Tuesday, August 9, 2011

Five Plead Guilty to Health Care Insurance Fraud

Source- http://www.fbi.gov/atlanta/press-releases/2011/five-plead-guilty-to-health-care-insurance-fraud

Michael J. Moore, United States Attorney for the Middle District of Georgia, announced that five defendants entered pleas of guilty to one count of health care insurance fraud against American Family Life Assurance Company, also known as Aflac, in violation of Title 18 United States Code, Section 1347(2) and 18 United States Code Section 2, before the Honorable Clay Land, United States District Court, Columbus, Georgia. Sentencing has been set for December 8, 2011.

Defendant Case Number
Dontavius Dowdell age 29, Columbus, GA 4:11-CR-10-CDL
Derrick Jones, age 43, Columbus, GA 4:11-CR-11-CDL
Steven Lester, age 28, Marietta, GA 4:11-CR-12-CDL
Camille Toney, age 23, Phenix City, AL 4:11-CR-15-CDL
Ronnie Moore, age 47, Columbus, GA 4:11-CR-13-CDL

Aflac is engaged in business both within and outside the state of Georgia. While Aflac engages in various types of businesses, its primary function is to provide supplemental insurance (health care benefit program) to policyholders who are ill or injured, or both, and are unable to work. Each defendant submitted fraudulent claims against their supplemental insurance policies with Aflac to fraudulently obtain funds ranging in various amounts from $243.75 to $67,105.00. AFLAC’s actual loss was more than $500,000.00. Each defendant faces a possible maximum sentence of 10 years’ imprisonment, a $250,000.00 fine, or both, and three years of supervised release. “These types of cases have a far-reaching effect and are a priority of the Department of Justice,” Moore said.

Report Medicare & Medicaid Fraud by Calling 1-888-482-6825 or by visiting