Ohio insurance regulators opened 233 insurance fraud cases last year, handled 1,678 agent misconduct cases, took administrative action against 240 individuals and entities and referred 72 individuals for prosecution, the state insurance department reports.
Among the top statewide fraud and enforcement cases handled by the Ohio Department of Insurance in 2011 are:
Former Clinical Counselor Sentenced in Health Care Fraud Case – Findlay/Hancock County/$53,000
John “Blaine” Frankenburg of Findlay pled guilty to one count of insurance fraud for billing certain insurers for counseling services when he was not licensed by the state to provide such services. In January 2011, Frankenburg was sentenced to 30 days in jail, five years of community control, and ordered to pay more than $53,000 in restitution to Ohio Medical Mutual and Anthem Blue Cross/Blue Shield.
Agent and Auto Body Shop Fraud Scheme – Hicksville/Defiance County/$13,000
Former insurance agent Greg Newton pled guilty to two counts of insurance fraud for submitting false automobile repair claims with the help of associate Deron Eicher, who operated a local repair shop. Eicher pled guilty to two counts of insurance fraud for his involvement in the scheme. In February 2011, Newton was ordered to serve three years on community control. Eicher was ordered, in April,
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