S.C.'s poor
prosecution of fraud hurt residents, officials
say
Associated
Press
CHARLESTON, S.C. - South Carolina's poor record
of enforcing its laws against insurance fraud could make the state a
magnet for scammers and result in higher premiums for residents,
some legal experts and state officials say.
Some state legislators blame the state attorney general's office
for lax prosecution, but agency officials say budget cuts have made
it difficult to enforce the state's fraud laws.
"There is a dismal track record of prosecuting many of these
cases at the state level in South Carolina," said Lynn Szymoniak, a
lawyer who specializes in fighting fraud for the insurance industry
in Florida and South Carolina. "The ones who have been successfully
prosecuting these cases are the feds."
Insurance fraud can range from a person underreporting the number
of miles he drives in his car to save a few bucks to more complex
schemes such as businesses misclassifying workers to avoid paying
high premiums required for more dangerous jobs.
Last year, 844 fraud complaints were sent to the attorney
general's office, totaling about $3.7 million in reported losses.
That's up 61 percent from 524 complaints in 1999.
A total of 354 of last year's complaints were investigated for
criminal activity. Officials say that's far too many for a small
staff of prosecutors and investigators to adequately fight insurance
fraud, which each year can cost consumers as much as $80 billion
nationally.
The attorney general's fraud division, created in 1994, relies on
a budget of about $300,000 that covers the cost of two State Law
Enforcement Division agents, one prosecutor and one assistant.
"If you were picking a state to run scams from, why wouldn't you
pick South Carolina?" Szymoniak said. "If the penalties aren't tough
enough, the prosecutors and law enforcement agents are understaffed,
then that is the state you'll go to."
Five years ago, the attorney general's office operated on a
budget of about $10 million, agency officials said. In recent few
years, that budget has been cut by about 33 percent, down to around
$6 million, officials said.
With shrinking coffers, the agency cut all nonessential travel
and closed its satellite offices in Charleston and Greenville, where
most of the insurance fraud cases were handled. The insurance fraud
division, which has once had as many as 10 prosecutors and 10 SLED
agents, was whittled down to its current size.
"There are not enough cops and prosecutors to keep up with the
criminals. That is a never-ending story," said agency spokesman Trey
Walker.
Some state lawmakers and industry officials say even when the
agency was fully staffed, insurance fraud was not a high enough
priority.
Numbers produced by the attorney general's office show that about
$4 million has been paid through penalties and fines for insurance
fraud crimes, just a smidgen of the $50 million in fraud reported
since the unit was formed. Last year, the 91 cases that resulted in
criminal convictions and civil fines resulted in $328,069, which is
little more than the division's $301,247 budget.
The growing dilemma last year led a group of nearly a dozen state
lawmakers to introduce legislation that would have toughened
penalties, created a civil enforcement unit under the state
Department of Insurance and assessed insurance carriers to pay for
more agents. The bill, which died in committee, is expected to be
reintroduced when the Legislature reconvenes in January.
"We have to make it a higher priority," said state Rep. Daniel L.
Tripp, R-Mauldin. "As other states crack down on fraud rings and
networks, the criminals are going to move into a state like South
Carolina. We neglect this issue in our peril."
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Information from: The Post and Courier, http://www.charleston.net/ |