Insights

Exciting New Assignment of Benefits Law Passes

May 7, 2019

H.B. 7065 passed last week and Governor DeSantis has promised to sign it! This is great news for consumers and insurers alike. The law is designed to curb the onslaught of assignment of benefits cases, which have plagued the...

Miami-Dade Public Adjusters Facing Charges for Insurance Fraud Ring

May 1, 2019

Public adjuster Barbara Gonzalez and at least eight more suspects were arrested in insurance fraud ring in Miami-Dade. Gonzalez ran a public adjusting company Rubicon Group and the alleged ringleader of the fraud scheme....

Florida Legislature Passes Assignment of Benefits Reform Bill

April 24, 2019

On April 24, 2019, by a vote of 25-14 the Florida Senate passed SB 122 that addresses AOB’s for residential or commercial property insurance claims and limits attorney’s fees related to AOB agreements. The Senate bill was...

Fort Myers Woman Arrested for Insurance Fraud

April 23, 2019

Crystal Danielle Clarkson of Fort Myers was arrested for submitting false claims to her insurance company for treatments she did not receive. She sent 34 extra claims totaling $70,546.12 although she had only been seen by...

How Billing Processes of Florida Medical Providers for PIP Claims are Affected by the Thirty Third Amendment to Regulation 83 Under New York-Based Insurance Policies

April 17, 2019

The New York State Department of Financial Services (“DFS’) has finalized the Thirty-Third Amendment to Regulation 83 (the “33rd Amendment”), which was published in the State Register on October 25, 2017 and will...

Survey Finds More Insurers Fighting Fraud with Data Analytics

April 2, 2019

According to a survey by Coalition Against Insurance Fraud, insurers are turning to analytics to fight insurance fraud which they believe is on the rise. Of the 84 carriers surveyed, 65% reported an increase in fraud over the...

Accused Fraudster Uses Delay Taxes While Victims Continue to Pay

March 20, 2019

According to the Federal Trade Commission, accused health insurance scammer Stephen J. Dorfman, CEO of Hollywood-based Simple Health Plans LLC, is using “procedural maneuvers” to delay turning over his firm to a...

Orlando Woman Arrested for Arson and Burning to Defraud

March 7, 2019

Tondra Shenika Roberts was arrested for allegedly setting her car on fire on Christmas Eve. According to police reports, Roberts said the vehicle was supposed to be repossessed and she left the keys inside in case someone...

Boynton Beach Man Accused of Selling Fake License Plates and Insurance Cards

February 26, 2019

Fedelin Pericles also known as “The Tag Man” was arrested by undercover officers after selling them fake temporary tags and a false insurance card. An anonymous tipster gave detectives Pericles’ phone number and told...

Stuart OB/GYN Found Guilty in Health Insurance Fraud Scheme

February 18, 2019

A federal court jury found Dr. Sheetal Kanar Kumar, former Stuart obstetrician and gynecologist, guilty of 23 counts of health insurance fraud. Kumar faces up to 10 years in prison and fines of $250,000 for each charge as a...