Health insurance claims for sex work lead to conspiracy allegations and more news

Published by
Peter Kavinsky

The Department of Justice (DOJ) is charging a woman with a long-standing health care fraud scheme: From 2017 to 2021, she billed a health insurance company for sexual services offered to dock workers at her California “health centers.”

Sarah Victoria, the “head” of the scheme, recruited women through Long Beach strip clubs and referrals to provide services to her three chiropractic and acupuncture companies. Federal prosecutors also indicted eight other people, seven of whom are dock workers, for allowing her to file false claims with the International Coastal Warehouse and Pacific Maritime Association (ILWU-PMA) health insurance plan in exchange for sexual favors.

Under her plea agreement, Victoria billed a health insurance plan that covered chiropractic services without deductibles or out-of-pocket expenses for chiropractic and physical therapy using dockers’ names or their family members’ names for more than $2.1. million in fake claims. In return, Victoria paid ILWU-PMA plan members cash kickbacks by facilitating the transaction using encrypted language in text messages, court documents say. She ultimately raised about $550,000.

ILWU said in a press release that it “condemned the fraudulent claims allegedly made against its ILWU-PMA welfare plan by seven workers and three healthcare providers.”

“Our union is proud to have negotiated with our employer the health benefits we believe all Americans should have. We will not tolerate the fraudulent use of our contract benefits for which port workers have fought and sometimes died for the past 90 years,” Frank Ponce De Leon, member of the ILWU Coastal Committee, said in a statement.

Victoria admitted to using someone else’s personal information without their consent in fraudulent billing and was charged with “one count of conspiracy to commit health care fraud and one count of aggravated identity theft.” The Justice Department says that when Victoria pleads guilty in court, she could face 12 years in federal prison.

Another defendant is Cameron Ram, a longshoreman, member of the ILWU and alleged customer of Victorian businesses. The DOJ alleges that he agreed to let her make false statements and lied to the FBI agents about it.

This is not the first time that a longshoremen’s union has been embroiled in a fraudulent insurance payment scheme.

In 2019, another ILWU-PMA chiropractor, Darren Hines, pleaded guilty to health care fraud. He billed the plan for services on behalf of another provider and services that were not medically necessary.

In 2016, David Gomez and Sergio Amador were convicted of mail fraud for conducting a transaction in which ILWU-PMA billed for services that were not provided or were not medically necessary. Again, this was done primarily through chiropractic services.

Gomez and his partner opened clinics and created medical management companies, which they used to funnel funds from the clinics to themselves and to pay ILWU members to use their clinics. Again, they used false signatures and names of ILWU family members to make fraudulent claims about the plan. Gomez made about $3 million from the scheme and was sentenced to 20 years in prison.

In 2013, fraudulent claims filed with the same union benefit plan resulted in a backlog of over 100,000 claims. Slow processing times for claims by the plan administrator meant that some workers’ medical claims were directed to collection funds. This, in turn, caused union demonstrations and labor shortages.

  • Sophie Putka is an entrepreneur and investigative journalist for MedPage Today. Her work has appeared in the Wall Street Journal, Discover, Business Insider, Inverse, Cannabis Wire, and more. She joined MedPage Today in August 2021. To follow

Please enable JavaScript to view comments with Disqus.

Today Latest News Update

I have tried to give all kinds of news to all of you. latest news today 2022 through this website and you will love all this news very much because all the news that we always report in this news is always there. This is a hot topic, and whatever the latest news

we have always tried to contact you so that you continue to receive Electricity News, Graduation News, Donation News, Bitcoin News, Trade News, Real Estate News, Gaming News, Breaking News, Digital Marketing, Telecommunications News, Beauty News, Banking News, Travel News, Health News, Cryptocurrency news, claims news latest news and you will always get news information through us for free and also tell people. Specify that any information relating to other types of news will be

News live today

All these news that I made and shared for you people, you will like it very much, and in them we continue to offer topics for you people, like every time, so that you continue to receive news information, such as popular topics, and you. Our goal is to be able to receive

all kinds of news without passing through us, so that we can bring you the latest and greatest news for free, so that you can move on, getting informed about this news with you. In the future, we will continue

give information about more world news update today Types of breaking news through the posts on our website so that you always get ahead in this news and whatever information is there, it will definitely be passed on to you people.

World news today

All this news that I brought you or will be the most different and best news that you people will not receive anywhere, along with information Breaking News, Breaking News, Health News, Science News, Sports News, Entertainment News, Technology News, Business News, World News out of this, available to all of you, so that you are always in touch with the news, be ahead in this matter and continue to receive today’s news all types of news for free until today so you can get news while getting it. Always take two steps forward

Credit goes to a news site – This is the original content owner’s news website. This is not my content so if you want to read the original content you can follow the links below.

Get original links here🡽

Peter Kavinsky

Peter Kavinsky is the Executive Editor at cablefreetv.org

Recent Posts

  • News

Santander CEO sees no contagion risks associated with Credit Suisse & More News

MADRID, Oct 4 (Reuters) - Santander (SAN.MC) Chief Executive José Antonio Alvarez said on Tuesday…

5 mins ago
  • News

In the liberated villages near Liman, the police identified four employees

In the villages liberated from Russian invaders near Liman, in the Donetsk region, police are…

7 mins ago
  • News

Another change for the NH GOP Senate candidate in the 2020 election

Don Bolduc isn't doing a complete turnaround, but the Republican nominee for the Senate in…

13 mins ago
  • News

LAST MINUTE | EYT arrangement seems ok! It has become clear how many people will benefit from the EYT law! When will 2022 EYT be released, what are the conditions, what is the latest situation?

www.haberturk.com All rights of the articles, news, videos and photographs published on the website belong…

15 mins ago
  • News

Man City: ‘No one can compete’ with Erling Haaland, claims Pep Guardiola

Click Here to Watch this Event Live Online for Free! Pep Guardiola claims Erling Haaland…

16 mins ago
  • News

Mikey’s second chance and Shinichiro’s trigger revealed

Click Here to Watch this Event Live Online for Free! The original timeline was dropped…

17 mins ago