In the middle of June 2011 36 people were charged in a number of indictments for their roles in a scheme designed to defraud the American Family Life Assurance Company, better known as AFLAC (AFLAC!!). The people defrauded millions of dollars by filing thousands of false injury claims and to date 28 of the 36 involved and plead guilty.
On Octber 3, 2011 six more of those involved have been sentenced to federal prison for their roles in this scheme. Each person sentenced is sentenced to their prison time without parole and followed by a three year supervised release. They have also been ordered to make full restitution back to AFLAC.
The sentences are as follows:
Idaleen Sanchez – 12 months and one day in prison and $48,852 in restitution
Valerio Ramos – 12 months and one day in prison and $49,850 in restitution
Rigoberto Ramirez – 12 months and one day in prison and $67,375 in restitution
Eddie Guerra – eight months in prison and $22,240 in restitution
Jose Guerra – six months in prison and $19,597 in restitution
Norma Sanchez – six months in prison and $20,660 in restitution
The other 22 people who have come forward and plead guilty are due to be sentenced later this fall.
The six defendants above pleaded guilty in July 2011 to one count of wire fraud, admitting that they engaged in fraud as a policyholder under AFLAC’s Accident-Only Insurance Plan. Specifically, from 2007 through 2009, the defendants routinely delivered lists of fake accidents and injuries to two physicians in Reynosa, Tamaulipas, Mexico. The physicians prepared an “accident report” for each fake injury in exchange for a cash kickback of approximately $15 per accident report. In each report, the physicians falsely claimed they had provided treatment and prescribed medicine to the defendants for their purported injuries. Over time, the defendants faxed approximately 1,623 false injury claims and accident reports (purportedly certifying the fake injuries) to AFLAC in Columbus, Ga. The six defendants received various amounts of money from AFLAC totaling $192,864. – Source.
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