
US v. Paccione, Iss. 9, 2/00, p20F
US v. Veysey, Iss. 1, 6/99, p5G; Iss. 11, 4/00, p18*
ART / FINE ART
US v. Cooperman, Iss. 2, 7/99, p16
ASSAULT / BATTERY
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
Texas v. Basso, Iss. 4, 9/99, p17
ASSIGNMENT
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Vermont Natural Resources v. US/Stevens, Iss. 12, 5/00, p12*
AT-WILL EMPLOYMENT DOCTRINE
[See also EMPLOYER RETALIATION / WRONGFUL TERMINATION]
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Haddle v. Garrison, Iss. 8, 1/00, p6
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
ATTORNEY-CLIENT PRIVILEGE
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Florida v. Marks, Iss. 11, 4/00, p8D
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
US v. Stewart, Iss. 2, 7/99, p25*
Re Violette, Iss. 4, 9/99, p4C
ATTORNEY CONDUCT / MISCONDUCT
Carroll v. State Farm Fire & Casualty, Iss. 12, 5/00, p23I
Florida v. Marks, Iss. 11, 4/00, p8D
US v. Cheska, Iss. 9, 2/00, p23D
ATTORNEY DISQUALIFICATION
[See also CONFLICT of INTEREST]
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Massachusetts v. Ellis, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
US v. Stewart, Iss. 2, 7/99, p25*
ATTORNEY FEES / COURT COSTS / DEFENSE COSTS
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Bertie v. Vigilant Insurance, Iss. 11, 4/00, p17C
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
Forsyth v. Humana, Iss. 3, 8/99, p14*
Haddle v. Garrison, Iss. 8, 1/00, p6
Illinois forms task force to investigate fraud, Iss. 7, 12/99, p24
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
New Jersey v. Sommer, Iss. 9, 2/00, p18K
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
Ohio v. Kaine, Iss. 7, 12/99, p21B
Re Operation MedPay, Iss. 1, 6/99, p18
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J
Perelman v. Nevada, Iss. 1, 6/99, p20K; Iss. 4, 9/99, p20D
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
Travelers Indemnity v. Andersen, Iss. 4, 9/99, p19E
US v. Peterson, Iss. 5, 10/99, p11F
US/Lanford v. Vencor, Iss. 1, 6/99, p13*; Iss. 3, 8/99, p28
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
US/Ortega v. Columbia/HCA Healthcare, Iss. 1, 6/99, p14B
ATTORNEYS
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
California v. Eisenberg, Iss. 3, 8/99, p9
California v. Kreitenberg, Iss. 9, 2/00, p17
California v. Snarsky, Iss. 3, 8/99, p17*
California/Auto Club v. Mirsky, Iss. 3, 8/99, p19I
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
Farris v. Texas, Iss. 3, 8/99, p16A
Florida v. Marks, Iss. 11, 4/00, p8D
Henry v. Texas, Iss. 9, 2/00, p7B
Re Magno, attorneys & chiropractors plead guilty in Calif. for auto scheme, Iss. 7, 12/99, p19
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey v. Siri, Iss. 7, 12/99, p18
New Jersey v. Sommer, Iss. 9, 2/00, p18K
New Jersey prosecutor gets grant to assist in ongoing investigation of staged auto accidents, Iss. 1, 6/99, p26
New Jersey S-1696, NJ criminalizes ambulance chasing, Iss. 2, 7/99, p28
Re Operation MedPay, Iss. 1, 6/99, p18
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
State Farm Mutual v. Stein, Iss. 1, 6/99, p16H
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Brown, Iss. 5, 10/99, p18*
US v. Cooperman, Iss. 2, 7/99, p16
US v. Cuccia, Iss. 6, 11/99, p22I
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Rozenberg, Iss. 1, 6/99, p17; Iss. 6, 11/99, p25
US v. Snarsky, Iss. 3, 8/99, p17
US v. Sowa, Iss. 9, 2/00, p18
US v. Stewart, Iss. 2, 7/99, p25*
US v. Wilson, Iss. 4, 9/99, p14I
Re Zarate, Calif. attorney pleads guilty to obstruction of justice after shredding patient files, Iss. 3, 8/99, p28
AUDITS / AUDIT ERRORS / OBSTRUCTION of AUDIT
US v. Anthem Health Plans, Iss. 7, 12/99, p9K
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
AUTHENTIFICATION by USE of RUBBER SIGNATURE STAMP
New Jersey v. Macias, Iss. 4, 9/99, p22*
AUTO BODY SHOPS / AUTO SHOP OWNERS
Auto shop owner Villani sentenced to house arrest, Iss. 1, 6/99, p27
California/Farmers Insurance Exchange v. ICS, Iss. 4, 9/99, p21*
US v. Ivory, Iss. 1, 6/99, p15F
US v. Megel, Iss. 5, 10/99 p22
"AUTOMATED CHEMISTRY" CLAIMS
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
AUTOMOBILE INSURANCE
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Allstate Insurance v. Simmons, Iss. 1, 6/99, p1
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
California v. Snarsky, Iss. 3, 8/99, p17*
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Auto Club v. Mirsky, Iss. 3, 8/99, p19I
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Re Donnelly, Fla. woman charged with falsely reporting husband's accidental death, Iss. 2, 7/99, p28
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
Nationwide Mutual Insurance v. Otero-Perez, Iss. 2, 7/99, p16A
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
New York sting nets 24 in auto fraud scam, Iss. 3, 8/99, p17
Re Ng, man sentenced to 5 years for role in 'Hong Kong' auto scam, Iss. 3, 8/99, p27
Re Operation MedPay, Iss. 1, 6/99, p18
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
Progressive Northern Insurance v. Corder, Iss. 12, 5/00, p13A
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Smith v. Colonial Insurance, Iss. 2, 7/99, p18*
Texas v. Altman, Iss. 8, 1/00, p22B
USAA v. Clarke, Iss. 12, 5/00, p17J
US v. Megel, Iss. 5, 10/99 p22; Iss. 6, 11/99, p21*
US v. Snarsky, Iss. 3, 8/99, p17
US v. Veysey, Iss. 11, 4/00, p18*
York Mutual Insurance v. Bowman, Iss. 10, 3/00, p16A
AUTOMOBILE SCHEMES
[See also ACCIDENT SCHEMES / STAGED ACCIDENTS and/or PERSONAL INJURY SCHEMES]
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
Re Boyer, brothers guilty in car insurance scam, Iss. 6, 11/99, p24
California v. Kreitenberg, Iss. 9, 2/00, p17
California v. Snarsky, Iss. 3, 8/99, p17*
California/Allstate Insurance v. Ibarra, Iss. 5, 10/99, p11*
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Farris v. Texas, Iss. 3, 8/99, p16A
Florida program offers rewards for fraud tips, Iss. 2, 7/99, p29
Re Gilmore, Missouri charges seven in fake accident scam, Iss. 9, 2/00, p25
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
Henry v. Texas, Iss. 9, 2/00, p7B4/00, p15
Illinois v. Dyson, Iss. 5, 10/99, p8*
Illinois v. Johnson, Iss. 5, 10/99, p8*
Illinois v. Muldrow, Iss. 5, 10/99, p8*
Illinois v. West, Iss. 5, 10/99, p8*
Re Magno, attorneys & chiropractors plead guilty in Calif. for auto scheme, Iss. 7, 12/99, p19
Re Miranda, Nevada man sentenced for staging auto accident, Iss. 9, 2/00, p25
Nationwide Mutual Insurance v. Otero-Perez, Iss. 2, 7/99, p16A
New Jersey v. Macias, Iss. 4, 9/99, p22*
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey v. Romero, Iss. 7, 12/99, p19
New Jersey v. Siri, Iss. 7, 12/99, p18
New Jersey charges 20 in auto 'give up' scheme, Iss. 9, 2/00, p19
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
New Jersey prosecutor gets grant to assist in ongoing investigation of staged auto accidents, Iss. 1, 6/99, p26
New Jersey S-1696, NJ criminalizes ambulance chasing, Iss. 2, 7/99, p28
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
New York sting nets 24 in auto fraud scam, Iss. 3, 8/99, p17
Re Ng, man sentenced to 5 years for role in 'Hong Kong' auto scam, Iss. 3, 8/99, p27
"Operation Auto" sweeps up 9 in phony crash scheme, Iss. 10, 3/00, p30
Re Operation MedPay, Iss. 1, 6/99, p18
Re Pedroza, three indicted in Mass. for wide-ranging fraud, Iss. 8, 1/00, p22
Philadelphia District Attorney arrests 15 on insurance fraud charges, Iss. 4, 9/99, p23
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
State Farm Indemnity v. Doe, Iss. 10, 3/00, p20*
State Farm Insurance v. Gueye, Iss. 1, 6/99, p17*
State Farm Insurance v. Rodriguez, Iss. 10, 3/00, p20*
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Ivory, Iss. 1, 6/99, p15F
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Ramirez, Iss. 9, 2/00, p19*
US v. Smith, Iss. 7, 12/99, p17F
US v. Snarsky, Iss. 3, 8/99, p17
US v. Sowa, Iss. 9, 2/00, p18
AUTOMOBILE STRIPPING / AUTO CHOP SHOPS
Florida program offers rewards for fraud tips, Iss. 2, 7/99, p29
US v. Abelhady, Iss. 9, 2/00, p19*
BAD CHECKS
US v. Abdelhaq, Iss. 4, 9/99, p18
BAD FAITH
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
Brown v. USF&G, Iss. 3, 8/99, p25*
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Dore v. Allstate Indemnity, Iss. 5, 10/99, p20E
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L; Iss. 10, 3/00, p25
Griffin v. American General Life, Iss. 6, 11/99, p18L
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
JAMA reports some doctors manipulate rules to get coverage, Iss. 11, 4/00, p20
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J; Iss. 10, 3/00, p21E
Progressive Northern Insurance v. Corder, Iss. 12, 5/00, p13A
Provident Life & Accident v. O'Connor, Iss. 10, 3/00, p4G
Provident Life & Accident v. Russell v. Paul Revere Life Insurance, Iss. 7, 12/99, p16E
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
Rose v. Hartford Underwriters Insurance, Iss. 10, 3/00, p24F
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Sweat v. Prudential Insurance, Iss. 5, 10/99, p19D
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
TJS Brokerage v. Hartford Casualty Insurance, Iss. 12, 5/00, p28D
US v. Brennan, Iss. 2, 7/99, p23*
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
BAIL REVOCATION
US v. LaFontaine, Iss. 12, 5/00, p6G
BANK FRAUD
Re Johnson, former insurance co. employee pleads guilty to identity theft, Iss. 6, 11/99, p25
Re Violette, Iss. 4, 9/99, p4C
BANKRUPTCY / INSOLVENCY
Provident Life & Accident v. Russell v. Paul Revere Life Insurance, Iss. 7, 12/99, p16E
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
US v. Jones, Iss. 4, 9/99, p9G
BANKRUPTCY FRAUD SCHEMES
US v. Perry, Iss. 10, 3/00, p5
BATTERY
[See ASSAULT / BATTERY]
BENEFICIARIES
Florida v. Scheele, Iss. 2, 7/99, p23D; Iss. 10, 3/00, p28
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Forsyth v. Humana, Iss. 3, 8/99, p14*
Ingram v. Old Line Insurance, Iss. 2, 7/99, p21G
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Raffaele v. US Life Insurance, Iss. 7, 12/99, p20A
US v. Haswell, Iss. 12, 5/00, p12*
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
BILLING
Re Kaniadakis, Alaska podiatrist sentenced for mail & billing fraud, Iss. 12, 5/00, p31
Re Northwest Nephrology, doctor gets $250,000 for blowing whistle on former employer, Iss. 10, 3/00, p30
Ohio/Wallace v. State Medical Board, Iss. 1, 6/99, p8I
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
US v. Miller, Iss. 12, 5/00, p8*
Administrative Expenses
US/Payne v. PennMed, Iss. 5, 10/99, p18*
Allocation of Interest
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
Acquisition Costs
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Authorized Use of Name and/or License
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
US v. Regueiro, Iss. 5, 10/99, p22
Billing for Full Reimbursement of Discounted Products
New York v. Brigham, Iss. 8, 1/00, p4G
Billing for Diagnostic Tests as Part of Clinical Studies
US v. NMC Homecare, Iss. 8, 1/00, p5*
Bundling / Improper Bundling
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
US/Lanford v. Vencor, Iss. 1, 6/99, p13*; Iss. 3, 8/99, p28
US/Lent v. Berman, Iss. 3, 8/99, p10*
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*; Iss. 8, 1/00, p11*
Cosmetic Surgery / Cosmetic Treatments
[See also COSMETOLOGISTS / COSMETIC SURGERY CENTERS]
Re Stack, guilty pleas in casino workers cosmetic surgery scheme, Iss. 12, 5/00, p31
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
US v. LaFontaine, Iss. 12, 5/00, p6G
Costs Associated with "Community Educators"
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Dermatological Services
US v. Finkel, Iss. 1, 6/99, p13
Discounts Not Passed Onto Insurers or Insureds
Forsyth v. Humana, Iss. 3, 8/99, p14*
NuWave Diagnostics v. State Farm Auto, Iss. 1, 6/99, p7C
Double Billing
Re Abitan, guilty plea in health fraud, Iss. 5, 10/99, p22
New Jersey v. Lichtman, Iss. 5, 10/99, p13
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
US v. Bell, Iss. 4, 9/99, p16*
US v. NMC Homecare, Iss. 8, 1/00, p5*
US/Aldrich v. Columbia HCA Healthcare, Iss. 3, 8/99, p10H
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
Emergency Transports / Non-Emergency Transports
US v. Geiger, Iss. 5, 10/99, p12C
Equipment and Supplies Not Delivered
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Re Operation Terminal Illness, Iss. 9, 2/00, p8
US v. Irby, Iss. 10, 3/00, p4J
US v. Jones, Iss. 4, 9/99, p9G
Forged Prescriptions
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
Re Operation Terminal Illness, Iss. 9, 2/00, p8
US v. Miller, Iss. 12, 5/00, p8*
Government Billing for Non-Allowable Costs
Beverly Enterprises announces $199 million charge to pay Medicare fraud settlement, Iss. 3, 8/99, p12
Mann v. Olsten Certified Healthcare, Iss. 1, 6/99, p11E
Olsten & Kimberly Home Health reach $61 million settlement of Medicare fraud charges, Iss. 2, 7/99, p4*
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Finkel, Iss. 1, 6/99, p13
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US/McLendon v. Columbia HCA, Iss. 2, 7/99, p4*
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Home Visits Billing for Assisted-Living Facility Patients
US/McLendon v. Columbia HCA, Iss. 2, 7/99, p4*
Incorrect Billing Codes / Billing for Services Not Covered / Upcoding
Re Abitan, guilty plea in health fraud, Iss. 5, 10/99, p22
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
California/Allstate Insurance v. Ibarra, Iss. 5, 10/99, p11*
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Farris v. Texas, Iss. 3, 8/99, p16A
Re Gibson, Texas doctor guilty of mail fraud & tax evasion, Iss. 10, 3/00, p30
JAMA reports some doctors manipulate rules to get coverage, Iss. 11, 4/00, p20
Study finds doctors express willingness to deceive insurers to get coverage for needed care, Iss. 6, 11/99, p18
US v. Beiersdorf-Jobst, Iss. 6, 11/99, p16B
US v. Finkel, Iss. 1, 6/99, p13
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Sorenson, Iss. 6, 11/99, p15*
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
US/Ortega v. Columbia/HCA Healthcare, Iss. 1, 6/99, p14B
US/Reppine v. University of Chicago, Iss. 8, 1/00, p7*
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
US/Scott v. Conn. General Life Insurance, Iss. 10, 3/00, p10*
US/SEAL v. University of California, Iss. 4, 9/99, p15*
Individual Services Performed in Group Sessions
Re Michael, Ohio psychiatrist guilty of fraudulent billing, Iss. 3, 8/99, p28
Ineligible Patients
US v. Brown, Iss. 5, 10/99, p18*
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
Inflated Billing / Overbilling
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Farmers Insurance Exchange v. ICS, Iss. 4, 9/99, p21*
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Eisenhower Medical Center pays $1.3 million to resolve Medicare claims, Iss. 11, 4/00, p21
Re Enos, ambulance company owners gets year for Medicare fraud, Iss. 4, 9/99, p23
Re Eubanks, former Allstate claims adjuster sentenced for embezzlement & tax evasion, Iss. 7, 12/99, p24
Fresenius Medical Care announces $415 million Medicare settlement for predecessor company, Iss. 7, 12/99, p9
Mann v. Olsten Certified Healthcare, Iss. 1, 6/99, p11E
Re Nessman, NJ doctor pleads guilty to overbilling charges, Iss. 2, 7/99, p29; poor health gets doctor probation for overbilling if he pays back money & fine, Iss. 7, 12/99, p24
New York v. Brigham, Iss. 8, 1/00, p4G
NuWave Diagnostics v. State Farm Auto, Iss. 1, 6/99, p7C
Re Oberoi, dentist charged with overbilling & performing unnecessary work, Iss. 5, 10/99, p23
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Shah, patient & doctor charged with workers' comp fraud, Iss. 8, 1/00, p23
US v. Beiersdorf-Jobst, Iss. 6, 11/99, p16B
US v. Bell, Iss. 4, 9/99, p16*
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Mafdali, Iss. 1, 6/99, p13
US v. Miller, Iss. 12, 5/00, p8*
US v. Wilson, Iss. 4, 9/99, p14I
US/Lanford v. Vencor, Iss. 1, 6/99, p13*; Iss. 3, 8/99, p28
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
US/Payne v. PennMed, Iss. 5, 10/99, p18*
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*; Iss. 8, 1/00, p11*
US/Reppine v. University of Chicago, Iss. 8, 1/00, p7*
US/Scott v. Conn. General Life Insurance, Iss. 10, 3/00, p10*
US/Swafford v. Borgess Medical, Iss. 10, 3/00, p9K
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Inflated Claims
[See BILLING, Inflated Billing / Overbilling]
Instruction of Employees to Create False Billing and/or Medical Records
[See also FALSE CLAIMS / DOCUMENTS/ PHONY SUPPORTING REPORTS, FILING of]
Re Amabile, former NJ optometrist indicted for fraud, Iss. 3, 8/99, p27
Medical Bills for Uninjured People / Fake Injuries
California v. Snarsky, Iss. 3, 8/99, p17*
Re Falcone, Passaic clinic operators indicted in Medicare scheme, Iss. 11, 4/00, p21
Farris v. Texas, Iss. 3, 8/99, p16A
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
New Jersey v. Macias, Iss. 4, 9/99, p22*
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 11, 4/00, p16
US v. Bell, Iss. 4, 9/99, p16*
US v. Paulin, Iss. 12, 5/00, p11*
US v. Snarsky, Iss. 3, 8/99, p17
Medical Procedures More Expensive Than Those Performed
[See also BILLING, Incorrect Billing Codes / Billing for Services Not Covered / Upcoding]
US v. Bell, Iss. 4, 9/99, p16*
Medical Services Abbreviated or Not Provided
Re Abitan, guilty plea in health fraud, Iss. 5, 10/99, p22
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Re Amabile, former NJ optometrist indicted for fraud, Iss. 3, 8/99, p27
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
California/Western United Insurance v. Husodo, Iss. 2, 7/99, p19*
Eisenhower Medical Center pays $1.3 million to resolve Medicare claims, Iss. 11, 4/00, p21
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Re Gibson, Texas doctor guilty of mail fraud & tax evasion, Iss. 10, 3/00, p30
Re Hamilton, Calif. doctor indicted for false claims in Nevada, Iss. 5, 10/99, p23
Henry v. Texas, Iss. 9, 2/00, p7B
New Jersey v. Lichtman, Iss. 5, 10/99, p13
New York v. Friedman, Iss. 8, 1/00, p11C
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
Re Operation MedPay, Iss. 1, 6/99, p18
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Reilly, RI women sentenced in false reimbursement scam, Iss. 10, 3/00, p30
Re Rios, grand jury indicts doctor for fraud, Iss. 7, 12/99, p25
Re Spencer, former NJ school cook sentenced to 3 years for fraud, Iss. 9, 2/00, p25
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Bell, Iss. 4, 9/99, p16*
US v. Haswell, Iss. 12, 5/00, p12*
US v. Irby, Iss. 10, 3/00, p4J
US v. Jones, Iss. 4, 9/99, p9G
US v. Mafdali, Iss. 1, 6/99, p13
US v. Regueiro, Iss. 4, 9/99, p13; Iss. 5, 10/99, p22
US v. Wilson, Iss. 4, 9/99, p14I
US/Aldrich v. Columbia HCA Healthcare, Iss. 3, 8/99, p10H
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
US/Swafford v. Borgess Medical, Iss. 10, 3/00, p9K
Re Vaughan, former insurance adjuster indicted for fraud in NJ,
Iss. 3, 8/99, p28
Medically Unnecessary Equipment
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
US v. Perry, Iss. 10, 3/00, p5
Medically Unnecessary Services
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Allstate Insurance v. Schick, Iss. 9, 2/00, p14J
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
Bejerano v. Florida, Iss. 12, 5/00, p7N
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Auto Club v. Mirsky, Iss. 3, 8/99, p19I
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Re Freitag, ambulance service owner sentenced for Medicare fraud, Iss. 8, 1/00, p23
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
NuWave Diagnostics v. State Farm Auto, Iss. 1, 6/99, p7C
Re Oberoi, dentist charged with overbilling & performing unnecessary work, Iss. 5, 10/99, p23
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Re Stack, guilty pleas in casino workers cosmetic surgery scheme, Iss. 12, 5/00, p31
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Bateson, Iss. 3, 8/99, p18
US v. Paulin, Iss. 12, 5/00, p11*
US/Aldrich v. Columbia HCA Healthcare, Iss. 3, 8/99, p10H
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
Misallocation of Salaries Billed
Beverly Enterprises announces $199 million charge to pay Medicare fraud settlement, Iss. 3, 8/99, p12
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US/Payne v. PennMed, Iss. 5, 10/99, p18*
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Outpatient Services
US/Reppine v. University of Chicago, Iss. 8, 1/00, p7*
Outpatient Psychiatric Services
US/Lance v. Ventura County, Iss. 7, 12/99, p10
Prescriptions Partially Filled / Ordered Not Delivered
US/Mueller v. Walgreen, Iss. 4, 9/99, p15*
Randomly Selected Provider Numbers
US/Lance v. Ventura County, Iss. 7, 12/99, p10
Recoding and Resubmission of Denied Claims
[See also BILLING, Incorrect Billing Codes / Billing for Services Not Covered / Upcoding]
Referrals Billed as Office Visits
Eisenhower Medical Center pays $1.3 million to resolve Medicare claims, Iss. 11, 4/00, p21
Repair Costs Billed as Replacement Parts
California/Farmers Insurance Exchange v. ICS, Iss. 4, 9/99, p21*
Sales of Samples
US v. Mannion, Iss. 12, 5/00, p5F
Services (Other) Not Provided
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
California/Farmers Insurance Exchange v. ICS, Iss. 4, 9/99, p21*
Re Eubanks, former Allstate claims adjuster sentenced for embezzlement & tax evasion, Iss. 7, 12/99, p24
US v. Megel, Iss. 5, 10/99 p22
Services Provided by Unqualified/ Unlicensed Personnel
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Florida v. Arwas, Iss. 9, 2/00, p7H
Florida v. Sadati, Iss. 9, 2/00, p7G
Re Gibson, Texas doctor guilty of mail fraud & tax evasion, Iss. 10, 3/00, p30
Ohio/Wallace v. State Medical Board, Iss. 1, 6/99, p8I
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
US v. Haswell, Iss. 12, 5/00, p12*
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Sorenson, Iss. 6, 11/99, p15*
US/Aldrich v. Columbia HCA Healthcare, Iss. 3, 8/99, p10H
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*; Iss. 8, 1/00, p11*
Services Provided Elsewhere
California v. Eisenberg, Iss. 3, 8/99, p9
Social Services Billed as Medical
New York v. Friedman, Iss. 8, 1/00, p11C
Substitution of Cheaper Supplies and/or Equipment
US v. Wilson, Iss. 4, 9/99, p14I
Treatment Not Prescribed by a Physician
US/Lance v. Ventura County, Iss. 7, 12/99, p10
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
Triple Billing
Re White, Georgia doctor indicted in kickback scheme, Iss. 12, 5/00, p32
Unauthorized Consultations with Other Physicians
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*
Unauthorized Use of Doctor's Name / Signature for Billing
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
New Jersey v. Macias, Iss. 4, 9/99, p22*
Unauthorized Use of Insurance Identification Numbers
US v. Bell, Iss. 4, 9/99, p16*
US v. Huerta, Iss. 8, 1/00, p11A
Undocumented Services
US v. Brown, Iss. 5, 10/99, p18*
Unnecessary / Extended Treatment and/or Hospitalization
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
US v. Peterson, Iss. 5, 10/99, p11F
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
Unnecessary Testing / Excessively Priced Diagnostic Tests
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Bejerano v. Florida, Iss. 12, 5/00, p7N
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Eisenhower Medical Center pays $1.3 million to resolve Medicare claims, Iss. 11, 4/00, p21
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
NuWave Diagnostics v. State Farm Auto, Iss. 1, 6/99, p7C
US v. Huerta, Iss. 8, 1/00, p11A
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Perry, Iss. 10, 3/00, p5
US/Lent v. Berman, Iss. 3, 8/99, p10*
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
Unnecessary Work
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
"Upcoding"
[See BILLING, Incorrect Billing Codes / Billing for Services Not Covered / Upcoding]
Workers Comp Claims Filed by Non-Employees
Employers Insurance of Wausau v. Prate Installations, Iss. 12, 5/00, p25C
BILLING SERVICES
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
California v. Eisenberg, Iss. 3, 8/99, p9
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
US v. DBB, Iss. 2, 7/99, p5H
US v. Huerta, Iss. 8, 1/00, p11A
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Sorenson, Iss. 6, 11/99, p15*
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
BINDER
[See also CONDITIONAL PREMIUM RECEIPT]
BLACK LUNG FUND
Re Adkins, WV man gets 5 years for $1.6 million fraud against government, Iss. 4, 9/99, p23
BLOOD TESTING
US v. Huerta, Iss. 8, 1/00, p11A
BODILY INJURY SCHEMES
[See PERSONAL INJURY SCHEMES]
BOND, POSTING of
TJS Brokerage v. Hartford Casualty Insurance, Iss. 12, 5/00, p28D
BREACH of CONTRACT
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
Brown v. USF&G, Iss. 3, 8/99, p25*
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Employers Insurance of Wausau v. Prate Installations, Iss. 12, 5/00, p25C
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L; Iss. 10, 3/00, p25
Overcast v. Billings Mutual Insurance, Iss. 10, 3/00, p21E
Provident Life & Accident v. O'Connor, Iss. 10, 3/00, p4G
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
Rose v. Hartford Underwriters Insurance, Iss. 10, 3/00, p24F
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Smith v. Globe Life Insurance, Iss. 3, 8/99, p5*
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
TJS Brokerage v. Hartford Casualty Insurance, Iss. 12, 5/00, p28D
Travelers Indemnity v. Andersen, Iss. 4, 9/99, p19E
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
BREACH of the COVENANT of GOOD FAITH and FAIR DEALING
[See BAD FAITH]
BRIBERY
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey v. Romero, Iss. 7, 12/99, p19
US v. Anderson, Iss. 6, 11/99, p10A*
BROKER LIABILITY / MISCONDUCT
[See also INSURANCE AGENTS / INSURANCE ADJUSTERS / INSURANCE COMPANY OWNERS / FORMER INSURANCE COMPANY EMPLOYEES]
Florida v. Future First Financial Group, Iss. 9, 2/00, p13*
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
BURGLARY
[See THEFT / GRAND THEFT]
BUSINESS INCOME LOSS
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
TJS Brokerage v. Hartford Casualty Insurance, Iss. 12, 5/00, p28D
CANCELLATION
[See also PREVIOUSLY CANCELLED POLICIES]
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
US v. Coyle, Iss. 7, 12/99, p23
"CAPPERS" / "CAPPING" / "RECRUITERS"
[See also "RUNNERS"]
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
California/Auto Club v. Mirsky, Iss. 3, 8/99, p19I
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
California/Western United Insurance v. Husodo, Iss. 2, 7/99, p19*
California v. Snarsky, Iss. 3, 8/99, p17*
Re Chang, Calif. doctor gets 3 years for Medi-Cal fraud, Iss. 9, 2/00, p25
Re Gomez, Pittsburgh doctor gets 2 years & fine for health care fraud, Iss. 7, 12/99, p25
New Jersey v. Siri, Iss. 7, 12/99, p18
Re Operation MedPay, Iss. 1, 6/99, p18
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
Re Spencer, former NJ school cook sentenced to 3 years for fraud, Iss. 9, 2/00, p25
Re Stack, guilty pleas in casino workers cosmetic surgery scheme, Iss. 12, 5/00, p31
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
US v. Bateson, Iss. 3, 8/99, p18
US v. Perry, Iss. 10, 3/00, p5
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Rozenberg, Iss. 1, 6/99, p17
US v. Snarsky, Iss. 3, 8/99, p17
Re Wall, former Ohio employee sentenced to 6 years for workers' comp fraud, Iss. 4, 9/99, p23
CHAMPUS
[See CIVILIAN HEALTH and MEDICAL PROGRAM of the UNIFORMED SERVICES (CHAMPUS)]
CHECK-CASHING COMPANY
Texas v. Altman, Iss. 8, 1/00, p22B
CHIROPRACTORS
Re Abitan, guilty plea in health fraud, Iss. 5, 10/99, p22
Allstate Indemnity v. Breton, Iss. 5, 10/99, p6*
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
California v. Kreitenberg, Iss. 9, 2/00, p17
California v. Snarsky, Iss. 3, 8/99, p17*
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Western United Insurance v. Husodo, Iss. 2, 7/99, p19*
Liberty Mutual Insurance v. Rosenthal, Iss. 4, 9/99, p10B
Re Magno, attorneys & chiropractors plead guilty in Calif. for auto scheme, Iss. 7, 12/99, p19
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
NuWave Diagnostics v. State Farm Auto, Iss. 1, 6/99, p7C
Re Operation MedPay, Iss. 1, 6/99, p18
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Snarsky, Iss. 3, 8/99, p17
US v. Sorenson, Iss. 6, 11/99, p15*
US v. Sowa, Iss. 9, 2/00, p18
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
CIVIL RIGHTS
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
CIVILIAN HEALTH and MEDICAL PROGRAM of the UNIFORMED SERVICES (CHAMPUS)
US v. Haswell, Iss. 12, 5/00, p12*
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
US/Rahman v. Oncology Associates, Iss. 9, 2/00, p4A
"CLAIM-of-RIGHT" DEFENSE
US v. Lauersen, Iss. 4, 9/99, p7A*
CLAIMS EXAMINERS / CLAIMS REPRESENTATIVES
[See also INSURANCE AGENTS / INSURANCE ADJUSTERS / INSURANCE COMPANY OWNERS / FORMER INSURANCE COMPANY EMPLOYEES]
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
Re Liberts, former claims rep sentenced for theft & false tax return, Iss. 10, 3/00, p31
US v. Quinn, Iss. 2, 7/99, p27F
"CLEAN SHEETING"
Florida v. Future First Financial Group, Iss. 9, 2/00, p13*
Florida v. Stephan, Iss. 6, 11/99, p22*
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
US v. McDonald, Iss. 3, 8/99, p4E; Iss. 9, 2/00, p14
CLEAR LIABILITY
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
CLIENT "SOLICITATION"
Farris v. Texas, Iss. 3, 8/99, p16A
Hershkowitz v. Florida, Iss. 7, 12/99, p17D
New Jersey v. Macias, Iss. 4, 9/99, p22*
CLIENTS DEFRAUDED by ATTORNEYS
New Jersey v. Sommer, Iss. 9, 2/00, p18K
"COACHING" CLIENTS to INCREASE BENEFITS
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
COERCION / COERCED CONFESSION
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
COLLATERAL ASSIGNMENT
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
COLLATERAL ESTOPPEL
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
COLLECTING BENEFITS USING NAMES of PREVIOUSLY DECEASED PERSONS
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
COLLECTION SCHEMES
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
COLLISION COVERAGE
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
COLLUSION
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
"The COMBINATION"
Texas v. Altman, Iss. 8, 1/00, p22B
COMMENTARIES / SPECIAL REPORTS
"The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
"In the Line of Fire: An Analysis of Insurers' Obligation to Arsonists' Spouse," by Lawrence J. Sher, Iss. 10, 3/00, p33
"Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
"The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
"New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
"Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
"Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
"Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
COMMERICAL GENERAL LIABILITY INSURANCE
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
COMMINGLING of PROFITS
US v. Ivory, Iss. 1, 6/99, p15F
COMPARATIVE BAD FAITH
[See BAD FAITH]
COMPENSATORY DAMAGES
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
COMPREHENSIVE COVERAGE
NJ Coalition of Health Care Professionals v. NJ Dept. of Banking & Insurance, Iss. 1, 6/99, p20#
CONCEALMENT / SUPPRESSION
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Blue Cross & Blue Shield of Ala. v. Caremark, Iss. 6, 11/99, p12H
Florida v. Future First Financial Group, Iss. 9, 2/00, p13*
Florida v. Viatical Services, Iss. 3, 8/99, p3F
Gall v. Allstate County Mutual Insurance, Iss. 10, 3/00, p25
Ingram v. Old Line Insurance, Iss. 2, 7/99, p21G
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
US v. Anthem Health Plans, Iss. 7, 12/99, p9K
US v. Bell, Iss. 4, 9/99, p16*
US v. Coyle, Iss. 7, 12/99, p23
US v. Cuccia, Iss. 6, 11/99, p22I
US v. Davis, Iss. 6, 11/99, p23J
US v. Haswell, Iss. 12, 5/00, p12*
US v. McDonald, Iss. 3, 8/99, p4E; Iss. 9, 2/00, p14
US v. Stewart, Iss. 2, 7/99, p25*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
York Mutual Insurance v. Bowman, Iss. 10, 3/00, p16A
"CONCEALMENT and FRAUD" PROVISION
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Texas Farmers Insurance v. Murphy, Iss. 2, 7/99, p12J
CONCEALMENT-CLAUSE DEFENSE
Texas Farmers Insurance v. Murphy, Iss. 2, 7/99, p12J
CONDITIONAL RECEIPT
Griffin v. American General Life, Iss. 6, 11/99, p18L
CONFERENCES / SEMINARS
ABA 2nd Annual National Institute on the Civil False Claims Act & Qui Tam Enforcement, Jan. 12-14, 2000, Wash. D.C., Iss. 6, 11/99, p25
Mealey's Attorney Fees Conference, March 16-17, 2000, Arlington, Va., Iss. 7, 12/99, p26
Mealey's Bad Faith Litigation Conference, Jan. 27-28, 2000, Naples, Fla., Iss. 7, 12/99, p25
Mealey's Electronic Evidence: Data Protection, Discovery & Demonstrations Conference, Sept. 27-28, 1999, Philadelphia, Iss. 3, 8/99, p28
Mealey's Emerging Coverage Issues Conference, April 6-7, 2000, Boston, Iss. 9, 2/00, p26
Mealey's Insurance Fraud Conference, March 23-24, 2000, Phoenix, Iss. 9, 2/00, p26
Mealey's Judges & Lawyers in Complex Litigation: Class Actions, Mass Torts, MDL and the Monster Case Conference, Nov. 8-9, 1999, West Palm Beach, Fla., Iss. 4, 9/99, p24
CONFISCATION
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
CONFLICT of INTEREST
Ellis v. Mass. Superior Court Justices, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
Massachusetts v. Ellis, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
New Jersey v. Major, Iss. 5, 10/99, p5B
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Stewart, Iss. 2, 7/99, p25*
CONSOLIDATION
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
US/Merena v. SmithKline Beecham, Iss. 10, 3/00, p7L
CONSPIRACY / CONSPIRACY to DEFRAUD
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Re Amabile, former NJ optometrist indicted for fraud, Iss. 3, 8/99, p27
Re Boyer, brothers guilty in car insurance scam, Iss. 6, 11/99, p24
California v. Eisenberg, Iss. 3, 8/99, p9
California v. Gillette, Iss. 2, 7/99, p27*
California v. Hancock, Iss. 2, 7/99, p27*
California v. Hines, Iss. 2, 7/99, p27*
California v. Kincaid, Iss. 2, 7/99, p27*
California v. Kreitenberg, Iss. 9, 2/00, p17
California v. Manry, Iss. 2, 7/99, p27*
California v. Snarsky, Iss. 3, 8/99, p17*
California v. Southworth, Iss. 2, 7/99, p27*
California v. Stricker, Iss. 2, 7/99, p27*
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Re Dacost-Barrett, former claims processor gets 4 years in health fraud scheme, Iss. 4, 9/99, p24
Employers Insurance of Wausau v. Prate Installations, Iss. 12, 5/00, p25C
Re Falcone, Passaic clinic operators indicted in Medicare scheme, Iss. 11, 4/00, p21
Francis sentenced to 14 years for conspiracy & receiving stolen property, Iss. 1, 6/99, p27
Haddle v. Garrison, Iss. 8, 1/00, p6
Illinois v. Dyson, Iss. 5, 10/99, p8*
Illinois v. Johnson, Iss. 5, 10/99, p8*
Illinois v. Muldrow, Iss. 5, 10/99, p8*
Illinois v. West, Iss. 5, 10/99, p8*
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/99, p20
Re Miranda, Nevada man sentenced for staging auto accident, Iss. 9, 2/00, p25
Mississippi v. Leedom, Iss. 4, 9/99, p18
Nationwide Mutual Insurance v. Otero-Perez, Iss. 2, 7/99, p16A
New Jersey v. Macias, Iss. 4, 9/99, p22*
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey v. Romero, Iss. 7, 12/99, p19
New Jersey v. Siri, Iss. 7, 12/99, p18
New Jersey charges 20 in auto 'give up' scheme, Iss. 9, 2/00, p19
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
New York v. Friedman, Iss. 8, 1/00, p11C
Olsten & Kimberly Home Health reach $61 million settlement of Medicare fraud charges, Iss. 2, 7/99, p4*
Re Operation MedPay, Iss. 1, 6/99, p18
Re Operation Terminal Illness, Iss. 9, 2/00, p8
Re Pedroza, three indicted in Mass. for wide-ranging fraud, Iss. 8, 1/00, p22
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Re Riley, five plead guilty to unemployment fraud scheme in Mass., Iss. 6, 11/99, p24
Re Rogers, disbarred Calif. attorney arrested on fraud charges, Iss. 6, 11/99, p25
Re Shah, patient & doctor charged with workers' comp fraud, Iss. 8, 1/00, p23
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
State Farm Mutual v. Stein, Iss. 1, 6/99, p16H
Re Stencer, Newark man admits to role in psychiatrist's scheme, Iss. 6, 11/99, p24
US v. Abelhady, Iss. 9, 2/00, p19*
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Brown, Iss. 5, 10/99, p18*
US v. Cooperman, Iss. 2, 7/99, p16
US v. Davis, Iss. 6, 11/99, p23J
US v. Delgado, Iss. 9, 2/00, p20C
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Geiger, Iss. 5, 10/99, p12C
US v. Gutman, Iss. 6, 11/99, p14K
US v. Haswell, Iss. 12, 5/00, p12*
US v. Huerta, Iss. 8, 1/00, p11A
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Irby, Iss. 10, 3/00, p4J
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US v. Koon, Iss. 3, 8/99, p22*
US v. Kroledge, Iss. 8, 1/00, p16H
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
US v. Mannion, Iss. 12, 5/00, p5F
US v. Megel, Iss. 6, 11/99, p21*
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Paccione, Iss. 9, 2/00, p20F
US v. Paulin, Iss. 12, 5/00, p11*
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Pimental, Iss. 5, 10/99, p21*
US v. Quinn, Iss. 2, 7/99, p27F
US v. Regueiro, Iss. 4, 9/99, p13
US v. Rozenberg, Iss. 1, 6/99, p17
US v. Saada, Iss. 12, 5/00, p29M
US v. Smith, Iss. 7, 12/99, p17F
US v. Sorenson, Iss. 6, 11/99, p15*
US v. Stevens, Iss. 12, 5/00, p26K/L
US v. Stewart, Iss. 2, 7/99, p25*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/McLendon v. Columbia HCA, Iss. 2, 7/99, p4*
US/Ortega v. Columbia/HCA Healthcare, Iss. 1, 6/99, p14B
Furtherance of a Conspiracy
US v. Smith, Iss. 7, 12/99, p17F
CONSTITUTIONAL ISSUES
Allstate Insurance v. Booth, 5th Amendment, Iss. 11, 4/00, p4
California/Auto Club v. Mirsky, 1st Amendment, Iss. 3, 8/99, p19I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Doe v. US, Iss. 10, 3/00, p28D
Ellis v. Mass. Superior Court Justices, 14th Amendment, due process, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
Florida v. Marks, Iss. 11, 4/00, p8D
Gall v. Allstate County Mutual Insurance, due process, fair trial, Iss. 10, 3/00, p25
Gallo v. Philadelphia, 4th Amendment seizure, Iss. 8, 1/00, p15E
Haddle v. Garrison, Iss. 8, 1/00, p6
Hershkowitz v. Florida, equal protection, commercial free speech, Iss. 7, 12/99, p17D
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Ohio/Wallace v. State Medical Board, equal protection, Iss. 1, 6/99, p8I
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
US v. Cheska, fair trial, Iss. 9, 2/00, p23D
US v. Delgado, due process, Iss. 9, 2/00, p20C
US v. Gardner, 8th Amendment, double jeopardy, Iss. 12, 5/00, p20B
US v. Ivory, Iss. 1, 6/99, p15F
US v. Lauersen, interstate commerce & federalism, Iss. 4, 9/99, p7A*
US v. Wilson, due process, cruel & unusual punishment, Iss. 4, 9/99, p14I
US/Butler v. Magellan Health Services, separation of powers, appointments clause, Iss. 7, 12/99, p4G
Vermont Natural Resources v. US/Stevens, Art. III, 11th Amendment, Iss. 12, 5/00, p12*
Re Violette, due process, Iss. 4, 9/99, p4C
Watkins v. Fischer, Pa. AG, due process, equal protection, Iss. 7, 12/99, p11H
CONSTRUCTION COMPANIES / CONTRACTORS
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Employers Insurance of Wausau v. Prate Installations, Iss. 12, 5/00, p25C
US v. Pimental, Iss. 5, 10/99, p21*
CONSULTING AGREEMENTS
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
CONTINGENCY CONTRACTS
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
"CONTINUED INSURABILITY" CLAUSE
Griffin v. American General Life, Iss. 6, 11/99, p18L
CONTRACT DAMAGES
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
CONTRACTORS / INDEPENDENT CONTRACTORS
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
House Commerce subcommittee to probe Medicare contractor fraud, Iss. 3, 8/99, p27
CONVERSION of ASSETS / FUNDS
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
US v. Cooperman, Iss. 2, 7/99, p16
COOPERATION with INVESTIGATION / "COOPERATION" CLAUSE
[See also CRIMINAL INVESTIGATION, COOPERATION with]
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Raffaele v. US Life Insurance, Iss. 7, 12/99, p20A
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Tennessee Farmers Mutual v. Bradford, Iss. 3, 8/99, p24D
CO-INSURANCE PROVISION
TJS Brokerage v. Hartford Casualty Insurance, Iss. 12, 5/00, p28D
CO-PAYMENTS, OVERCHARGING of
Forsyth v. Humana, Iss. 3, 8/99, p14*
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
CO-PAYMENTS, WAIVER of
New York v. Brigham, Iss. 8, 1/00, p4G
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
CORPORATE INTEGRITY AGREEMENT
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
US v. NMC Homecare, Iss. 8, 1/00, p5*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/Mueller v. Walgreen, Iss. 4, 9/99, p15*
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
US/Scott v. Conn. General Life Insurance, Iss. 10, 3/00, p10*
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
COSMETOLOGISTS / COSMETIC SURGERY CENTERS
[See also BILLING]
Re Stack, guilty pleas in casino workers cosmetic surgery scheme, Iss. 12, 5/00, p31
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
Study finds doctors express willingness to deceive insurers to get coverage for needed care, Iss. 6, 11/99, p18
US v. LaFontaine, Iss. 12, 5/00, p6G
COST REPORTS / COST-SHIFTING
[See also BILLING]
Beverly Enterprises announces $199 million charge to pay Medicare fraud settlement, Iss. 3, 8/99, p12
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
US v. Anthem Health Plans, Iss. 7, 12/99, p9K
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Churchill, Iss. 8, 1/00, p8
US/Lanford v. Vencor, Iss. 1, 6/99, p13*; Iss. 3, 8/99, p28
US/McLendon v. Columbia HCA, Iss. 2, 7/99, p4*
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
US/Ortega v. Columbia/HCA Healthcare, Iss. 1, 6/99, p14B
US/Payne v. PennMed, Iss. 5, 10/99, p18*
US/Scott v. Conn. General Life Insurance, Iss. 10, 3/00, p10*
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
COUNTERFEITING / COUNTERFEIT CHECKS
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
Re Johnson, former insurance co. employee pleads guilty to identity theft, Iss. 6, 11/99, p25
New Jersey v. Macias, Iss. 4, 9/99, p22*
US v. Abelhady, Iss. 9, 2/00, p19*
CREATION of BOGUS / "SHELL" COMPANIES
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#; Iss. 9, 2/00, p14J
Allstate Insurance v. Spring Lake Psychological, Iss. 11, 4/00, p15E
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Re Operation Terminal Illness, Iss. 9, 2/00, p8
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Re Riley, five plead guilty to unemployment fraud scheme in Mass., Iss. 6, 11/99, p24
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Perry, Iss. 10, 3/00, p5
US v. Stewart, Iss. 2, 7/99, p25*
CREDIT DISABILITY INSURANCE
Re Violette, Iss. 4, 9/99, p4C
CREDIT LIFE INSURANCE
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Smith v. Globe Life Insurance, Iss. 3, 8/99, p5*
Sweat v. Prudential Insurance, Iss. 5, 10/99, p19D
"CRIME-FRAUD EXCEPTION"
Florida v. Marks, Iss. 11, 4/00, p8D
Re Violette, Iss. 4, 9/99, p4C
CRIMINAL ACTIONS
[See also AIDING and ABETTING and/or ALTERED DOCUMENTS / REPORTS and/or BRIBERY and/or DISPENSING DRUGS WITHOUT a LICENSE and/or DIVERSION of FUNDS / MONEY and/or EMBEZZLEMENT and/or FALSE CLAIMS / DOCUMENTS / PHONY SUPPORTING REPORTS, FILING of
and/or FLIGHT to AVOID PROSECUTION / FUGITIVES from JUSTICE and/or FORGERY / UTTERING and/or INTERSTATE TRANSPORTATION of PROPERTY and/or LARCENY / GRAND LARCENY and/or MAIL FRAUD and/or MONEY LAUNDERING and/or MURDER and/or OBSTRUCTION of JUSTICE and/or ORGANIZED CRIME / FRAUD and/or PERJURY / SUBORNATION of PERJURY and/or RACKETEERING and/or "REPORTED STOLEN" PROPERTY / FALSE ROBBERY SCHEMES and/or SOCIAL SECURITY INCOME FRAUD and/or SOCIAL SECURITY NUMBER FRAUD and/or TAX EVASION / TAX FRAUD and/or THEFT / GRAND THEFT and/or WIRE FRAUD]
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Acquittals / Partial Acquittals / Finding of Innocence
California v. Eisenberg, Iss. 3, 8/99, p9
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Rose v. Hartford Underwriters Insurance, Iss. 10, 3/00, p24F
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Cheska, Iss. 9, 2/00, p23D
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US v. Kroledge, Iss. 8, 1/00, p16H
Conviction and Sentencing
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Re Eubanks, former Allstate claims adjuster sentenced for embezzlement & tax evasion, Iss. 7, 12/99, p24
Florida v. Tidwell, Iss. 1, 6/99, p3
Re Freitag, ambulance service owner sentenced for Medicare fraud, Iss. 8, 1/00, p23
Re Gomez, Pittsburgh doctor gets 2 years & fine for health care fraud, Iss. 7, 12/99, p25
Re Kaniadakis, Alaska podiatrist sentenced for mail & billing fraud, Iss. 12, 5/00, p31
Re Nessman, NJ doctor pleads guilty to overbilling charges, Iss. 2, 7/99, p29; poor health gets doctor probation for overbilling if he pays back money & fine, Iss. 7, 12/99, p24
New Jersey v. Lichtman, Iss. 5, 10/99, p13
Re Ng, man sentenced to 5 years for role in 'Hong Kong' auto scam, Iss. 3, 8/99, p27
Perelman v. Nevada, Iss. 1, 6/99, p20K; Iss. 4, 9/99, p20D
Texas v. Basso, Iss. 4, 9/99, p17
US v. Abdelhaq, Iss. 4, 9/99, p18
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Finkel, Iss. 1, 6/99, p13
US v. Geiger, Iss. 5, 10/99, p12C
US v. Gibson, Iss. 8, 1/00, p18*; Iss. 12, 5/00, p25
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US v. Lorefice, Iss. 4, 9/99, p16H
US v. Paccione, Iss. 9, 2/00, p20F
US v. Saada, Iss. 12, 5/00, p29M
US v. Stewart, Iss. 2, 7/99, p25*
US v. Wilson, Iss. 4, 9/99, p14I
Conviction Overturned / Reversed / Set Aside / Vacated
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
New York v. Brigham, Iss. 8, 1/00, p4G
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
Texas v. Altman, Iss. 8, 1/00, p22B
US v. Brennan, Iss. 2, 7/99, p23*
US v. Delgado, Iss. 9, 2/00, p20C
Convictions / Finding of Guilty
Re Gibson, Texas doctor guilty of mail fraud & tax evasion, Iss. 10, 3/00, p30
Hershkowitz v. Florida, Iss. 7, 12/99, p17D
Re Lazarro, former Allstate employee convicted of fraud, Iss. 7, 12/99, p24
Re Michael, Ohio psychiatrist guilty of fraudulent billing, Iss. 3, 8/99, p28
Ohio v. Kaine, Iss. 7, 12/99, p21B
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
US v. Cooperman, Iss. 2, 7/99, p16
US v. Gardner, Iss. 12, 5/00, p20B
FBI Investigation / Raid / Sting
California v. Snarsky, Iss. 3, 8/99, p17*
Re Columbia/HCA Healthcare, $745 million could partly settle civil claims against Columbia/HCA, Iss. 12, 5/00, p4
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Doe v. US, Iss. 10, 3/00, p28D
Farris v. Texas, Iss. 3, 8/99, p16A
Francis sentenced to 14 years for conspiracy & receiving stolen property, Iss. 1, 6/99, p27
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
Hell's Angels Chicago president Chancey sentenced to 14 months for fraud, Iss. 1, 6/99, p26
Henry v. Texas, Iss. 9, 2/00, p7B
Re McKeown, Fla. men accused of sinking yacht for insurance money, Iss. 9, 2/00, p25
New York sting nets 24 in auto fraud scam, Iss. 3, 8/99, p17
US v. Abelhady, Iss. 9, 2/00, p19*
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 11, 4/00, p16
US v. Cuccia, Iss. 6, 11/99, p22I
US v. Davis, Iss. 6, 11/99, p23J
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Geiger, Iss. 5, 10/99, p12C
US v. Koon, Iss. 3, 8/99, p22*
US v. Mannion, Iss. 12, 5/00, p5F
US v. Okeke, Iss. 3, 8/99, p22*
US v. Pimental, Iss. 5, 10/99, p21*
US v. Quinn, Iss. 2, 7/99, p27F
US v. Ramirez, Iss. 9, 2/00, p19*
US v. Stewart, Iss. 2, 7/99, p25*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/Lance v. Ventura County, Iss. 7, 12/99, p10
US/McLendon v. Columbia HCA, Iss. 2, 7/99, p4*
Indictment and Conviction
Bejerano v. Florida, Iss. 12, 5/00, p7N
US v. Perry, Iss. 10, 3/00, p5
US v. Smith, Iss. 7, 12/99, p17F
Indictment, Conviction and Sentencing
Re Aidoo, Conn. man sentenced to 2+ years for
fraud, Iss. 2, 7/99, p29
California v. Kreitenberg, Iss. 9, 2/00, p17
Re Chang, Calif. doctor gets 3 years for Medi-Cal
fraud, Iss. 9, 2/00, p25
Farris v. Texas, Iss. 3, 8/99, p16A
Florida v. Scheele, Iss. 2, 7/99, p23D
Henry v. Texas, Iss. 9, 2/00, p7B
Re Kaminski, NY arsonist sentenced to 4 years, Iss. 4, 9/99, p24
Liberty Mutual Insurance v. Rosenthal, Iss. 4, 9/99, p10B
Mississippi v. Leedom, Iss. 4, 9/99, p18
New Jersey fraud prosecutor issues first
annual report, Iss. 10, 3/00, p31
Re Rogers, disbarred Calif. attorney arrested
on fraud charges, Iss. 6, 11/99, p25
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Dillon, Iss. 3, 8/99, p5
US v. Kirschenbaum, Iss. 5, 10/99, p14*; Iss. 7, 12/99, p9
US v. Kroledge, Iss. 8, 1/00, p16H
US v. McDonald, Iss. 3, 8/99, p4E; Iss. 9, 2/00, p14
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Regueiro, Iss. 4, 9/99, p13; Iss. 5, 10/99, p22
US v. Rozenberg, Iss. 1, 6/99, p17; Iss. 6, 11/99, p25
US v. Sanders, Iss. 2, 7/99, p17B
US v. Sowa, Iss. 9, 2/00, p18
US v. Stevens, Iss. 12, 5/00, p26K/L
Indictment or Charges Dismissed
California v. Kreitenberg, Iss. 9, 2/00, p17
Florida v. Marks, Iss. 11, 4/00, p8D
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Indictments / Arrests
Allstate Insurance v. Acevedo, Iss. 7, 12/99, p18
Re Amabile, former NJ optometrist indicted for fraud, Iss. 3, 8/99, p27
Re Cahall, Fla. arrests 8 for viatical fraud, Iss. 12, 5/00, p30
California v. Gillette, Iss. 2, 7/99, p27*
California v. Hancock, Iss. 2, 7/99, p27*
California v. Hines, Iss. 2, 7/99, p27*
California v. Kincaid, Iss. 2, 7/99, p27*
California v. Manry, Iss. 2, 7/99, p27*
California v. Southworth, Iss. 2, 7/99, p27*
California v. Snarsky, Iss. 3, 8/99, p17*
California v. Stricker, Iss. 2, 7/99, p27*
Re Daniel, NJ Drug & Alcohol Center workers indicted under new fraud law, Iss. 7, 12/99, p25
Re Donnelly, Fla. woman charged with falsely reporting husband's accidental death, Iss. 2, 7/99, p28
Ellis v. Mass. Superior Court Justices, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
Re Falcone, Passaic clinic operators indicted in Medicare scheme, Iss. 11, 4/00, p21
Florida v. Future First Financial Group, Iss. 9, 2/00, p13*
Florida v. Sadati, Iss. 9, 2/00, p7G
Florida v. Stephan, Iss. 6, 11/99, p22*
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Re Gilmore, Missouri charges seven in fake accident scam, Iss. 9, 2/00, p25
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
Re Hamilton, Calif. doctor indicted for false claims in Nevada, Iss. 5, 10/99, p23
Re Harris-Smith, four jailed in Calif. for faked accident, Iss. 5, 10/99, p23
Illinois v. Dyson, Iss. 5, 10/99, p8*
Illinois v. Johnson, Iss. 5, 10/99, p8*
Illinois v. Muldrow, Iss. 5, 10/99, p8*
Illinois v. West, Iss. 5, 10/99, p8*
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/99, p20
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
Lew, Calif. sting thwarts $1.2 million fraud attempt, Iss. 5, 10/99, p21
Massachusetts v. Ellis, Iss. 7, 12/99, p13J; Iss. 11, 4/00, p4
Re McKeown, Fla. men accused of sinking yacht for insurance money, Iss. 9, 2/00, p25
New Jersey v. Beato, Iss. 7, 12/99, p18
New Jersey v. Macias, Iss. 4, 9/99, p22*
New Jersey v. Siri, Iss. 7, 12/99, p18
New Jersey v. Sommer, Iss. 9, 2/00, p18K
New Jersey charges 20 in auto 'give up' scheme, Iss. 9, 2/00, p19
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
New York v. Friedman, Iss. 8, 1/00, p11C
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
New York sting nets 24 in auto fraud scam, Iss. 3, 8/99, p17
"Operation Auto" sweeps up 9 in phony crash scheme, Iss. 10, 3/00, p30
Re Operation MedPay, Iss. 1, 6/99, p18
Re Operation Terminal Illness, Iss. 9, 2/00, p8
Re Pedroza, three indicted in Mass. for wide-ranging fraud, Iss. 8, 1/00, p22
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Pennsylvania National Mutual v. Gomez, Iss. 7, 12/99, p18
Philadelphia District Attorney arrests 15 on insurance fraud charges, Iss. 4, 9/99, p23
Re Riley, five plead guilty to unemployment fraud scheme in Mass., Iss. 6, 11/99, p24
Re Rios, grand jury indicts doctor for fraud, Iss. 7, 12/99, p25
Selective Insurance v. Jimenez, Iss. 7, 12/99, p18
Re Tarlowe, NJ insurance agent indicted for phony slip-and-fall, Iss. 11, 4/00, p22
Texas v. Altman, Iss. 8, 1/00, p22B
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
US v. Abelhady, Iss. 9, 2/00, p19*
US v. Bates, Iss. 11, 4/00, p16
US v. Brown, Iss. 5, 10/99, p18*
US v. Cheska, Iss. 9, 2/00, p23D
US v. Coyle, Iss. 7, 12/99, p23
US v. Cuccia, Iss. 6, 11/99, p22I
US v. Davis, engineer charged with mail fraud for fraudulent earthquake claims, Iss. 4, 9/99, p24; Iss. 6, 11/99, p23J
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Haswell, Iss. 12, 5/00, p12*
US v. Huerta, Iss. 8, 1/00, p11A
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Irby, Iss. 10, 3/00, p4J
US v. Ivory, Iss. 1, 6/99, p15F
US v. Jones, Iss. 4, 9/99, p9G
US v. Koon, Iss. 3, 8/99, p22*
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
US v. Megel, Iss. 5, 10/99 p22; Iss. 6, 11/99, p21*
US v. Miller, Iss. 12, 5/00, p8*
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Paulin, Iss. 12, 5/00, p11*
US v. Peterson, Iss. 5, 10/99, p11F
US v. Pimental, Iss. 5, 10/99, p21*
US v. Quinn, Iss. 2, 7/99, p27F
US v. Ramirez, Iss. 9, 2/00, p19*
US v. Samaritan Care, Iss. 5, 10/99, p14*
US v. Sorenson, Iss. 6, 11/99, p15*
US v. Veysey, Iss. 1, 6/99, p5G; Iss. 11, 4/00, p18*
Re Vaughan, former insurance adjuster indicted for fraud in NJ, Iss. 3, 8/99, p28
Re Voan, Arkansas indicts 3 for Medicare fraud, Iss. 12, 5/00, p32
Re White, Georgia doctor indicted in kickback scheme, Iss. 12, 5/00, p32
Re Zayas, former NJ man charged with filing false medical claims, Iss. 5, 10/99, p23
Indictments Unsealed
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
Plea of Guilty / Plea Agreements
Re Abitan, guilty plea in health fraud, Iss. 5, 10/99, p22
Re Adkins, WV man gets 5 years for $1.6 million fraud against government, Iss. 4, 9/99, p23
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Auto shop owner Villani sentenced to house arrest, Iss. 1, 6/99, p27
Blue Cross & Blue Shield of Ala. v. Caremark, Iss. 6, 11/99, p12H
Re Boyer, brothers guilty in car insurance scam, Iss. 6, 11/99, p24
California v. Ferguson, Iss. 10, 3/00, p29*
California v. Gillette, Iss. 2, 7/99, p27*
California v. Hancock, Iss. 2, 7/99, p27*
California v. Hines, Iss. 2, 7/99, p27*
California v. Kincaid, Iss. 2, 7/99, p27*
California v. Manry, Iss. 2, 7/99, p27*
California v. Southworth, Iss. 2, 7/99, p27*
California v. Stricker, Iss. 2, 7/99, p27*
Re Chang, Calif. doctor gets 3 years for Medi-Cal fraud, Iss. 9, 2/00, p25
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Eisenhower Medical Center pays $1.3 million to resolve Medicare claims, Iss. 11, 4/00, p21
Re Fazli, owner pleads guilty to burning his restaurant, Iss. 6, 11/99, p24
Re Felina, woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
Florida v. Scheele, Iss. 10, 3/00, p28
Francis sentenced to 14 years for conspiracy & receiving stolen property, Iss. 1, 6/99, p27
Fresenius Medical Care announces $415 million Medicare settlement for predecessor company, Iss. 7, 12/99, p9
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Re Johnson, former insurance co. employee pleads guilty to identity theft, Iss. 6, 11/99, p25
Re Kaminski, NY arsonist sentenced to 4 years, Iss. 4, 9/99, p24
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
Re Lazarro, former Allstate employee convicted of fraud, Iss. 7, 12/99, p24
Re Liberts, former claims rep sentenced for theft & false tax return, Iss. 10, 3/00, p31
Liberty Mutual Insurance v. Rosenthal, Iss. 4, 9/99, p10B
Re Magno, attorneys & chiropractors plead guilty in Calif. for auto scheme, Iss. 7, 12/99, p19
Re Medi-Cal, California & FBI join forces to battle fraud, Iss. 9, 2/00, p8; correction, Iss. 11, 4/00, p22
Re Nessman, NJ doctor pleads guilty to overbilling charges, Iss. 2, 7/99, p29; poor health gets doctor probation for overbilling if he pays back money & fine, Iss. 7, 12/99, p24
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey v. Romero, Iss. 7, 12/99, p19
New Jersey v. Woodson, Iss. 5, 10/99, p20G
Olsten & Kimberly Home Health reach $61 million settlement of Medicare fraud charges, Iss. 2, 7/99, p4*
Re Oteri, medical equipment firm head pleads guilty to Medicaid fraud, Iss. 8, 1/00, p23
Re Pelsang, Fla. podiatrist pleads guilty to health care fraud, Iss. 12, 5/00, p31
Re Riley, five plead guilty to unemployment fraud scheme in Mass., Iss. 6, 11/99, p24
Re Shaw, former claims adjuster gets 3-1/2 years for embezzlement, Iss. 4, 9/99, p23
Re Stack, guilty pleas in casino workers cosmetic surgery scheme, Iss. 12, 5/00, p31
Re Stencer, Newark man admits to role in psychiatrist's scheme, Iss. 6, 11/99, p24
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Brown, Iss. 5, 10/99, p18*
US v. Churchill, Iss. 8, 1/00, p8
US v. Cooperman, Iss. 2, 7/99, p16
US v. Coyle, Iss. 7, 12/99, p23
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Dillon, Iss. 3, 8/99, p5
US v. Duru, Iss. 11, 4/00, p17
US v. Gutman, Iss. 6, 11/99, p14K
US v. Kirschenbaum, Iss. 5, 10/99, p14*
US v. Leedom, Iss. 4, 9/99, p18
US v. Lorefice, Iss. 4, 9/99, p16H
US v. Mafdali, Iss. 1, 6/99, p13
US v. Mannion, Iss. 12, 5/00, p5F
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Pimental, Iss. 5, 10/99, p21*
US v. Regueiro, Iss. 4, 9/99, p13
US v. Rozenberg, Iss. 1, 6/99, p17
US v. Sanders, Iss. 2, 7/99, p17B
US v. Sorenson, Iss. 6, 11/99, p15*
US v. Sowa, Iss. 9, 2/00, p18
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Re White, Georgia doctor indicted in kickback scheme, Iss. 12, 5/00, p32
Re Zarate, Calif. attorney pleads guilty to obstruction of justice after shredding patient files, Iss. 3, 8/99, p28
Pleas of Nolo Contendre / No Contest
Re Chang, Calif. doctor gets 3 years for Medi-Cal fraud, Iss. 9, 2/00, p25
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
Search Warrants / Search and Seizure Warrants
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
Re Cahall, Fla. arrests 8 for viatical fraud, Iss. 12, 5/00, p30
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Farris v. Texas, Iss. 3, 8/99, p16A
Florida v. Stephan, Iss. 6, 11/99, p22*
Florida v. Viatical Services, Iss. 3, 8/99, p3F
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Ivory, Iss. 1, 6/99, p15F
US v. Jones, Iss. 4, 9/99, p9G
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
Sentencing
Re Adkins, WV man gets 5 years for $1.6 million fraud against government, Iss. 4, 9/99, p23
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Re Anthony, NJ man gets 5 years for health care fraud, Iss. 12, 5/00, p31
Auto shop owner Villani sentenced to house arrest, Iss. 1, 6/99, p27
California v. Ferguson, Iss. 10, 3/00, p29*
Re Dacost-Barrett, former claims processor gets 4 years in health fraud scheme, Iss. 4, 9/99, p24
Re Enos, ambulance company owners gets year for Medicare fraud, Iss. 4, 9/99, p23
Re Felina, woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
Francis sentenced to 14 years for conspiracy & receiving stolen property, Iss. 1, 6/99, p27
Hell's Angels Chicago president Chancey sentenced to 14 months for fraud, Iss. 1, 6/99, p26
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
Re Liberts, former claims rep sentenced for theft & false tax return, Iss. 10, 3/00, p31
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Re Miranda, Nevada man sentenced for staging auto accident, Iss. 9, 2/00, p25
New Jersey v. Woodson, Iss. 5, 10/99, p20G
New York v. Brigham, Iss. 8, 1/00, p4G
Re Oteri, medical equipment firm head pleads guilty to Medicaid fraud, Iss. 8, 1/00, p23
Re Reilly, RI women sentenced in false reimbursement scam, Iss. 10, 3/00, p30
Re Shaw, former claims adjuster gets 3-1/2 years for embezzlement, Iss. 4, 9/99, p23
Re Spencer, former NJ school cook sentenced to 3 years for fraud, Iss. 9, 2/00, p25
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
Re Stormo, dentist's former account manager gets 21 months for fraud, Iss. 7, 12/99, p25
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
US v. Bateson, Iss. 3, 8/99, p18; Iss. 11, 4/00, p16
US v. Brennan, Iss. 2, 7/99, p23*
US v. Churchill, Iss. 8, 1/00, p8
US v. Delgado, Iss. 9, 2/00, p20C
US v. Gutman, Iss. 6, 11/99, p14K
US v. Snarsky, Iss. 3, 8/99, p17
Re Wall, former Ohio employee sentenced to 6 years for workers' comp fraud, Iss. 4, 9/99, p23
CRIMINAL DEPRIVATION of PROPERTY
US v. LaFontaine, Iss. 12, 5/00, p6G
CRIMINAL INVESTIGATION, COOPERATION with
Haddle v. Garrison, Iss. 8, 1/00, p6
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Cheska, Iss. 9, 2/00, p23D
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US v. Kroledge, Iss. 8, 1/00, p16H
US v. Saada, Iss. 12, 5/00, p29M
US v. Sowa, Iss. 9, 2/00, p18
CURRENCY REPORTING LAWS
US v. Duru, Iss. 11, 4/00, p17
CURRENT PROCEDURAL TERMINOLOGY (CPT)
[See BILLING, Incorrect Billing Codes / Billing for Services Not Covered]
DAMAGES AWARD REINSTATED
Overcast v. Billings Mutual Insurance, Iss. 10, 3/00, p21E
DAMAGES AWARD STRUCK / REVERSED / VACATED
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
DANGEROUS MEDICAL PROCEDURES
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
DECEIT / INTENT to DECEIVE / DECEPTIVE PRACTICES
Arbella Mutual Insurance v. Pain & Injury Rehab, Iss. 3, 8/99, p15B
Brooks v. Milbank Insurance, Iss. 9, 2/00, p22I
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
JAMA reports some doctors manipulate rules to get coverage, Iss. 11, 4/00, p20
New York v. Brigham, Iss. 8, 1/00, p4G
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
Study finds doctors express willingness to deceive insurers to get coverage for needed care, Iss. 6, 11/99, p18
Texas v. Davis, 30 indicted for clean sheeting, Iss. 2, 7/99, p22
US v. Lauersen, Iss. 4, 9/99, p7A*
US v. Paulin, Iss. 12, 5/00, p11*
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
DEDUCTIBLE
New York v. Brigham, Iss. 8, 1/00, p4G
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
DEFAMATION
Carroll v. State Farm Fire & Casualty, Iss. 12, 5/00, p23I
Colo. HB 1466, bill granting insurers immunity for sharing info about fraud passes House subcommittee, Iss. 11, 4/00, p22
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Doe v. US, Iss. 10, 3/00, p28D
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J; Iss. 10, 3/00, p21E
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*
DEFAULT JUDGMENT
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
US v. Finkel, Iss. 1, 6/99, p13
US v. Irby, Iss. 10, 3/00, p4J
DEFENSE VERDICT
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
DEFUNCT COMPANIES / ENTITIES
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
Florida v. Stephan, Iss. 6, 11/99, p22*
US v. Ordoubadi, Iss. 6, 11/99, p15*
US v. Sorenson, Iss. 6, 11/99, p15*
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
DELAY
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
US v. Delgado, Iss. 9, 2/00, p20C
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
DELAY of PAYMENT
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
DENTAL OFFICE EMPLOYEES
Florida v. Arwas, Iss. 9, 2/00, p7H
Florida v. Sadati, Iss. 9, 2/00, p7G
Re Stormo, dentist's former account manager gets 21 months for fraud, Iss. 7, 12/99, p25
DENTISTS
Florida v. Arwas, Iss. 9, 2/00, p7H
Florida v. Sadati, Iss. 9, 2/00, p7G
Re Oberoi, dentist charged with overbilling & performing unnecessary work, Iss. 5, 10/99, p23
DEPORTATION
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
DERMATOLOGIST
Re Hamilton, Calif. doctor indicted for false claims in Nevada, Iss. 5, 10/99, p23
DIALYSIS SERVICES
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Fresenius Medical Care announces $415 million Medicare settlement for predecessor company, Iss. 7, 12/99, p9
US v. NMC Homecare, Iss. 8, 1/00, p5*
DIRECTED VERDICT
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
DISABILITY POLICIES / DISABILITY INCOME INSURANCE
California v. Ferguson, Iss. 10, 3/00, p29*
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Provident Life & Accident v. O'Connor, Iss. 10, 3/00, p4G
Provident Life & Accident v. Russell v. Paul Revere Life Insurance, Iss. 7, 12/99, p16E
Provident Life & Casualty v. Ginther, Iss. 12, 5/00, p18H
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
DISCLOSURE
Blue Cross & Blue Shield of Ala. v. Caremark, Iss. 6, 11/99, p12H
DISCLOSURE of FINANCIAL INTEREST
[See also CONFLICT of INTEREST]
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
New Jersey v. Major, Iss. 5, 10/99, p5B
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Gutman, Iss. 6, 11/99, p14K
DISCLOSURE of OTHER POLICIES
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
DISCLOSURE of PENDING SUITS / of POSSIBLE FUTURE SUITS
[See also APPLICATION for INSURANCE]
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
DISCOUNTED RATES
New York v. Brigham, Iss. 8, 1/00, p4G
US v. NMC Homecare, Iss. 8, 1/00, p5*
DISCOVERY
Allstate Insurance v. Schick, Iss. 9, 2/00, p14J
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Ellis v. Mass. Superior Court Justices, Iss. 7, 12/99, p13J
Florida v. Marks, Iss. 11, 4/00, p8D
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
USAA v. Clarke, Iss. 12, 5/00, p17J
US v. Beardslee, Iss. 6, 11/99, p6C
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
Accident Reports
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
New Jersey v. Romero, Iss. 7, 12/99, p19
Autopsy Report
Raffaele v. US Life Insurance, Iss. 7, 12/99, p20A
Bank Records
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
US v. Ivory, Iss. 1, 6/99, p15F
Bill of Particulars
US v. Lauersen, Iss. 2, 7/99, p6I*
Burn Patterns
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J
Claims Files
Farris v. Texas, Iss. 3, 8/99, p16A
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Confidential Information
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Florida v. Marks, Iss. 11, 4/00, p8D
Front Royal Insurance v. Gold Players, Iss. 2, 7/99, p14*
Ohio/Wallace v. State Medical Board, Iss. 1, 6/99, p8I
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Re Violette, Iss. 4, 9/99, p4C
Depositions
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
Divorce Records
Roberts v. Sentry Life Insurance, Iss. 7, 12/99, p14C
US v. Duru, Iss. 11, 4/00, p17
Ex parte Communications
Florida v. Marks, Iss. 11, 4/00, p8D
Financial Records
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Dore v. Allstate Indemnity, Iss. 5, 10/99, p20E
Provident Life & Accident v. Russell v. Paul Revere Life Insurance, Iss. 7, 12/99, p16E
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
US v. Ivory, Iss. 1, 6/99, p15F
In Camera Review
Florida v. Marks, Iss. 11, 4/00, p8D
Ohio/Wallace v. State Medical Board, Iss. 1, 6/99, p8I
Insurers' Investigation Records
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Medical Board Investigation Records
Ohio/Wallace v. State Medical Board, Iss. 1, 6/99, p8I
Medical Records
Florida v. Viatical Services, Iss. 3, 8/99, p3F
Florida report on Fraud in the Viatical Industry, Iss. 9, 2/00, p11E
Re Zarate, Calif. attorney pleads guilty to obstruction of justice after shredding patient files, Iss. 3, 8/99, p28
Patient Files
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
Polygraph Test Results
Brown v. USF&G, Iss. 3, 8/99, p25*
Protective Orders
US v. Jones, Iss. 4, 9/99, p9G
Tax Records
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Dore v. Allstate Indemnity, Iss. 5, 10/99, p20E
"Trash", Investigation & Rifling of
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Underwriting Files / Manuals
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Boyd v. Allstate Life Insurance, Iss. 8, 1/00, p14J
Carpinone v. Mutual of Omaha Insurance, Iss. 6, 11/99, p19E
Cash v. State Farm Auto, Iss. 11, 4/00, p11I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Mullen v. Independence Savings Bank, Iss. 8, 1/00, p14F
DISCRIMINATION
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Harris v. Allstate Insurance, racial discrimination, Iss. 10, 3/00, p18B
US v. Lauersen, gender discrimination, Iss. 4, 9/99, p7A*
US/Meidinger v. St. Joseph's Hospital, price discrimination, Iss. 3, 8/99, p13G
DISGORGEMENT of FUNDS
Allstate Insurance v. Northfield Medical, Iss. 5, 10/99, p6*
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
DISPENSING DRUGS WITHOUT a LICENSE
US v. Paulin, Iss. 12, 5/00, p11*
US v. Wilson, Iss. 4, 9/99, p14I
DISSOLVED COMPANIES
[See DEFUNCT COMPANIES / ENTITIES]
DIVERSION of FUNDS / MONEY
California v. Ferguson, Iss. 10, 3/00, p29*
Re Liberts, former claims rep sentenced for theft & false tax return, Iss. 10, 3/00, p31
US v. DBB, Iss. 2, 7/99, p5H
DOCTORS
[See PHYSICIANS / DOCTORS / SURGEONS]
DOUBLE JEOPARDY
US v. Gardner, Iss. 12, 5/00, p20B
DOUBLE RECOVERY
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
DRUG and ALCOHOL ABUSE CENTER
Re Daniel, NJ Drug & Alcohol Center workers indicted under new fraud law, Iss. 7, 12/99, p25
DRUG and MEDICAL SUPPLY DISTRIBUTORS and MANUFACTURERS
US v. Mannion, Iss. 12, 5/00, p5F
US v. Wilson, Iss. 4, 9/99, p14I
DRUGS / PHARMACEUTICALS
Re Anthony, NJ man gets 5 years for health care fraud, Iss. 12, 5/00, p31
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
US v. Mannion, Iss. 12, 5/00, p5F
US v. Paulin, Iss. 12, 5/00, p11*
US/Mueller v. Walgreen, Iss. 4, 9/99, p15*
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
DRUGS, ILLEGAL DISPENSING of
[See also DISPENSING DRUGS WITHOUT a LICENSE]
Re Anthony, NJ man gets 5 years for health care fraud, Iss. 12, 5/00, p31
US v. Paulin, Iss. 12, 5/00, p11*
DURABLE MEDICAL EQUIPMENT / DME
[See MEDICAL EQUIPMENT & SUPPLIES]
EARTHQUAKE DAMAGE
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
California/20th Century Insurance v. Building Permit Consultants,
Iss. 4, 9/99, p21*
Re Eubanks, former Allstate claims adjuster sentenced for embezzlement & tax evasion, Iss. 7, 12/99, p24
US v. Davis, engineer charged with mail fraud for fraudulent earthquake claims, Iss. 4, 9/99, p24; Iss. 6, 11/99, p23J
ECONOMIC DURESS
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
EGREGIOUS CONDUCT
Florida v. Marks, Iss. 11, 4/00, p8D
EMBARRASSMENT
Doe v. US, Iss. 10, 3/00, p28D
EMBEZZLEMENT
[See also THEFT / GRAND THEFT]
Re Eubanks, former Allstate claims adjuster sentenced for embezzlement & tax evasion, Iss. 7, 12/99, p24
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
Re Shaw, former claims adjuster gets 3-1/2 years for embezzlement, Iss. 4, 9/99, p23
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Quinn, Iss. 2, 7/99, p27F
EMBEZZLEMENT of PREMIUMS
[See PREMIUM FRAUD]
EMOTIONAL DISTRESS
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Doe v. US, Iss. 10, 3/00, p28D
Harris v. Allstate Insurance, Iss. 10, 3/00, p18B
Mann v. Olsten Certified Healthcare, Iss. 1, 6/99, p11E
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
EMPLOYEE BENEFITS PLANS / HEALTH PLANS
[See GROUP INSURANCE]
EMPLOYEE GROUP LIFE INSURANCE
US v. Lorefice, Iss. 4, 9/99, p16H
EMPLOYEE MISCONDUCT
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
EMPLOYER MISCONDUCT
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
EMPLOYER RETALIATION / WRONGFUL TERMINATION
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Haddle v. Garrison, Iss. 8, 1/00, p6
Mann v. Olsten Certified Healthcare, Iss. 1, 6/99, p11E
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*
EMPLOYMENT AGENCIES / TEMPORARY HELP AGENCIES
Doe v. US, Iss. 10, 3/00, p28D
US v. Coyle, Iss. 7, 12/99, p23
US v. Stevens, Iss. 12, 5/00, p26K/L
ENGINEERING SERVICES
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
US v. Davis, engineer charged with mail fraud for fraudulent earthquake claims, Iss. 4, 9/99, p24; Iss. 6, 11/99, p23J
ENTERPRISE CORRUPTION
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Bejerano v. Florida, Iss. 12, 5/00, p7N
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
ENTRAPMENT
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
"ENTRAPMENT by ESTOPPEL" DEFENSE
US v. Stewart, Iss. 2, 7/99, p25*
ENVIRONMENTAL COVERAGE ACTIONS
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
ENVIRONMENTAL PROTECTION AGENCY / EPA
Vermont Natural Resources v. US/Stevens, Iss. 12, 5/00, p12*
ESTOPPEL
Boyd v. Allstate Life Insurance, Iss. 8, 1/00, p14J
Ingram v. Old Line Insurance, Iss. 2, 7/99, p21G
USAA v. Clarke, Iss. 12, 5/00, p17J
US v. Lauersen, Iss. 4, 9/99, p7A*
ETHICS
Progressive Northeastern Insurance v. Advanced Diagnostic & Treatment, Iss. 10, 3/00, p10*
Study finds doctors express willingness to deceive insurers to get coverage for needed care, Iss. 6, 11/99, p18
US v. Cheska, Iss. 9, 2/00, p23D
EVIDENCE
Admissible / Inadmissible
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Provident Life & Accident v. Russell v. Paul Revere Life Insurance, Iss. 7, 12/99, p16E
Smith v. Colonial Insurance, Iss. 2, 7/99, p18*
US v. Beardslee, Iss. 6, 11/99, p6C
US v. Gardner, Iss. 12, 5/00, p20B
US v. Paccione, Iss. 9, 2/00, p20F
US v. Saada, Iss. 12, 5/00, p29M
US v. Smith, Iss. 7, 12/99, p17F
Altered Evidence / Tampering with Evidence
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L; Iss. 10, 3/00, p25
Circumstantial Evidence / Based on Innuendo
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
US v. Ivory, Iss. 1, 6/99, p15F
Credible Evidence
US v. Cheska, Iss. 9, 2/00, p23D
US v. Delgado, Iss. 9, 2/00, p20C
US v. Saada, Iss. 12, 5/00, p29M
Criminal Use of Evidence Gathered by Insurer
Pennsylvania v. Flaw, Iss. 1, 6/99, p3A
Destruction of Evidence
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
US v. LaFontaine, Iss. 12, 5/00, p6G
Re Zarate, Calif. attorney pleads guilty to obstruction of justice after shredding patient files, Iss. 3, 8/99, p28
Extrinsic
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Saada, Iss. 12, 5/00, p29M
Fabricated Evidence
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L; Iss. 10, 3/00, p25
Hearsay
Henry v. Texas, Iss. 9, 2/00, p7B
US v. Saada, Iss. 12, 5/00, p29M
Income Tax Records
Provident Life & Accident v. O'Connor, Iss. 10, 3/00, p4G
Newly-Discovered
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Travelers Indemnity v. Andersen, Iss. 4, 9/99, p19E
US v. Saada, Iss. 12, 5/00, p29M
US v. Sanders, Iss. 2, 7/99, p17B
Non-Prosecution Evidence
Brown v. Allstate Insurance, Iss. 6, 11/99, p3F
Parol Evidence
Smith v. Colonial Insurance, Iss. 2, 7/99, p18*
Previous Fraud Acts
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/99, p20
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
US v. Delgado, Iss. 9, 2/00, p20C
Previous Fires
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Prosecutor's Refusal to Bring Criminal Charges
Brown v. USF&G, Iss. 3, 8/99, p25*
Taped Evidence / Videotaped Evidence
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/99, p20
Re Tarlowe, NJ insurance agent indicted for phony slip-and-fall, Iss. 11, 4/00, p22
US v. LaFontaine, Iss. 12, 5/00, p6G
EX POST FACTO CLAUSE
US v. Lauersen, Iss. 4, 9/99, p7A*
EXAGGERATED INJURIES
US v. Abdelhaq, Iss. 4, 9/99, p18
EXAMINATION UNDER OATH (EUO)
Advanced Chiropractic v. General Accident Insurance, Iss. 11, 4/00, p13H
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Allen v. CIGNA Property & Casualty, Iss. 11, 4/00, p14E
Carroll v. State Farm Fire & Casualty, Iss. 12, 5/00, p23I
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Tennessee Farmers Mutual v. Bradford, Iss. 3, 8/99, p24D
EXCESS INSURANCE
Rohm & Haas v. Continental Casualty, Iss. 1, 6/99, p23*
EXCLUSION from GOVERNMENT MEDICAL PROGRAMS
Beverly Enterprises announces $199 million charge to pay Medicare fraud settlement, Iss. 3, 8/99, p12
US v. Brown, Iss. 5, 10/99, p18*
US/Payne v. PennMed, Iss. 5, 10/99, p18*
EXPERIENCE MODIFICATION
[See WORKERS' COMPENSATION]
EXPERIMENTAL / INVESTIGATIONAL PROCEDURES or DEVICES
US/SEAL v. University of California, Iss. 4, 9/99, p15*
EXPERT TESTIMONY
Admissibility / Exclusion
Farris v. Texas, Iss. 3, 8/99, p16A
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
Travelers Indemnity v. Andersen, Iss. 4, 9/99, p19E
US v. Gardner, Iss. 12, 5/00, p20B
Credibility
Liberty Mutual Insurance v. Rosenthal, Iss. 4, 9/99, p10B
US v. LaFontaine, Iss. 12, 5/00, p6G
Daubert v. Merrell Dow Cite
US v. Gardner, Iss. 12, 5/00, p20B
EXPERT WITNESSES
Barnes, George:
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
DeHann, Dr. John:
US v. Gardner, Iss. 12, 5/00, p20B
McGriff, Timothy
Farris v. Texas, Iss. 3, 8/99, p16A
Miles, Jerry:
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
Reiter, David:
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
Sanchez, Eduardo:
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
Thornton, Johnny:
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
EXPLOITATION
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
EXPLOITATION of CHILDREN
Florida v. Sadati, Iss. 9, 2/00, p7G
Re Gipson, Arkansas ring used kids in staged crashes, Iss. 11, 4/00, p15
EXPLOSION
Florida v. Tidwell, Iss. 1, 6/99, p3
US v. Veysey, Iss. 11, 4/00, p18*
EXTORTION
Re Operation MedPay, Iss. 1, 6/99, p18
EXTRADITION COSTS
Florida v. Scheele, Iss. 2, 7/99, p23D; Iss. 10, 3/00, p28
FALSE ACCOUNTING METHODS
US/Lanford v. Vencor, Iss. 1, 6/99, p13*; Iss. 3, 8/99, p28
FALSE ADDRESS / INCORRECT ADDRESS
[See also APPLICATION for INSURANCE]
Allstate Insurance v. Lopez, Iss. 5, 10/99, p4I
State Farm Indemnity v. Doe, Iss. 10, 3/00, p20*
State Farm Insurance v. Gueye, Iss. 1, 6/99, p17*
FALSE CERTIFICATIONS
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Re Felina, woman & daughter accused of filing false death claims, Iss. 8, 1/00, p23; woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
US v. Perry, Iss. 10, 3/00, p5
US v. Stevens, Iss. 12, 5/00, p26K/L
US/Butler v. Magellan Health Services, Iss. 7, 12/99, p4G
FALSE CLAIMS / DOCUMENTS / PHONY SUPPORTING REPORTS, FILING of
[See also BILLING]
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. Booth, Iss. 11, 4/00, p4
Allstate Insurance v. Simmons, Iss. 1, 6/99, p19*
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Re Anthony, NJ man gets 5 years for health care fraud, Iss. 12, 5/00, p31
Backe v. Healthpoint Medical Group, Iss. 2, 7/99, p11*
Bejerano v. Florida, Iss. 12, 5/00, p7N
California v. Kreitenberg, Iss. 9, 2/00, p17
California v. Snarsky, Iss. 3, 8/99, p17*
California/Allstate Insurance v. Ibarra, Iss. 5, 10/99, p11*
California/Allstate Insurance v. Muhyeldin, Iss. 1, 6/99, p19*
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
California/Auto Club v. Mirsky, Iss. 3, 8/99, p19I
California/Farmers Insurance Exchange v. ICS, Iss. 4, 9/99, p21*
California/20th Century Insurance v. Building Permit Consultants, Iss. 4, 9/99, p21*
California/Western United Insurance v. Husodo, Iss. 2, 7/99, p19*
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Re Dacost-Barrett, former claims processor gets 4 years in health fraud scheme, Iss. 4, 9/99, p24
Re Daniel, NJ Drug & Alcohol Center workers indicted under new fraud law, Iss. 7, 12/99, p25
Re Donnelly, Fla. woman charged with falsely reporting husband's accidental death, Iss. 2, 7/99, p28
Ellis v. Mass. Superior Court Justices, Iss. 7, 12/99, p13J
Employers Insurance of Wausau v. Prate Installations, Iss. 12, 5/00, p25C
Re Enos, ambulance company owners gets year for Medicare fraud, Iss. 4, 9/99, p23
Re Falcone, Passaic clinic operators indicted in Medicare scheme, Iss. 11, 4/00, p21
Farris v. Texas, Iss. 3, 8/99, p16A
Re Felina, woman & daughter accused of filing false death claims, Iss. 8, 1/00, p23; woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
Re Freitag, ambulance service owner sentenced for Medicare fraud, Iss. 8, 1/00, p23
Gall v. Allstate County Mutual Insurance, Iss. 1, 6/99, p4L
GAO reports health fraud is fertile ground for career criminals, Iss. 6, 11/99, p17
Re Hamilton, Calif. doctor indicted for false claims in Nevada, Iss. 5, 10/99, p23
Re Hermann, woman pleads guilty in life insurance scam, Iss. 8, 1/00, p23
Re Kerchinsky, Wash. man gets 15 months for embezzlement, Iss. 11, 4/00, p21
Re Lazarro, former Allstate employee convicted of fraud, Iss. 7, 12/99, p24
Lew, Calif. sting thwarts $1.2 million fraud attempt, Iss. 5, 10/99, p21
Re Liberts, former claims rep sentenced for theft & false tax return, Iss. 10, 3/00, p31
Mann v. Olsten Certified Healthcare, Iss. 1, 6/99, p11E
New Jersey v. Lichtman, Iss. 5, 10/99, p13
New Jersey v. Major, Iss. 5, 10/99, p5B
New Jersey charges 20 in auto 'give up' scheme, Iss. 9, 2/00, p19
New Jersey charges 12 with health fraud for staged collision scheme, Iss. 2, 7/99, p21
New York v. Friedman, Iss. 8, 1/00, p11C
New York v. Rybuck, Iss. 2, 7/99, p20E; Iss. 3, 8/99, p23
Olsten & Kimberly Home Health reach $61 million settlement of Medicare fraud charges, Iss. 2, 7/99, p4*
Re Operation Terminal Illness, Iss. 9, 2/00, p8
Re Oteri, medical equipment firm head pleads guilty to Medicaid fraud, Iss. 8, 1/00, p23
Re Pedroza, three indicted in Mass. for wide-ranging fraud, Iss. 8, 1/00, p22
Re Pelsang, Fla. podiatrist pleads guilty to health care fraud, Iss. 12, 5/00, p31
Perelman v. Nevada, Iss. 1, 6/99, p20K; Iss. 4, 9/99, p20D
Prudential Property & Casualty v. Peralta, Iss. 3, 8/99, p21#
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
Re Shah, patient & doctor charged with workers' comp fraud, Iss. 8, 1/00, p23
State Farm Auto v. Abrams, Iss. 10, 3/00, p15I
State Farm Indemnity v. Doe, Iss. 10, 3/00, p20*
US v. Anthem Health Plans, Iss. 7, 12/99, p9K
US v. Bates, Iss. 11, 4/00, p16
US v. Beiersdorf-Jobst, Iss. 6, 11/99, p16B
US v. Bell, Iss. 4, 9/99, p16*
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Churchill, Iss. 8, 1/00, p8
US v. Davis, engineer charged with mail fraud for fraudulent earthquake claims, Iss. 4, 9/99, p24; Iss. 6, 11/99, p23J
US v. DBB, Iss. 2, 7/99, p5H
US v. Duru, Iss. 9, 2/00, p18; Iss. 11, 4/00, p17
US v. Geiger, Iss. 5, 10/99, p12C
US v. Gibson, Iss. 8, 1/00, p18*
US v. Gutman, Iss. 6, 11/99, p14K
US v. Haswell, Iss. 12, 5/00, p12*
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Irby, Iss. 10, 3/00, p4J
US v. Ivory, Iss. 1, 6/99, p15F
US v. Kirschenbaum, Iss. 5, 10/99, p14*; Iss. 7, 12/99, p9
US v. Koon, Iss. 3, 8/99, p22*
US v. Kroledge, Iss. 8, 1/00, p16H
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
US v. Megel, Iss. 5, 10/99 p22; Iss. 6, 11/99, p21*
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Okeke, Iss. 3, 8/99, p22*
US v. Paulin, Iss. 12, 5/00, p11*
US v. Perry, Iss. 10, 3/00, p5
US v. Regueiro, Iss. 4, 9/99, p13
US v. Samaritan Care, Iss. 5, 10/99, p14*
US v. Snarsky, Iss. 3, 8/99, p17
US v. Veysey, Iss. 11, 4/00, p18*
US v. Wilson, Iss. 4, 9/99, p14I
US/Aldrich v. Columbia HCA Healthcare, Iss. 3, 8/99, p10H
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/Lance v. Ventura County, Iss. 7, 12/99, p10
US/Meidinger v. St. Joseph's Hospital, Iss. 3, 8/99, p13G
US/Mueller v. Walgreen, Iss. 4, 9/99, p15*
US/Niever v. Kapi'olani Home Health, Iss. 5, 10/99, p16H*
US/Ortega v. Columbia/HCA Healthcare, Iss. 1, 6/99, p14B
US/Poulton v. Anesthesia Associates, Iss. 5, 10/99, p15J*; Iss. 8, 1/00, p11*
US/Rahman v. Oncology Associates, Iss. 9, 2/00, p4A
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
US/Scott v. Conn. General Life Insurance, Iss. 10, 3/00, p10*
US/SEAL v. University of California, Iss. 4, 9/99, p15*
US/Swafford v. Borgess Medical, Iss. 10, 3/00, p9K
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Vermont Natural Resources v. US/Stevens, Iss. 12, 5/00, p12*
Re Zayas, former NJ man charged with filing false medical claims, Iss. 5, 10/99, p23
FALSE DEATH CLAIM SCHEME
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Re Felina, woman & daughter accused of filing false death claims, Iss. 8, 1/00, p23; woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
Florida v. Scheele, Iss. 2, 7/99, p23D; Iss. 10, 3/00, p28
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/99, p20
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
US v. Veysey, Iss. 11, 4/00, p18*
FALSE DIAGNOSIS
Allstate Insurance v. NJ Neck & Back Center, Iss. 9, 2/00, p16*
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
California/Allstate Insurance v. Ibarra, Iss. 5, 10/99, p11*
California/Allstate Insurance v. Tang, Iss. 5, 10/99, p11*
JAMA reports some doctors manipulate rules to get coverage, Iss. 11, 4/00, p20
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
US v. LaFontaine, Iss. 12, 5/00, p6G
US v. Perry, Iss. 10, 3/00, p5
FALSE DOCUMENTS / RECORDS
[See FALSE CLAIMS / DOCUMENTS / PHONY SUPPORTING REPORTS, FILING of]
FALSE FINANCIAL FIGURES
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
US v. J. Davis, Iss. 7, 12/99, p12*
FALSE IDENTITIES and BACKGROUNDS
[See also ALIASES / FALSE NAMES / FICTITIOUS NAMES]
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
California v. Kreitenberg, Iss. 9, 2/00, p17
Commentary: "Pretext Investigations in Insurance Fraud Cases: What Can be Learned from the Latest Decision in Food Lion?" by Michael F. Henry, Iss. 6, 11/99, p26
Farris v. Texas, Iss. 3, 8/99, p16A
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
Re Shaw, former claims adjuster gets 3-1/2 years for embezzlement, Iss. 4, 9/99, p23
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Megel, Iss. 6, 11/99, p21*
US v. Okeke, Iss. 3, 8/99, p22*
US/Payne v. PennMed, Iss. 5, 10/99, p18*
FALSE INFORMATION
[See FALSE STATEMENTS / FALSE SWEARING]
FALSE LIGHT
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
FALSE MEMORIES, IMPLANTATION of
US v. Peterson, Iss. 5, 10/99, p11F
FALSE REPORTS / POLICE REPORTS / ACCIDENT REPORTS
Bejerano v. Florida, Iss. 12, 5/00, p7N
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Erie Insurance v. Maxwell, Iss. 5, 10/99, p3A
Re Felina, woman & daughter accused of filing false death claims, Iss. 8, 1/00, p23; woman pleads guilty to faking deaths, Iss. 11, 4/00, p21
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Lew, Calif. sting thwarts $1.2 million fraud attempt, Iss. 5, 10/99, p21
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
New Jersey v. Major, Iss. 5, 10/99, p5B
US v. Smith, Iss. 7, 12/99, p17F
FALSE REPRESENTATION / INTENTIONAL MISREPRESENTATION
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
US v. Pimental, Iss. 5, 10/99, p21*
US v. Sanders, Iss. 2, 7/99, p17B
FALSE STATEMENTS / FALSE SWEARING
[See also FALSE CLAIMS / DOCUMENTS / PHONY SUPPORTING REPORTS, FILING of]
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Re Cahall, Fla. arrests 8 for viatical fraud, Iss. 12, 5/00, p30
California v. Ferguson, Iss. 10, 3/00, p29*
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "The Misdeeds of the Public Adjuster are Visited Upon the Insured: What To Do When Overvaluation Becomes Fraud," by Michael F. Henry, Iss. 3, 8/99, p30
Commentary: "Overvaluation or Willful Misrepresentation: Fraud in the Business Interruption Claim and How to Combat It," by Michael F. Henry, Iss. 1, 6/99, p28
Doe v. US, Iss. 10, 3/00, p28D
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
IHS v. Kirschenbaum, Iss. 5, 10/99, p14*
Lane v. Farmers Union Insurance, Iss. 6, 11/99, p4G
Louisiana v. Joshlin, Iss. 8, 1/00, p12I
Re Michael, Ohio psychiatrist guilty of fraudulent billing, Iss. 3, 8/99, p28
New York v. Friedman, Iss. 8, 1/00, p11C
Osajindu v. Allstate Insurance, Iss. 12, 5/00, p15E
Selective Insurance v. McAllister, Iss. 8, 1/00, p20D
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Brown, Iss. 5, 10/99, p18*
US v. Churchill, Iss. 8, 1/00, p8
US v. Cooperman, Iss. 2, 7/99, p16
US v. J. Davis, Iss. 7, 12/99, p12*
US v. Delgado, Iss. 9, 2/00, p20C
US v. Dillon, Iss. 3, 8/99, p5
US v. Huerta, Iss. 8, 1/00, p11A
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Irby, Iss. 10, 3/00, p4J
US v. Jarrell, Iss. 2, 7/99, p3K; Iss. 7, 12/99, p6
US v. Lauersen, Iss. 4, 9/99, p7A*
US v. Paccione, Iss. 9, 2/00, p20F
US v. Perry, Iss. 10, 3/00, p5
US v. Pimental, Iss. 5, 10/99, p21*
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
Re Violette, Iss. 4, 9/99, p4C
Re Voan, Arkansas indicts 3 for Medicare fraud, Iss. 12, 5/00, p32
York Mutual Insurance v. Bowman, Iss. 10, 3/00, p16A
FALSE TAX RETURNS
[See TAX EVASION / TAX FRAUD]
FALSE TITLES
Nationwide Mutual Insurance v. Otero-Perez, Iss. 2, 7/99, p16A
US v. Abelhady, Iss. 9, 2/00, p19*
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
FALSIFICATION of TEST RESULTS
[See FALSE CLAIMS / DOCUMENTS / PHONY SUPPORTING REPORTS, FILING of]
FALSIFIED MEDICAL RECORDS
Allstate Insurance v. Abramowitz, Iss. 6, 11/99, p20*
Allstate Insurance v. TMR Medibill, Iss. 8, 1/00, p19#
Re Amabile, former NJ optometrist indicted for fraud, Iss. 3, 8/99, p27
California v. Kreitenberg, Iss. 9, 2/00, p17
New Jersey v. Macias, Iss. 4, 9/99, p22*
New York v. Friedman, Iss. 8, 1/00, p11C
US v. Bell, Iss. 4, 9/99, p16*
US v. Haswell, Iss. 12, 5/00, p12*
US v. Ifebhor, Iss. 3, 8/99, p22*
US v. Koon, Iss. 3, 8/99, p22*
US v. Okeke, Iss. 3, 8/99, p22*
Re Wall, former Ohio employee sentenced to 6 years for workers' comp fraud, Iss. 4, 9/99, p23
Re Zayas, former NJ man charged with filing false medical claims, Iss. 5, 10/99, p23
FEDERAL EMPLOYEES HEALTH BENEFITS PLAN (FEHBP)
US/Mueller v. Walgreen, Iss. 4, 9/99, p15*
FEE-SPLITTING
[See also KICKBACKS / REFERRAL FEES]
Allstate Insurance v. Schick, Iss. 3, 8/99, p20#
US v. Bates, Iss. 11, 4/00, p16
US v. Bateson, Iss. 11, 4/00, p16
FERTILITY TREATMENTS
US v. Lauersen, Iss. 2, 7/99, p6I*; Iss. 4, 9/99, p7A*; Iss. 10, 3/00, p6
FIDUCIARY DUTY, BREACH of
Conn. General Life v. National Medical Care, Iss. 10, 3/00, p14*
Jackson v. Mississippi Life, Iss. 1, 6/99, p22D
Provident Life & Casualty v. Ginther, Iss. 12, 5/00, p18H
US v. Brennan, Iss. 2, 7/99, p23*
US v. J. Davis, Iss. 7, 12/99, p12*
FINANCIAL CONDITION of INSURED
[See also MOTIVE / OPPORTUNITY]
Brown v. USF&G, Iss. 3, 8/99, p25*
Commentary: "The Civil Defense: Investigation & Defense of First Party Cases," by Michael F. Henry, Iss. 12, 5/00, p33
Commentary: "Who's Watching the Watcher? An Update on Potential Liability for Improper Surveillance," by Michael F. Henry, Iss. 8, 1/00, p25
Dore v. Allstate Indemnity, Iss. 5, 10/99, p20E
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Pennsylvania v. Moore, Iss. 11, 4/00, p20A
Saracco v. Vigilant Insurance, Iss. 10, 3/00, p22C
US v. Gardner, Iss. 12, 5/00, p20B
US v. Sanders, Iss. 2, 7/99, p17B
Watkins v. Fischer, Pa. AG, Iss. 7, 12/99, p11H
FINANCIAL CONDITION of INSURANCE COMPANY
[See also RESERVES / SHORTFALL in CASH RESERVES]
US v. Stewart, Iss. 2, 7/99, p25*
FINANCIAL DIFFICULTIES CAUSED by INSURERS' ACTIONS
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Shufford v. Integon Indemnity, Iss. 7, 12/99, p22I
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
FINES / PENALTIES / SPECIAL ASSESSMENTS
Allstate Insurance v. Salkauski, Iss. 5, 10/99, p6*
Auto shop owner Villani sentenced to house arrest, Iss. 1, 6/99, p27
Beverly Enterprises announces $199 million charge to pay Medicare fraud settlement, Iss. 3, 8/99, p12
Commentary: "New Development in Compliance Issues for Managed Care Organizations," by Kirk J. Nahra, Iss. 2, 7/99, p30
Re Enos, ambulance company owners gets year for Medicare fraud, Iss. 4, 9/99, p23
Farris v. Texas, Iss. 3, 8/99, p16A
Re Gomez, Pittsburgh doctor gets 2 years & fine for health care fraud, Iss. 7, 12/99, p25
Henry v. Texas, Iss. 9, 2/00, p7B
Re Miranda, Nevada man sentenced for staging auto accident, Iss. 9, 2/00, p25
Re Nessman, poor health gets doctor probation for overbilling if he pays back money & fine, Iss. 7, 12/99, p24
New Jersey fraud prosecutor issues first annual report, Iss. 10, 3/00, p31
Olsten & Kimberly Home Health reach $61 million settlement of Medicare fraud charges, Iss. 2, 7/99, p4*
Re Oteri, medical equipment firm head pleads guilty to Medicaid fraud, Iss. 8, 1/00, p23
Re Spencer, former NJ school cook sentenced to 3 years for fraud, Iss. 9, 2/00, p25
Spierling v. First American Home Health, Iss. 4, 9/99, p5F
Re Strahan, surgeon sentenced for cosmetic surgery fraud, Iss. 10, 3/00, p30
Texas Farmers Insurance v. Cameron, Iss. 10, 3/00, p26M
US v. Anderson, Iss. 6, 11/99, p10A*
US v. Beverly Enterprises, Iss. 9, 2/00, p4*
US v. Beverly Enterprises California, Iss. 9, 2/00, p4*
US v. Brennan, Iss. 2, 7/99, p23*
US v. Churchill, Iss. 8, 1/00, p8
US v. Finkel, Iss. 1, 6/99, p13
US v. Jarrell, Iss. 7, 12/99, p6
US v. Kirschenbaum, Iss. 7, 12/99, p9
US v. Lorefice, Iss. 4, 9/99, p16H
US v. Mafdali, Iss. 1, 6/99, p13
US v. NMC Homecare, Iss. 8, 1/00, p5*
US v. Picciotti, Iss. 2, 7/99, p11L
US v. Sanders, Iss. 2, 7/99, p17B
US/Carsey v. Blue Cross Blue Shield, Iss. 3, 8/99, p11*
US/Lanford v. Vencor, Iss. 1, 6/99, p13*
US/Robinson v. Medaphis, Iss. 2, 7/99, p8C
US/Todarello v. Beverly Enterprises, Iss. 9, 2/00, p4*
FIRE INSURANCE
[See also ARSON / SUSPICIOUS FIRES]
Aetna Casualty & Surety v. Pizza Connection, Iss. 6, 11/99, p5D
Commentary: "In the Line of Fire: An Analysis of Insurers' Obligation to Arsonists' Spouse," by Lawrence J. Sher, Iss. 10, 3/00, p33
Commentary: "Insurance Fraud: Just Whose Fraud Is It?" by Marvin Milton, Iss. 4, 9/99, p26
Express Textile Consultants v. General Accident Insurance, Iss. 11, 4/00, p18
Gallo v. Philadelphia, Iss. 8, 1/00, p15E
Macri v. Indiana Insurance, Iss. 12, 5/00, p22
Overcast v. Billings Mutual Insurance, Iss. 1, 6/99, p6J; Iss. 10, 3/00, p21E
US v. Beardslee, Iss. 6, 11/99, p6C
FLIGHT to AVOID PROSECUTION / FUGITIVES from JUSTICE
Re Aidoo, Conn. man sentenced to 2+ years for fraud, Iss. 2, 7/99, p29
US v. LaFontaine, Iss. 12, 5/00, p6G
FLOODING
US v. Saada, Iss. 12, 5/00, p29M
FOOD and DRUG ADMINISTRATION
FDA Approval
US/SEAL v. University of California, Iss. 4, 9/99, p15*
FDA Investigation
Fresenius Medical Care announces $415 million Medicare settlement for predecessor company, Iss. 7, 12/99, p9
FOREIGN COMPANIES
Fresenius Medical Care announces $415 million Medicare settlement for predecessor company, Iss. 7, 12/99, p9
FOREIGN SCAMS / INTERNATIONAL SCAMS
Allahabi v. New York Life Insurance, Iss. 11, 4/00, p6B
Re Kongsiri, Thai officials catch former Pa. couple charged with faking husband's death for insurance, Iss. 7, 12/9