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CA Department of Insurance

Los Angeles resident arrested on 13 felony counts of disability fraud

Madison Voss
March 12, 2015 1:47 PM

LOS ANGELES, Calif. -Troy Hodges, 32, of Los Angeles was arrested on 13 counts of health care disability fraud including submitting fraudulent insurance claims, forgery with intent to defraud and grand theft. Hodges allegedly forged documents that allowed him to collect over $6,000 in disability claim benefits that he was not entitled to.

"Losses from health insurance fraud are larger than any other type of insurance fraud," said Insurance Commissioner Dave Jones. "These crimes are a multi-billion dollar drain on our economy and everyone pays for these losses through higher insurance premiums."

Department detectives allege Hodges altered and submitted multiple physician statement forms that placed him on disability even though he had not seen a doctor. The investigation also revealed Hodges forged statement forms to show his employer supported the claim. The forgeries allowed Hodges to collect payments for disability even though no doctor substantiated his claim.

Hodges had a supplemental healthcare policy that was effective on September 1, 2011. Hodges began receiving benefits for a period from February 21, 2012 to December 20, 2012 and again from August 27, 2013 through September 27, 2013. During the course of processing Hodges' claim, his insurer attempted to verify claim forms submitted by Hodges with the medical clinic and learned that they were not produced by the medical clinic. 

If convicted on all felony counts, Hodges faces up to 16 years in state prison. Bail was set at $200,000. This case is being prosecuted by the Los Angeles County District Attorney's Office. 

 

 

 

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