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June 19, 2019
California Workers’ Compensation Appeals Board Posts Proposed Updated Rules of Practice and Procedure for Public Comment

June 18, 2019
California’s Division of Workers’ Compensation to Revise Independent Medical Reviews (IMR), Independent Bill Reviews (IBR) Requests for Proposal

June 13, 2019
Paul Turley, D.C. To Testify In Dr. Uwaydah Criminal Organization Case In L.A. Judge Concerned With Turley's Proffer Stating Uwaydah Controls Everything From Lebanon.

June 13, 2019
California Division of Workers’ Compensation Posts Adjustments to Official Medical Fee Schedule (Physician Services / Non-Physician Practitioner Services)



Two Defendants Enter No Contest Pleas to Orange County District Attorney For Participating in an Alleged Supplemental Job Displacement Voucher Fraud Scheme
By Lonce Lamonte, Editor, and the Orange County District Attorney News Release - May 29, 2019

Salvador Franco, Jr., age 42, and Mirella Flores, age 45, of Downey and Paramount, California, respectively, entered no contest pleas to attempting to defraud multiple insurers of approximately $120,000 by having students sign over their Supplement Job Displacement vouchers and collecting the money without providing required vocational training.

Both defendants were each charged with one felony count of conspiring to commit a crime, 18 felony counts of making a fraudulent statement to obtain or deny compensation, and 18 felony counts of fraudulent claims. On May 24, 2019, both defendants accepted a court offer and pled no contest to all counts.

Franco and Flores were immediately sentenced to three years of formal probation and ordered to pay $88,000 in restitution to insurers and $62,000 in investigative costs to the California Department of Insurance. The defendants were also sentenced to 90 days in Orange County Jail.  This incarceration was stayed pending the completion of 275 hours of community service by Franco and 250 hours by Flores.

Between 2015 and 2017, Franco and Flores participated in an alleged Supplemental Job Displacement Voucher Fraud scheme involving the Technical School, Inc., doing business as Technical College, Inc., and Graduates Do Succeed Institute, doing business as GDS Institute.  Franco was a 20 percent owner and a Director of Technical College as well as its Chief Financial Officer. He was also the Chief Financial Officer of GDS Institute.  Flores was an employee for both schools.

The defendants conspired and offered to provide workers’ compensation claimants with either at-home or off-site training for a few hours a week along with work related materials such as a computer.  In exchange, claimants were expected to sign over their Supplemental Job Displacement Vouchers that were valued between $4,000 and $10,000.  Other students were offered a monetary payment in exchange for signing over their vouchers and not attending any training. 

The enrollment materials allegedly sent to insurers for payment on the vouchers, however, vastly misrepresented the training that the claimants were going to receive.  Instead of listing the at-home training, the provision of supplies, or the kickbacks to the students, defendants described the training as being several hundred hours in length, requiring full-time (40 hours per week) attendance at one of the schools’ campuses.

Compwest Insurance Company was alerted to the alleged fraudulent scheme by a claimant living in Orange County who did not receive the promised in-home training from Technical College.  Compwest then notified both OCDA and the California Department of Insurance, who agreed to jointly investigate the complaint.  Shortly thereafter, the Los Angeles District Attorney’s Office joined the investigation.

Deputy District Attorney Steven Schriver of the OCDA Insurance Fraud Unit prosecuted this case.

###

lonce@adjustercom.com; Lonce Lamonte, journalist, editor, adjustercom; and the Orange County District Attorney news release dated May 29th 2019

 
 

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