Monthly Archives: <span>April 2005</span>

14 Floridians Arrested in PIP Fraud Ring

Florida’s Chief Financial Officer Tom Gallagher announced the arrests of 14 individuals in Tampa–including a former sheriff’s deputy–for patient brokering. The patients were “sold” to at least seven medical clinics for up to $1,000 each. Most of the patients were …

County Employee Not Guilty of WC Fraud

An Indian River County. Fla., jury found a former county employee not guilty on charges of workers’ compensation fraud, perjury in an official proceeding and third-degree grand theft. Ernest Rider of Falls Creek, Pa., a heavy-equipment operator, filed a notice …

Arsonist Apprehended in Ky.

Gregory Van Tatenhove, United States Attorney for the Eastern District of Kentucky, and Karl Stankovic, Special Agent in Charge, Bureau of Alcohol, Tobacco, Firearms & Explosives, Louisville Field Division, jointly announced that a Federal Grand Jury in Lexington returned an …

Fla. Prosecutors Drop Case

Florida prosecutors have dropped charges against a Hobe Sound, Fla., man accused of being the lead suspect in a $700,000 scam that targeted seniors by cashing in their insurance annuities. John F. Cushman was accused of working with an unknown …

Fla. Couple Faked Auto Accident Claim

A St. Petersburg, Fla., couple and a relative are facing felony insurance fraud charges after investigators determined they collected $39,000 in insurance from a staged automobile accident. Azem Jakupaj, his wife, Fikreta, and Edin Muratovic were charged with insurance fraud …

People & Places

Mike Hill Alabama State Representative Mike Hill, R-Shelby County, was honored by the Alabama Independent Insurance Agents as AIIA’s “Lawmaker of the Year” in an award presentation in Montgomery, Ala. Tim Stark Hill was honored for his willingness to listen …

Hurricane Victims Need Help!

When I attended the Florida Department of Financial Services town hall meeting in Orlando I got a glimpse of what many insurance agents must have encountered after last year’s hurricanes–how the heck did you cope? Despite the fact that their …

Agents Beware: Due Diligence is Now Required

Transactions between retail agents and brokers they place business through just became more labor intensive. I recently testified as an expert in a federal case involving a reputable agency’s failure to conduct proper due diligence on a purported surplus lines …

Eddy vs. BSTV Inc.

(Wisconsin Court of Appeals, District I, March 8, 2005) –Ruling:Professional services exclusion barred coverage for claims asserted against real estate agents. The court held that the professional services exclusion in the policy barred coverage for plaintiffs’ claims that the insured …

Bland vs. Fiatfallis North America Inc.

(7th U.S. Circuit Court of Appeals, March 15, 2005) –Ruling: ‘Lifetime’ language without reservation clauses in plan documents creates ambiguity about vesting. The court held that the presence of “lifetime” language without reservation of rights clauses in several retiree benefit …