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CA Department of Insurance

Falsified medical documents discovered in disability investigation

News: 2014 Press Release

For Release: June 11, 2014
Media Calls Only: 916-492-3566
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Falsified medical documents discovered in disability investigation

SAN BERNARDINO COUNTY, Calif. - Johanna Williams, 36, of Colton, was arrested on 21 counts of fraud, including filing a false claim and falsifying documents, after admitting to submitting 13 false claims on her American Family Life Assurance Company (AFLAC) short-term disability policy.

"Attempts to falsify insurance claims, specifically disability insurance claims, is a serious offense and harmful to all Californians in the market," said Commissioner Jones.

Authorities allege that Williams submitted 13 fraudulent short-term policy claims to seek disability payments for periods in which she actually continued to work, totaling $17,623. To accomplish this, Williams falsified multiple documents, going so far as to sign on behalf of her physicians and employers before submitting the claims to AFLAC. She later admitted to investigators that she falsified the documents.

The San Bernardino County District Attorney's Office is prosecuting the case. If convicted, Williams could receive a maximum penalty of up to five year in state prison and a $50,000 fine.

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Media Notes:

  • No booking photo available.
  • Violated code sections: PC 550 (a)(1) - false claim; PC 550(a)(5) -falsified documents

The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $310 billion in premiums annually in California. Since 2011 the California Department of Insurance received more than 1,000,000 calls from consumers and helped recover over $469 million in claims and premiums. Please visit the Department of Insurance website at Non-media inquiries should be directed to the Consumer Hotline at 800.927.4357. Telecommunications Devices for the Deaf (TDD), please dial 800.482.4833.

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