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Insurance firm's employees plead not guilty to fraud


San Diego Union Tribune, May 17, 2006

SAN DIEGO - Two officers and six employees of a Massachusetts-based firm accused of fraudulently filing workers' compensation claims, including at least one in San Diego, pleaded not guilty Wednesday to insurance fraud charges.

A San Diego County grand jury returned a 50-count indictment against the defendants, all from Braintree, Mass., near Boston, on April 3.

Appearing for arraignment before Judge John Davidson were:

 Thomas M. McGrath, 44, treasurer of National Independent Contractors Association;

 Eileen Rogantino, 42, president and secretary of NICA; [McGrath's wife]

 Wesley McClure, 46; [McGrath's brother in-law]

 Daniel M. Curran, 53;

 Mary Jayne Graham, 51;

 Timothy F. Bergin, 36;

 Andrew Rogantino, 46; [a relative of McGrath's wife, maybe her brother] and

 David B. Kenyon, 58.

"This major investigation was successful because of tremendous help from the California Department of Insurance, with assistance from the Employment Development Department and the State Compensation Insurance Fund," said San Diego County District Attorney Bonnie Dumanis.

Prosecutors said McGrath and Eileen Rogantino used a San Diego County insurance broker and applied for and received a workers' compensation insurance policy from the San Diego District Office of the State Compensation Insurance Fund in October 2002.

Over the next year, NICA reported 47 claims for allegedly injured workers statewide, including at least one in San Diego County. The workers included bicycle, motorcycle and motor vehicle couriers, said prosecutor Ernie Marugg.

More than 300 boxes of evidence were seized after search warrants were served in San Diego, Los Angeles and San Francisco last October.

"This company prided itself on malpractice," said California Insurance Commissioner John Garamendi.

"Not only did the company file bogus workers' comp claims, but they also ripped off SCIF by making SCIF pay out $600,000 in losses," he alleged. "This type of fraud is deplorable and clearly illustrates the peril that we all face because of some people's unscrupulous and illegal actions."

Each defendant is charged with one count of conspiracy to commit premium fraud, six counts of premium fraud and 43 counts of filing false injury claims.

If convicted of all the felony charges, each defendant faces up to 59 years in state prison and a fine of $1.2 million.

"Workers' compensation fraud siphons millions of dollars each year from honest stakeholders," said Donna Gallagher, who manages the State Compensation Insurance Fund's Fraud Investigative Program.

"Our anti-fraud campaign is a priority and we applaud the San Diego County District Attorney's Office for their aggressive fight on workers' compensation fraud," she said.

All of the defendants were released on their own recognizance and waived their right to be present at a May 31 status hearing.



 


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