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Bakersfield woman charged with 127 felony counts of insurance fraud and grand theft

News: 2020 Press Release

For Release: October 19, 2020
Media Calls Only: 916-492-3566
Email Inquiries: cdipress@insurance.ca.gov
Bakersfield woman charged with 127 felony counts of insurance fraud and grand theft

BAKERSFIELD, Calif. — Leilani King, 40, was charged with 127 felony counts of insurance fraud and grand theft after allegedly submitting over 60 fraudulent claims to her insurance company for procedures that were never performed in a scheme to receive undeserved insurance payouts.

An investigation by the Department of Insurance revealed that between January 2015 and March 2019, King submitted 61 fraudulent insurance claims to Symetra Insurance for medical and dental procedures and services for herself and her dependents. The claims stated the procedures were performed at multiple provider clinics, however; the provider clinics confirmed that they were never performed. King’s alleged fraud led to a $32,221 payout from Symetra Insurance that King was not entitled to receive.

King purchased a policy with Symetra Insurance through her employer. The policy included multiple coverages for King and her four children, including: life insurance, accidental death and/or dismemberment, dependent life insurance, ambulance transportation, surgical anesthesia, substance abuse facilities, urgent care, outpatient hospital, surgical procedures, dental and vision care benefits, among others.

The fraudulent claims were for dental procedures including tooth extractions, an appendectomy, emergency room visits, and sports injuries. In an attempt to substantiate the claims, King provided falsified or fabricated documentation. In some cases, King submitted the same invoices multiple times for separate claims.

King self-surrendered on October 16, 2020. Bail was set at $125,000. She is scheduled to be arraigned on November 16, 2020. The Kern County District Attorney’s Office is prosecuting this case.

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The California Department of Insurance, established in 1868, is the largest consumer protection agency in California. Insurers collect $371 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 www.insurance.ca.gov. Non-media inquiries should be directed to the Consumer Hotline at 800-927-4357. Teletypewriter (TTY), please dial 800-482-4833.

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