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Authorities Uncover $20 Million Health Care Scheme in California Federal authorities arrested five individuals connected to San Fernando Valley clinics and a significant health care fraud scheme. On May 22, a federal grand jury indictment was unsealed. The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. The Conspirators According to the Department of Justice (DOJ) press release, the co-conspirators included: Roshanak “Roxanne” or “Roxy” Khadem, 50: Khadem owned and operated two clinics, R&R Med Spa and Nu-Me Aesthetic and Anti-Aging Center. Dr. Roberto Mariano, 59: Mariano helped operate the clinics. Marina Sarkisyan, 49: Sarkisyan was a clinic office manager. Lucine Ilangezyan, 38: Ilangezyan was an insurance biller for the clinics. Gary Jizmejian, 44: Jizmejian was previously a senior investigator at the Anthem Special Investigations Unit, the insurer’s anti-fraud unit. The Allegations The indictment alleges that the co-conspirators induced patients to visit the clinics for free cosmetic procedures, such as Botox injections, facials, and laser hair removal. These procedures were not covered by insurance. The co-conspirators would gain the patients’ insurance information and bill their insurers for medical services that were unnecessary or never provided. The defendants then used some of the illegally obtained proceeds to calculate a “credit” the patients could use for discounted or free cosmetic procedures. The defendants submitted at least $20 million in insurance claims and were paid approximately $8 million. The indictment also states that Jizmejian, for cash payments, would provide Khadem and others with confidential Anthem information. This information helped the defendants submit fr
30 May 2018, 5:43 am by Gregory J. Brod
The indictment alleges that the five individuals engaged in a health care fraud conspiracy over multiple years and targeted at least eight health insurance companies and the International Longshore and Warehouse Union, the Pacific Maritime Association Benefit Plan, and the Federal Employees Health Benefits Program. [read post]
11 Jul 2009, 12:15 pm
Best rating agency.Maintained Rating of A (Excellent) or better for 75 or more yearsNational Union Fire Insurance Company of Pittsburgh, PA, since 1934, (now part of AIU Holdings, Inc. and for structured settlements entered into for New York claims and suits against insureds of AIG subsidiary American Home Assurance Company it serves as qualified assignee for cases resolved though June 30, 2009).Aviva Life and Annuity Company (former structured… [read post]
21 May 2014, 4:53 am by Robert Kreisman
In this case, Hilco, an Illinois corporation, had four related companies. [read post]
23 Aug 2013, 3:25 am by Jon Gelman
The Fortune 100 firm expects the move, which applies to non-union U.S. workers only, to save about $60 million a year, said company spokesman Andy McGowan. [read post]
29 Nov 2017, 11:35 am
  (Keep in mind that some insurance companies ask for Social Security Numbers of the beneficiaries and you may not want to ask people for that, or they may want to know why. [read post]
On March 10, 2020, the New York Department of Financial Services (“DFS”), which regulates a wide variety of financial institutions, including banks, insurance companies, and investment advisors doing business in New York, issued a series of letters regarding the response to the Novel Coronavirus (“COVID-19”). [read post]
11 May 2017, 12:00 pm
And the rest of the nation should follow suit with similar state-based legislation that puts the economic security, wellbeing, and safety of our communities before bail insurance companies’ profits. [read post]
21 Oct 2011, 6:35 am by Victoria VanBuren
Cat Tech sought indemnification under two insurance policies: (1) a commercial general liability policy issued by American Home Assurance Company (“AHA” ), and (2) a commercial umbrella policy issued by National Union Fire Insurance Company of Pittsburgh, Pennsylvania (“NUFIC”). [read post]
20 Jul 2023, 7:43 am by Evan Schwartz
When reputational harm is alleged, courts typically find that the insurance company has a duty to defend the policyholder. [read post]
31 Jul 2020, 10:00 am by Silver Law Group
The Variable Annuity Life Insurance Company (VALIC), a unit of AIG, recently agreed to pay a $20 million settlement related to an action brought by the Securities and Exchange Commission. [read post]
The policy was a National Union standard CGL form modified by various endorsements, including Endorsement No. 1, which National Union argued was “manuscript” and, thus, not subject to the rules of policy interpretation that construe insurance policy terms against an insurance company that drafted them. [read post]
30 Jan 2012, 11:19 pm
When National Union Fire Insurance Company -- the state's insurance company at the time -- learned that Lambert had been named a defendant, it filed a declaration stating that it had no duty to defend or provide other policy benefits to Lambert. [read post]
27 Sep 2015, 7:07 am
They had their own insurance company - Freelancers Insurance Company (FIC) that was notorious for consumer complaints. [read post]
22 Feb 2018, 6:49 am by skelly
  Speakers at the public hearing primarily included members from US insurance companies and trade groups, and also included representatives for companies or groups from the EU, UK, Bermuda and Japan. [read post]