A Battle Ground auto glass installer who overbilled an insurance company for years will have to pay back $100,000 in inflated billings.
Robert T. Wooster, doing business as Dr. Bob’s Auto Glass and DRB Enterprises Auto Glass, pleaded guilty earlier this year to a felony charge of first-degree theft. He was sentenced to 1 year's probation and $100,000 in restitution on Thursday.
Washington state Insurance Commissioner Mike Kreidler's Special Investigations Unit served a search warrant on Wooster’s business in late 2007, seizing dozens of fraudulent invoices.
The investigation found that Wooster had two schemes for illegally billing the insurer:
-He would replaced chipped or cracked windshields, but bill the company for more-expensive side- or back windows. The insurance commissioner’s office is aware of more than 100 cases in which customers had windshields replaced, but where the records showed that Wooster had billed for side- or back glass.
-He would submit bogus invoices, cutting and pasting photocopied dealer invoices to make it look like his costs for the glass were much higher than they really were. He also fabricated false invoices for parts that were never actually installed, such as new window moldings.
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Jumat, 26 Februari 2010
Rabu, 24 Februari 2010
West Seattle man pleads guilty to first-degree theft in insurance fraud case
Edward Charles Bailey, 59, of West Seattle, has pleaded guilty in King County Superior Court to first degree theft for committing insurance fraud.
Bailey, who reported an on-the-job back injury to his employer in 2006, was placed on temporary total disability and received disability pay from his employer’s insurer, Alaska National Insurance. Doctors subsequently ruled him unable to return to work.
Five weeks after the injury, investigators working for the insurance company videotaped Bailey working vigorously on his sailboat at a Seattle marina. The sanding, painting, climbing and moving of machinery were all contrary to the physical restrictions imposed by Bailey’s doctors, according to the Washington insurance commissioner’s Special Investigations Unit.
When shown the video, the independent medical examination doctors who had originally seen Mr. Bailey reversed their original opinion as to his ability to work.
According to the charges, Bailey was paid more than $26,000 in unnecessary medical expenses and disability benefits that he wasn’t entitled to.
Bailey's sentencing is slated for early next month.
Bailey, who reported an on-the-job back injury to his employer in 2006, was placed on temporary total disability and received disability pay from his employer’s insurer, Alaska National Insurance. Doctors subsequently ruled him unable to return to work.
Five weeks after the injury, investigators working for the insurance company videotaped Bailey working vigorously on his sailboat at a Seattle marina. The sanding, painting, climbing and moving of machinery were all contrary to the physical restrictions imposed by Bailey’s doctors, according to the Washington insurance commissioner’s Special Investigations Unit.
When shown the video, the independent medical examination doctors who had originally seen Mr. Bailey reversed their original opinion as to his ability to work.
According to the charges, Bailey was paid more than $26,000 in unnecessary medical expenses and disability benefits that he wasn’t entitled to.
Bailey's sentencing is slated for early next month.
Meanwhile, in Virginia...
An amendment has been introduced in the Virginia state legislature to ban insurers from requiring their customers:
Violations would be subject to a fine of $500, payable to that state's Literary Fund.
For the record, we here in Washington are unaware of any insurer planning to implant anything in your hair, fingernails, or anywhere else. The closest thing we've seen is a proposal from some auto insurers to allow their customers to voluntarily have devices installed in their cars to monitor how they drive (jackrabbit starts, speeding, etc.), for the purpose of giving good drivers a discount.
"...to have an identification/tracking device or mark implanted or permanently or semi-permanently incorporated into the body, skin, teeth, hair, or nails of such person to track, or to aid in tracking such person."
Violations would be subject to a fine of $500, payable to that state's Literary Fund.
For the record, we here in Washington are unaware of any insurer planning to implant anything in your hair, fingernails, or anywhere else. The closest thing we've seen is a proposal from some auto insurers to allow their customers to voluntarily have devices installed in their cars to monitor how they drive (jackrabbit starts, speeding, etc.), for the purpose of giving good drivers a discount.
Kamis, 18 Februari 2010
New online tool calculates your risks of car wrecks, burglary, wind damage, etc.
A company called Virtual Insurance Advisor has built an interesting online tool that allows you to type in a few variables (age, gender, state) to get a ballpark estimate of the risks in your life.
Example: A 35-year-old man in Washington state, according to the tool, has:
-a 1 in 43 risk of dying within 10 years
-a 1 in 15 chance of having an auto collision claim this year
-a 1 in 1023 chance of having a house fire this year
-a 1 in 250 chance of suffering major wind damage to the home
-a 1 in 1064 chance of a home burglary
and so forth. All told, there are nearly three dozen situations listed.
(Lastly, this post comes with our usual disclaimer: As Washington state's insurance regulator, we do NOT endorse any company, agent, etc. Mentioning a company's website, study, press release, etc. does not mean we're endorsing them or their products. But you knew that already.)
Example: A 35-year-old man in Washington state, according to the tool, has:
-a 1 in 43 risk of dying within 10 years
-a 1 in 15 chance of having an auto collision claim this year
-a 1 in 1023 chance of having a house fire this year
-a 1 in 250 chance of suffering major wind damage to the home
-a 1 in 1064 chance of a home burglary
and so forth. All told, there are nearly three dozen situations listed.
(Lastly, this post comes with our usual disclaimer: As Washington state's insurance regulator, we do NOT endorse any company, agent, etc. Mentioning a company's website, study, press release, etc. does not mean we're endorsing them or their products. But you knew that already.)
Rabu, 17 Februari 2010
Insurance news: Oregon opens health insurer rate filings, new legislation re: autism coverage, and Allstate says teen girl drivers "more distracted" than boys
Health insurers filing rate requests with the state of Oregon will no longer be able to keep those requests secret, the Oregonian reports today.
In Missouri, lawmakers in the House have approved a bill to require insurers to cover treatment for autistic children. The same thing happened in the Virginia state senate.
The Wall Street Journal has an interesting story about insurers getting involved on cancer treatments for their members. Headline: Insurer Plays Judge on Cancer Care.
And the Chicago Tribune reports on an Allstate study that concludes that, as the article puts it, "Differences between the sexes are becoming less noticeable when it comes to teenage driving. In what seems like a role reversal, girls are expressing a new need for speed, while aggressive driving and speeding by boys is down."
Here's the story, and here's the link to the study.
In Missouri, lawmakers in the House have approved a bill to require insurers to cover treatment for autistic children. The same thing happened in the Virginia state senate.
The Wall Street Journal has an interesting story about insurers getting involved on cancer treatments for their members. Headline: Insurer Plays Judge on Cancer Care.
And the Chicago Tribune reports on an Allstate study that concludes that, as the article puts it, "Differences between the sexes are becoming less noticeable when it comes to teenage driving. In what seems like a role reversal, girls are expressing a new need for speed, while aggressive driving and speeding by boys is down."
Here's the story, and here's the link to the study.
Percentage of uninsured motorists, by state
It's a question that our office gets periodically: What percentage of Washington drivers have no insurance?
The short answer is that we're not sure. Our office regulates insurers, agents and brokers, but not the consumers who actually buy the coverage.
But the Pennsylvania-based Insurance Research Council did an estimate, based on data collected from nine major auto insurers representing about half the private passenger auto market in the United States.
(Editor's note (2/7/2012): This post continues to get high hits, but you can find updated numbers here. Now back to the original post...)
The states with the highest percentages, the IRC estimates, are in the South. The lowest states are about evenly split between the Midwest, intermountain West and the Northeast.
The most recent report uses 2007 data. Washington came in fairly high, with an estimated18 16 percent of drivers -- about one in six -- uninsured. Oregon and Idaho were much lower: 11 percent and 9 percent, respectively. The top two spots were Mississippi, with 28 percent, and New Mexico, with 29 percent.
Here is the IRC's breakdown of states, by percentage of uninsured drivers:
Alabama = 26%
Alaska = 13%
Arizona = 18%
Arkansas = 15%
California = 18%
Colorado = 15%
Connecticut = 9%
D.C. = 15%
Delaware = 10%
Florida = 23%
Georgia = 12%
Hawaii = 12%
Idaho = 9%
Illinois = 15%
Indiana = 14%
Iowa = 12%
Kansas = 10%
Kentucky = 16%
Louisiana = 12%
Maine = 4%
Maryland = 12%
Massachusetts = 1%
Michigan = 17%
Minnesota = 12%
Mississippi = 28%
Missouri = 14%
Montana = 15%
Nebraska = 8%
Nevada = 15%
New Hampshire = 11%
New Jersey = 8%
New Mexico = 29%
New York = 5%
North Carolina = 12%
North Dakota = 5%
Ohio = 16%
Oklahoma = 24%
Oregon = 11%
Pennsylvania = 7%
Rhode Island = 14%
South Carolina = 9%
South Dakota = 7%
Tennessee = 20%
Texas = 15%
Utah = 8%
Vermont = 6%
Virginia = 9%
Washington = 16%
West Virginia = 8%
Wisconsin = 15%
Wyoming = 9%
Note: This post was updated to correct Washington's percentage.
The short answer is that we're not sure. Our office regulates insurers, agents and brokers, but not the consumers who actually buy the coverage.
But the Pennsylvania-based Insurance Research Council did an estimate, based on data collected from nine major auto insurers representing about half the private passenger auto market in the United States.
(Editor's note (2/7/2012): This post continues to get high hits, but you can find updated numbers here. Now back to the original post...)
The states with the highest percentages, the IRC estimates, are in the South. The lowest states are about evenly split between the Midwest, intermountain West and the Northeast.
The most recent report uses 2007 data. Washington came in fairly high, with an estimated
Here is the IRC's breakdown of states, by percentage of uninsured drivers:
Alabama = 26%
Alaska = 13%
Arizona = 18%
Arkansas = 15%
California = 18%
Colorado = 15%
Connecticut = 9%
D.C. = 15%
Delaware = 10%
Florida = 23%
Georgia = 12%
Hawaii = 12%
Idaho = 9%
Illinois = 15%
Indiana = 14%
Iowa = 12%
Kansas = 10%
Kentucky = 16%
Louisiana = 12%
Maine = 4%
Maryland = 12%
Massachusetts = 1%
Michigan = 17%
Minnesota = 12%
Mississippi = 28%
Missouri = 14%
Montana = 15%
Nebraska = 8%
Nevada = 15%
New Hampshire = 11%
New Jersey = 8%
New Mexico = 29%
New York = 5%
North Carolina = 12%
North Dakota = 5%
Ohio = 16%
Oklahoma = 24%
Oregon = 11%
Pennsylvania = 7%
Rhode Island = 14%
South Carolina = 9%
South Dakota = 7%
Tennessee = 20%
Texas = 15%
Utah = 8%
Vermont = 6%
Virginia = 9%
Washington = 16%
West Virginia = 8%
Wisconsin = 15%
Wyoming = 9%
Note: This post was updated to correct Washington's percentage.
Selasa, 16 Februari 2010
Insurance news: States to pick up health-reform push, health care premiums rising, and a Rhode Island atty draws scrutiny with his investment plan: annuities for the terminally ill...
Newsweek: The health care reform trickle-down: What it means when states take things into their own hands
WA Post: With health-care reform stalled, debate heats up regarding state approaches
The Wall Street Journal has a fascinating story about a Rhode Island lawyer who apparently saw a sure-thing in buying annuities for the terminally ill.
WA Post: Individual insurance rates soar in 4 states
Reuters: WellPoint, facing congressional scrutiny of its premium rate increases, cancels its investor day
Kaiser Health News: interesting dispute over “Whether Health Insurance Saves Lives”
Fox News: A real solution for covering the uninsured
CBS News: Beware fake health insurance (This story references the American Trade Association, which is under fire in multiple states -- including ours -- for its health coverage offerings.)
Workerscompensation.com: WA Insurance Commissioner Fines Insurers More than $400,000 last year
WA Post: With health-care reform stalled, debate heats up regarding state approaches
The Wall Street Journal has a fascinating story about a Rhode Island lawyer who apparently saw a sure-thing in buying annuities for the terminally ill.
WA Post: Individual insurance rates soar in 4 states
Reuters: WellPoint, facing congressional scrutiny of its premium rate increases, cancels its investor day
Kaiser Health News: interesting dispute over “Whether Health Insurance Saves Lives”
Fox News: A real solution for covering the uninsured
CBS News: Beware fake health insurance (This story references the American Trade Association, which is under fire in multiple states -- including ours -- for its health coverage offerings.)
Workerscompensation.com: WA Insurance Commissioner Fines Insurers More than $400,000 last year
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