By Julie Howle STAFF WRITER jhowle@greenvillenews.com
It could be a false claim, an overstatement of damages and
injuries from an accident or not reporting accurate medical history
when applying for health insurance.
But whatever the form, insurance fraud is one reason South
Carolinians are seeing a larger portion of their paychecks go to
rising insurance costs, said Trey Walker, a spokesman for the State
Attorney General's Office, where the budget has been boosted to
chase offenders.
Walker said that as insurance companies lose money because of
fraud, the cost is passed on to the consumer. He said the average
American household pays about $1,000 a year in out-of-pocket costs
as a result of insurance fraud.
The office sees cases every day, he said, like the Travelers Rest
man who pleaded guilty to insurance fraud recently and got a
five-year suspended sentence and three years' probation in a case
where prosecutors said he claimed the same damage to his pickup
truck twice. He was ordered to pay restitution of $3,899.72 to State
Farm Insurance Co.
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James Quiggle, a spokesman for the Coalition Against Insurance
Fraud, said there is $80 billion in insurance fraud each year
nationally.
He said insurance fraud can range from people underreporting the
number of miles they drive on their auto policy to staging an
accident and having passengers pretend to be injured to collect
insurance.
And there's always an influx of fraud after disasters as well,
whether it is a flood, ice storm or hurricane, he said.
"People will always swoop in and try to profit from a natural
disaster," Quiggle said.
Fraud doesn't just hit insurance companies, according to the
Coalition Against Insurance Fraud. People can lose their life
savings because of insurance investment schemes, pointing to
swindlers who sell nonexistent health policies or other insurance
plans, the group said.
The state Attorney General's Office has been prosecuting
insurance fraud by statute since the mid-'90s, and the office has a
division devoted solely to insurance fraud prosecution, Walker said.
Walker said that initially in the mid-'90s the office had two
prosecutors and two State Law Enforcement Division agents dedicated
to prosecuting insurance fraud across the state.
But with budget cuts, the office shrank to only one prosecutor
and two SLED agents, he said, which led to a tremendous backlog that
the offices are still working through today.
Walker said the Legislature acted to provide an additional
$400,000 a year to the Attorney General's Office to hire insurance
fraud prosecutors, starting in fiscal year 2005-2006.
In July 2005, the office hired four more prosecutors and now has
five prosecutors devoted to insurance fraud cases.
Walker said in the first quarter of the 2005 fiscal year, the
office had a 250 percent increase in the number of insurance fraud
cases it handled and closed compared to the first quarter of the
2004 fiscal year. |