The Special Investigative Unit of RJN Investigations, Inc. was notified by the Los Angeles District Attorney prosecutions team that the claimant “abruptly” changed course and entered a no contest plea to one count of felony insurance fraud, a violation of Insurance Code section 1871.4(a)(1), stemming from his misstatements at the time of his deposition. The claimant testified on that date that he was not working after his injury, and surveillance obtained by RJN Investigations Inc proved that statement to be false. As a result of the claimant’s plea, he has been ordered to repay the City of Compton $9,982.91 to reimburse them for all surveillance costs as well as the cost of the deposition. He is additionally ordered to perform 100 hours of community service. The Court has given him six months to complete both of those tasks, and he will be in Court again on May 16, 2023, for sentencing. If he completes both requirements in full, he will be sentenced to a misdemeanor. However, if he fails to do so, his plea to the felony charge will stand and he will be sentenced on the felony. This resolution comes after many months of hard work and contact with both CalPERS and the Franchise Tax Board regarding his disability retirement. While the Deputy District Attorney was unable to convince the Franchise Tax Board to open an investigation into his tax-reduced disability retirement, the inquiry may have been enough to convince him to change course and accept the plea offer.
ABOUT R.J.N. SIU:
Formed in 1996, the RJN SIU Division was created to assist California employers, insurance carriers and TPA firms in securing professional assistance so as to detect, investigate and prosecute insurance fraud. To date, the unit has trained well over 4000 examiners and the documented referrals by this unit have resulted in over 215 convictions for workers’ compensation insurance fraud in California. In just the last 4 years we have secured $1,402,930.80 in court ordered restitution on behalf of our valued clients.