Pretends heart attack in Moldova, wife inters stranger’s ashes to fool insurers in U.S.

Shame about Igor Vorotinov’s fatal heart attack, so sad. The putrid body found in the bushes near a rural village in his native Moldova supposedly was poor Igor.

His wife Irina quickly flew in from the U.S., cremated him and interred his ashes in a mausoleum in the Twin Cities, Minn. area, where they lived. She even held a touching memorial service. It was widely attended by members of the local Russian community, who knew Igor well.

Except that Igor used an unknown person’s body to fake his death and steal $2 million of life insurance. Igor spread around bribe money like marmalade to make sure Moldovan officials kept the couple’s ruse moving happily ahead.

Vorotinov bought the policy on his own life in 2010, listing Irina as the beneficiary. An auto mechanic and dealer, Vorotinov then left Minnesota for his native Moldova to set up the insurance theft. It’s a former Soviet republic in Eastern Europe.

Police found his passport, hotel cards and phone numbers on the body.

The responding police officer claimed he had no camera, so no photo of the body was taken. Igor had sadly died of a heart attack, the medical examiner cooperatively said.

Irina hurried to Moldova, identified her dearly departed Igor’s remains, had him cremated, then lugged the ashes back to Minnesota for interment. Irina also had a Moldovan death certificate as proof positive. She gave it to Mutual of Omaha, which sent her a tidy check for more than $2 million.

Irina then opened two bank accounts, one under the name of their son, Alkon. She deposited the money into the accounts, eventually transferring the insurance loot to accounts in Switzerland and Moldova.

Son stumbles on Igor at party

Meanwhile, Igor moved to Transnistria, a small strip of land next to Moldova. He changed his name to Nikoly Patoka and lived there for six years. Alkon then visited Moldova with his fiancee, and just happened on Igor at a party. The stunned kid kept returning to see Igor.

A mystery tipster in Moldova notified U.S. officials that something was up. Officers were waiting for Alkon at the airport when he returned from a trip.

Photos on his laptop showed Igor quite alive more than 2½ years after his claimed death. There was Igor, posing with the young daughter of Alkon’s fiancee in a park. Then again, playing with the girl at a swimming pool. Metadata showed the photos were taken in 2013. And the camera was a Canon IOS Rebel T4i. It wasn’t even available for purchase until June 2012 — more than nine months after Igor supposedly died.

Igor’s supposed ashes were tested, and they were someone else’s. Turns out that Igor also had planted his ID documents on the body, whose identity authorities have yet to reveal. Igor was handed 41 months in federal prison. Irina earlier received three-plus years in federal prison, and Alkon three years of probation.

Someone has to repay the $2 million to Mutual of Omaha. Irina has breast cancer and can’t work. Igor is stuck in jail. That leaves the luckless Alkon, just shy of 30 years old. “He will likely be paying off Mutual of Omaha his entire life,” his attorney Matthew Mankey lamented.

About the author: Jim Quiggle is director of communications for the Coalition.

Creepy Halloween attack sets up phony PTSD to steal workers comp


Halloween was nearing, though fright night seemingly arrived ahead of schedule for Boston-area trolley driver Thomas Lucey.

Someone wearing a Michael Myers slasher horror mask jumped onto the city-run trolley Lucey was driving just before midnight on Oct. 30, 2016. The guy wore dark overalls, and carried a plastic trick-or-treat pumpkin.

Lucey and the masked marauder got into an argument, with the guy saying he didn’t have money for the trolley fare. The stranger hit Lucey in the head, then yanked him off the trolley. He repeatedly hit Lucy while he lay on the ground, then dashed away.

Grainy trolley security video seemed to confirm the claimed attack.

Halloween scream scheme

Except the mugging was a hoax — a Halloween scream scheme. Lucy set up the bogus beatdown to steal workers-compensation money from his employer, the Massachusetts Bay Transportation Authority.

Lucey suffered PTSD and couldn’t work because he was worried about his safety, he said afterward. Lucey complained about frightening flashbacks, depression, panic attacks and anxiety. He had trouble sleeping, and suffered frequent nightmares.

Lucey never returned to work. He sought workers-compensation money to help heal from the seeming trauma. The graphic mugging seemed nightmarish and plausible. So the transit system started paying Lucey workers compensation and longterm disability money — more than $62,000 all told.

In fact, Lucey and a buddy met at a Hooters restaurant three days before the incident to plot out the creepy clash. Lucey promised the guy $2,000. He’d wait in the Michael Myers mask at a pre-arranged trolley stop just before midnight, and pretend to mug Lucey.

Pumpkin prints bust con

The friend was sloppy. He dropped the plastic pumpkin when he fled. Police found fingerprints, which led them to the mock mugger. He folded quickly under questioning, and spilled the plot.

The pair’s bank records confirmed deposits and withdrawals that matched the $2,000 hit fee. Phone records showed they communicated before and after the incident.

Lucey’s reward was three years in state prison for workers-compensation fraud and other crimes. His buddy wasn’t charged.

Lucey was a public employee. He committed insurance fraud to cheat the transport system — and taxpayers. All of that grated on Steve Poftak, manager of MBTA.

His setup scuffle was an “egregious breach of the public trust and a disservice to the thousands of MBTA employees who work hard every day to deliver safe and reliable transit services,” Poftak said.

About the author: Jim Quiggle is Director of Communications for the Coalition.

Fraud of the Month

Slip and Fall

Street people, hundreds of them, stumbled and tumbled hard onto the pavement around New York City. They formed a gusher of fake falls maneuvered by a crime ring that sued businesses and their insurers for nearly $32 million for aching limbs and joints that didn’t ache at all.

Many of the ring’s recruits were homeless. They often were told to have surgery they didn’t need — even spinal fusions — to increase the payouts from false lawsuits for bogus slip-and-falls. The trip-and-slip insurance shakedown was one of the largest of its kind in recent memory.

Neighborhood scouts lured indigent people off the streets and out of homeless shelters. The recruits needed the money, and were happy to fake injuries for extra cash.

The recruits were arranged at pre-set points around the city. They were coached to fall into potholes and act hurt. Or trip on cracks in sidewalks outside restaurants, dry cleaners and other businesses. They were shown how to pretend they had painful injuries to sensitive body parts that plausibly needed surgery — knees, shoulders and backs. All the better to reap large insurance payouts.

Lawyers sue businesses, insurers

The “victims” were shuttled to colluding chiros and doctors for expensive treatment they didn’t need. Lawyers then entered the picture, and now the big money flowed. The lawyers sued the victim businesses and insurers on behalf of the seemingly hurt victims.

The catch: Patients were told to undergo surgery they didn’t need — usually twice. That greatly hiked the dollar value of the lawsuits. Surgeons wielded scalpels for procedures such as life-altering spinal fusions, knee and shoulder operations, and discectomies.

The low-income patients were desperate for money. The ring paid them tiny sums to get cut up — $1,000-$1,500 per surgery. The patients had a hard time turning down the little windfalls, no matter how much the surgeons sliced them open.

Ring members scout for patients

Bryan Duncan scouted for patients, organized the recruited their legal and medical appointments, and helped procure funding for the recruited patients’ medical treatment and lawsuits.  

Robert Locust and Ryan Rainford also recruited patients, drove them to medical and legal appointments, identified potential accident sites, made payments to recruited patients, and coached patients on how to convincingly fake injuries. 

The ring finally was euthanized. It was a victim of colony collapse disorder under the weight of investigators who broke open the criminal operation.

Duncan was convicted of four federal crimes — each of which carries up to 20 years in prison. Locust and Rainford each went down with two convictions, also with potential 20-year terms.

$400K ring broken, leader shoots himself

An attorney led a similar $400,000 slip-and-trip ring in Philadelphia. Andrew Gaber hired a small army of recruiters to bring him people he paid to act as phony injury victims. Many were homeless or drug addicts.

The phony victims were coached how to stage seemingly painful falls, and act injured. The fake victims often pretended to trip on small cracks in sidewalks in residential neighborhoods. Gaber’s recruiters acted as witnesses and “injured” victims.

Gaber then filed false injury claims against the homeowner policies. The scam lasted seven years and bilked 21 insurers.

Most ring members pled guilty under pressure from the Philadelphia District Attorney’s office. Gaber shot himself to death before going to trial.

Most slip-and-falls, however, appear to be one-off cons. People fake injuries in department stores, grocery stores, restaurants and other businesses. Yet many stores are loaded with all-seeing security cameras. Phony tumbles thus can be harder to get away with these days.

A New Jersey man claimed he tumbled on spilled ice by the soda fountain in the cafeteria of a business where he did subcontractor work. Jerry Goldinsky filed an insurance claim. Except the firm’s security cam shows him allegedly tossing the ice onto the floor, sitting down and waiting until someone discovers him. Jerry Goldinsky faces criminal charges.

As for the slippery slip ring in New York, federal prosecutor Geoffrey S. Berman had fun at the ring’s expense. “Duncan, Locust, and Rainford were tripped up by the justice system and have met their downfall,” he said.

About the author: Jim Quiggle is director of communications for the Coalition Against Insurance Fraud

Bribes grease large-living exec’s $1.3-billion Medicare gouging

Bills forged for skilled nursing, assisted living that patients didn’t even need

Tanned, obsessive and Ferrari-driving, Phil Esformes was a peak achiever as an insurance thief in South Florida. No small feat in a region that’s one of America’s largest hubs of large-dollar insurance scamming.

Running his healthcare empire with an iron fist, the wealthy Miami executive launched a $1.3-billion rifling of taxpayer-funded Medicare and Medicaid. It was one of the largest health-insurance crimes in U.S. history — all at taxpayer expense.

Esformes ran dozens of corrupt skilled-nursing and assisted-living facilities. He bribed doctors to admit patients to his facilities so he could keep the places humming at full capacity.

The operations were mostly super-charged assembly lines churning out bogus claims for services that patients neither needed nor often received. Many patients didn’t even qualify for the care. Others came out of hospital surgery or had mental illness. Medical records were altered or forged to create the illusion that patients needed and received care.

Patients endangered

Esformes spent his stolen taxpayer money for a sultan’s lifestyle of luxury cars, a $360,000 watch and a waterfront mansion with a basketball court. Even as his bank accounts fattened, many patients were endangered by substandard care in poor living conditions, the feds contended.

Esformes disguised the doctors’ cash bribes with code words such as “fettuccine.” He inflated Medicare and Medicaid bills to pay for the kickback money he paid.

Bribes worked both ways: Two licensed nurses lavishly paid Esformes to refer his patients to their own health facilities. Guillermo and Gabriel Delgado used the patients to swindle Medicare for bogus mental-health, prescription-drug and home-healthcare services.

The brothers delivered wads of bribe cash to Esformes. They also camouflaged kickbacks as payments for high-end escorts for Esformes, including travel and hotel expenses such as the Ritz Carlton in Orlando.“We will continue the fight against such parasites,”said federal special agent Shimon Richmond.

Gabriel also was Esformes’ conduit for bribing a Florida state health administrator to give him advance notice of surprise visits to his facilities in Miami-Dade.

Cohorts betray Esformes

The dirty money bought no loyalty. Gabriel turned on Esformes when the health mogul suggested Gabriel kill himself instead of face federal charges. Ultimately, the brothers secretly recorded hours of conversations for the feds to try and earn lenient jail terms for themselves.

Esformes also bribed the basketball coach at the exclusive University of Pennsylvania about $300,000 to get his son Morris into the Ivy League academic powerhouse. The coach placed Morris on a priority admission list as a recruited basketball player. The kid wasn’t Division I basketball caliber. Penn accepted him anyway, believing he was an elite player.

Esformes was convicted of 20 criminal counts. The charges add up to potentially 250 years in federal prison. He’ll be sentenced later.

“Even beyond the vital dollars lost though, Esformes exploited and victimized patients by providing inadequate medical care and poor conditions in his nursing homes …” said federal special agent Shimon Richmond. “We will continue the fight against such parasites.”

Taxpayer money frittered away by phony disability claims

Compound meds, fake injuries drain insurance plans funded by honest taxpayers

Honest taxpayers hand over good money to support government employee health and disability plans. Yet millions of tax dollars at a time are squandered when cheaters soak the plans by claiming fake illnesses and crippling medical conditions.
New Jersey’s state health plan is the latest victim. Nearly 2 dozen people were convicted in a plot that stole $50 million from the state health system and private insurers.
Gooey and expensive compound creams were charged to health plans in the names of employees who were perfectly fine. The stuff was hand-made in specialty pharmacies. It’s often used for scars, vitamins, libidos, fungus, headaches and other things. Tubes of the gunk, in general, can cost $30,000 each or more.
Recruiters bribed New Jersey employees with cash to lend their names and policy information for inflated claims against New Jersey’s generous employee drug plan — whether or not the workers needed the meds. Ring members shared in the large insurance payoffs for phantom or unneeded drugs.
Teachers, firefighters, police and others are implicated. Prosecutors are coming down hard. Several ring members were convicted, and others remain charged.
Dr. John Gaffney often didn’t examine patients, yet signed bogus prescriptions that were faxed to pharmacies. Gaffney faces up to 10 years in federal prison when sentenced.
Middle-school teacher Shawn Sypherd recruited employees into the scam. He earned nearly $355,000 total, netting a share of each insurance payout. Sypherd awaits sentencing. A high school guidance counselor pled guilty. Sales reps for large drug firms also helped put the compound meds into play.
New Jersey’s state health plan is the latest victim. Nearly 2 dozen people were convicted in a plot that stole $50 million from the state health system and private insurers.
Gooey and expensive compound creams were charged to health plans in the names of employees who were perfectly fine. The stuff was hand-made in specialty pharmacies. It’s often used for scars, vitamins, libidos, fungus, headaches and other things. Tubes of the gunk, in general, can cost $30,000 each or more.
Recruiters bribed New Jersey employees with cash to lend their names and policy information for inflated claims against New Jersey’s generous employee drug plan — whether or not the workers needed the meds. Ring members shared in the large insurance payoffs for phantom or unneeded drugs.
Teachers, firefighters, police and others are implicated. Prosecutors are coming down hard. Several ring members were convicted, and others remain charged.
Dr. John Gaffney often didn’t examine patients, yet signed bogus prescriptions that were faxed to pharmacies. Gaffney faces up to 10 years in federal prison when sentenced.
Middle-school teacher Shawn Sypherd recruited employees into the scam. He earned nearly $355,000 total, netting a share of each insurance payout. Sypherd awaits sentencing. A high school guidance counselor pled guilty. Sales reps for large drug firms also helped put the compound meds into play.

$600-million disability plot
Fake disability claims are another profit-making way to steal from taxpayer health insurers.
Kentucky disability lawyer Eric C. Conn pulled off the largest federal disability ripoff in U.S. history — a $600-million looting. Conn bribed a corrupt judge and doctor to rubber-stamp bogus disability claims through the federal system.
Conn convinced impoverished coal miners and others in rural Kentucky to sign up. Some knew they were doing wrong, though wanted a lifetime of free insurance checks flowing in. Other workers had legitimate injuries and other medical conditions. The money was their lifeline.
Taxpayer money flowed into Conn’s bank account as claims were paid out. He grew rich and built one of America’s largest disability practices.

The feds finally broke open his behemoth scam. Payouts were suspended while the feds investigated. Truly disabled workers lost money they needed for medical and scratch out a living.
Tim Dye is a former coal miner — and Conn client with real medical problems. Social Security stopped his checks after Conn was busted. Dye’s wife sold her jewelry and possessions from their home. She even begged neighbors for water to make ends meet.


Other Kentuckians lost their homes, and several committed suicide. Conn lost his freedom, ending up with 27 years in federal prison.
Railroad robbed
Early retirement on fake disability is another dodge. Public employees have invented bad backs and nerve problems. The painful and debilitating injuries forced them to retire early, they lied.
They collected disability checks and fat pensions for the rest of their lives. Only to be caught weight lifting, playing tennis, running marathons, scuba diving and traveling the globe with ease.
Employees of the Long Island (N.Y.) Rail Road rushed into early retirement for years, on the backs of well, back injuries and other maladies. Up to 1,500 retirees teamed with physicians and a union official. Almost all claims were approved. The total payouts could’ve exceeded $1 billion if they weren’t caught in time. 
Pension and disability money fattened the retirees’ bank accounts while they cavorted with few apparent afflictions.
An employee claimed ‘disabling’ and ‘unbearable’ pain in a half-dozen body parts when she retired in 2007. Then she was surveilled working out a gym and doing step aerobics. A signalman rode in a 400-mile bike race after retiring. His disability application claimed he was stuck in a wheelchair. An electrician convinced doctors he couldn’t work any more, then was caught landscaping and electrical work for pay after retiring.
A top New Jersey official tasked with taking down dishonest insurance claims got it right: It’s our taxpayer money, so we’re the victims.
“The cost is invariably pushed onto the public,” says Tracy Thompson, Acting Insurance Fraud Prosecutor for New Jersey.

Mansion burns, socialite steals $20 million in bogus flame claims

Hides jewelry, inflates drapery and mural invoices, threatens adjuster

Socialite and political fundraiser Claire Risoldi lived larger than life — and her bank account.

Small wonder the family matriarch also stole large. Risoldi lifted $20 million of false insurance claims after fire chewed through her family’s 5,600-foot mansion in the Philadelphia suburbs. She loaded up a pasha’s ransom of dodgy claims for jewelry, a large ceiling mural, draperies and other bling.

Risoldi’s high-flying social empire finally crash-landed. Investigators found a long trail of bloated claims that convinced a jury she needs serious jail time.

Lied fire fighters stole jewelry

Fittingly, the 10-acre family estate was called Clairemont. Risoldi held extravagant parties and fundraisers for county Republican politicos. She needed the insurance money to keep it all going.

Mysterious fires broke out at Claremont multiple times. Risoldi was never charged with arson, though she went to work with sooty fire claims.

Her biggest deception involved $10 million of supposedly stolen jewelry after the third and final fire in October 2013. Risoldi inflated insurance from $100,000 on two pieces of jewelry to more than $10 million for 55 pieces, just 3 months before that fire. She forged jewelry appraisal documents, repeatedly misspelling the word “jewelry.”

Volunteer fire fighters put their lives on the line for her home. Yet Risoldi accused them of stealing the jewelry from her home.

Then an insurance adjuster found a canvas jewelry bag hidden behind a grandfather clock in the burned dining room, and another bag in a bathtub days after the fire. The empty jewelry boxes in the bags had no soot or signs of water damage. Any fire fighter stealing the jewelry would’ve smudged the boxes with dirty gloves from the smokey interior.

“Snitches get stitches,” Claire Risoldi had her lawyer warn O’Keefe.

And what were bags with 60 boxes of jewelry doing unsecured in her home to begin with, unless she’d planted them for the claims?

Hidden at her rental home after the fire were 20 Rolex watches she’d claimed were stolen.

Inflated claims for ceiling mural

An artist earlier painted lavish ceiling murals featuring Risoldi family members for $50,000. Risoldi convinced him to inflate the cost to $950,000 with forged receipts.

She also handed the insurer 70 forged receipts for replacing wrecked draperies. The firm was called Summerdale Draperies, though Risoldi misspelled the name as “Summerdal” on many receipts.

And Risoldi claimed more than $13,000 a month for a rental home after the fire swept through Clairemont. In truth, the rental expenses were just $4,000 a month.

Insurance money tumbled into Risoldi bank accounts. Family members spent the loot on more homes, six Ferraris, two Rolls Royces, a Shelby Cobra and four other vehicles, all worth $2.8 million.

Threatens insurer adjuster

Risoldi mounted a clumsy and futile campaign of intimidation. In addition to blaming the volunteer fire fighters, she threatened to sue investigators searching her rental home for evidence. Risoldi also publicly called her insurer AIG “cruel” for cancelling her policy. She even falsely blamed the insurer for the fire. AIG should’ve better policed the electrician she’d hired to make repairs after a prior fire, she said.

Risoldi also launched a profanity-laced tirade at AIG’s insurance adjuster James O’Keefe in a parking lot. Risoldi called him a “rat bastard” and “lying sack of …” She had a mole in the Attorney General’s office, she claimed. She knew O’Keefe would get fired and planned to sue him personally, Risoldi threatened. Besides, “snitches get stitches,” she had her lawyer warn O’Keefe.

Investigators exposed Risoldi’s deception and bluster. She’ll serve up to five years in state prison thanks to dogged prosecution by the state Attorney General’s office. Sentencing is being scheduled, and could mean up to 60 years in jail. Her son Carl pleaded guilty and received four years of probation.

Investigators found a book on Risoldi’s desk in her rental home after the fire. It was called, “Insult to Injury: Insurance fraud and the Big Business of Bad Faith.”

“It speaks for itself,” state prosecutor Linda Montag told the jury.

Educator scams health policy to help sick student

Good choice, bad choice? Community role model triggers debate over ethics of insurance fraud

An educator thought she did an act of kindness for a sick student by scamming a health policy out of $233 to get the kid urgently needed antibiotics.

Casey Smitherman’s choice ignited vigorous debate in her community, school system and prosecutor’s office — making national headlines. She was a public figure and role model who openly admitted she committed insurance fraud — a felony. Yet she had seemingly good intentions, and made no personal profit.

So what to do? What would you do?

Drove student to clinic

Smitherman was the superintendent of Elmwood school district, about 30 miles northeast of downtown Indianapolis.

A student didn’t show up for class. Concerned, Smitherman went to the 15-year-old’s home to check up. He seemed to have strep throat. The teen lives with an elderly relative who doesn’t drive. So Smitherman drove him to an emergency clinic for antibiotics.

The pharmacy refused to provide her the meds; the student was a minor, and Smitherman wasn’t his legal guardian. So she drove to another clinic. She lied the youth was her son, obtaining the antibiotics under her own son’s health policy.

The student’s guardian went to the police. Smitherman quickly admitted all and cooperated. She was charged with insurance fraud and two other felonies.

“I wanted to do all I could to help him get well,” Smitherman said. “I know this action was wrong. In the moment, my only concern was for this child’s health.”

Avoided jail term

The county prosecutor was empathetic, and cut Smitherman a break. The charges will be dropped if she stays out of legal trouble for a year.

“I think there have to be some consequences, but they shouldn’t be career jeopardizing. I think there’s a way to take care of that without destroying her career, because her motives were good,” prosecutor Rodney Cummings told CBS News.

Many people supported Smitherman on social media. Yet many local residents called for Smitherman’s job.

“What are you teaching our children in this school system? Are you teaching them it’s OK to lie and commit fraud because you felt in your heart it was the right thing to do?” school parent Shay N. Haley told the Herald (Anderson) Bulletin.

Smitherman endangered the student. He could’ve had life-threatening allergies to the antibiotics. The school district might’ve faced serious liability problems, the school nurse Stacey Buck said.

The school district’s state-of-the-art telemedicine system also could’ve handled the youth’s illness on the spot, Buck added.

Finally resigns

Prosecutors spared Smitherman jail. In the end, the community and school board wouldn’t spare her job. Committing insurance fraud and using generally bad judgement was too much. Smitherman resigned.

“l am very embarrassed for that, and I apologize to the board, the community and the teachers and students of Elwood Community Schools,” Smitherman said. “I sincerely hope this single lapse in judgment does not tarnish all of the good work I’ve done for students over the span of my career.”

Sick health plan sticks desperate victims with large medical bills

Promises full benefits, bilks 17,000 consumers with fake health coverage

Oklahoma real-estate agent Bob Harper was desperate. His heart was failing. He was just days from having his heart pacemaker implanted, only to discover his health policy was worthless.

A Houston man had emergency back surgery, and his health plan refused to pay his $105,000 bill.

They were among more than 17,000 luckless Americans who Bart Posey duped into buying fake health coverage in a $22-million theft binge. The Springfield, Tenn. man’s heart-breaking scam is a consumer warning to avoid discount health deals that seem too perfect to be real.

Posey ran two bogus plans — American Trade Association and Smart Data Solutions.

Cold-callers, fax blasts and a slick website went after consumers. Scammers hawked seemingly low-priced plans that promised full-benefit coverage.

The sales pitches seemed a godsend. Health premiums were rising around the U.S. Posey promised an unbeatable deal. People quickly bought in.

Plans were empty promises

Posey raked in monthly premiums. Yet his health plans were just pieces of paper, empty promises.

People would call in crying. But we were instructed to tell them that their claims were ‘in process’ and to call back in 30 days. We were told to flat-out lie to people just to get them off the phone,” a phone reps admitted.

South Carolina resident Beth Wicker suffered a stroke and went to the hospital, only to discover her coverage was bogus. She owed $17,000 in medical bills and had no health insurance.

A New Jersey man began chemotherapy, only to have his doctor tell him his ATA coverage was fake. He had to file for charity care with his hospital.

Many victims were Hispanics and Asian, and could barely speak English. Some were dying of cancer and couldn’t get their treatment bills paid.

Posey was handed 14 years in federal prison on November 20.

Fake plan steals $100 million

Fake health plans have a long and sorry history. Simple Health Plans, for instance, stole more than $100 million from consumers around the U.S., federal officials say. The Florida outfit was shut down in November 2018.

Victims were stuck with large and unpaid medical bills. People thought they had a full-benefit health plan that covered preexisting conditions. Bogus sales pitches left victims virtually uninsured, the Federal Trade Commission says.

Consumers, watch for these warning signals. The plan’s deceptive websites claimed to:

  • Provide comprehensive health insurance.
  • Sell federal health insurance such as Medicare and the Affordable Care Act.
  • Be affiliated with AARP and private insurers such as Blue Cross Blue Shield.
  • www.trumpcarequotes.com deceptively offered “Health Insurance for Smart People” from “the Nation’s Leading Carriers” at “Low Affordable Premiums” with “Prescription Drug Coverage.”
  • www.simplemedicareplans.com promoted “Medicare Health Plans for Your Needs and Budget.”

Prosecutors had the last word in Posey’s scam. “To listen to the accounts of the life-altering consequences for so many people is truly heart- wrenching and drives our prosecutors to seek justice on their behalf,” U.S. Attorney Don Cochran said.

Disabled Kentuckians destitute when $550-million disability con busted

Lawyer bribes judge, docs to game federal disability and steal large payouts

Impoverished Kentucky coal miners scraped by with crippling injuries and pain, scratching out a sparse living in a declining industry with jobs disappearing.

Along came flamboyant lawyer Eric Conn. He launched an ad blitz that promised folks he’d get them federal disability money to ease their difficult lives.

The glitzy ads set up a $550-million disability insurance flimflam. It was the largest such ripoffs in U.S. history. In the process, Conn drove many clients into deeper despair when their disability money was denied after he was arrested. Some even killed themselves.

The self-styled “Mr. Social Security” built one of the nation’s largest disability practices through self-promotion and thievery. Conn was a celebrity for his loud, nutty billboard and TV ads that saturated the region. He hired a country music star and rapped in Spanish.

Sought lifetime disability money

Thousands of people flocked to his office complex of five connected trailers. They hired Conn to have them declared disabled, and get a lifetime of Social Security disability checks.

Many clients were in pain and urgently needed insurance money. Some people were healthy — they just wanted free insurance money for life.

Conn bribed a local judge, psychologist and doctors to rubber-stamp disability claims for anyone who wanted taxpayer money. Conn was glad to oblige. He took a healthy cut of every client’s disability award.

Many patients weren’t even examined. Medical records often were forged so Conn could quickly slide disability claims through the system and get client money coming in. Social Security was on the hook for nearly $600 million over the life of the claims.

Fugitive found in Honduras

Conn slipped out of his ankle monitoring bracelet after being federally convicted. He fled the U.S. Dogged investigators tracked him down at a Pizza Hut in Honduras six months later. They shipped Conn back to the U.S.

Hundreds of people lost their disability benefits after Conn was busted. Social Security halted payouts while sorting through the mess Conn’s insurance plot had left behind.

Tim Dye is a former coal miner — and Conn client. Social Security stopped his checks after Conn was busted. Dye’s wife sold her jewelry and possessions from their home. She even begged for water from neighbors to make ends meet.

Other Kentuckians lost their homes, and several committed suicide. Thousands of client files molder in Conn’s offices, waiting for the feds to review. People with painful backs and other disabilities are going without money they need to hold their lives and families together.

Disabled Kentuckian snaps

Leroy Burchett was a former crewman on a printing press, and delivery-truck driver. He lived with crippling pain after two spinal surgeries. He snapped after his disability money was cut off due to Conn’s crime.

His wife Emma said on the show American Greed:

“He came through the house yelling and cussing at me and cussing at the kids. … I opened the door and he was sitting on the edge of a bed with a gun. I took that gun away from him. And he said the same words to me again.

“He said, ‘You’re not going to top this. Nothing can fix this.’ He stormed back outside. And my kids were standing right there. And he said, ‘I just can’t take this.’ And he pulled another gun out from behind his back and he shot himself in the chin.”

Conn was handed 27 years in federal prison. That’s all he has to show for years of gaming the federal disability system — and luckless workers like Tim Dye and Leroy Burchett.

Attorney Ned Pillersdorf is trying to help hundreds of honest Kentuckians with their payouts. “I’ve got to get these people money quick,” Pillersdorf told the Kentucky Herald Leader. “I’ve got 800 people going without, and it’s a real humanitarian crisis.”

Owner made living torching salons for insurance

What desperate emotions flashed through firefighters Larry Leggio and John Mesh as the burning nail salon’s brick wall crashed down on them? Did they even have time for such emotions?

Flames shot through a nail salon that Thu Hong Nguyen set to steal a $40,000 insurance payout. The Kansas City, Mo. woman poured gallons of acetone and isopropyl alcohol into the stock room of her LN Nails and Spa. She lit the fire just before leaving work at 7 p.m. Nguyen was the last one out.

The fire needed just minutes to spread through the space between the first and second floors. It quickly grew into a three-alarm inferno battled by 110 firefighters. This was the largest fire Kansas City had seen in years.

People lived in 16 apartments above the Nguyen’s shop. Most escaped on their own, though some needed rescuing.

A commander then ordered 18 firefighters out of the structure, with the flames burning strong and the salon clearly a total loss.

Wall collapses with loud crack

Yet several firefighters stayed in the alley. Leggio was using a pike pole to pull a fan from a ground-floor window so Mesh could better hose the flames inside. Then a loud crack echoed out; the wall suddenly collapsed. Leggio’s body was crushed from head to toe and every organ was damaged. Two other firefighters were injured. Dan Werner had five leg fractures and surgery on his left ankle.

Missy Leggio was in the neighborhood. She saw the flames and knew her husband was fighting the blaze. She parked and walked over. Missy wanted to make eye contact with Larry to signal she loved him.

Instead she saw the wall collapse. A firefighter ran over to her and someone helped her into a car that sped to Truman Medical Center. “I remember screaming in the car, ‘Is my husband dead?’“ Missy said.

Burning salons: Nguyen’s living

Nguyen made her living burning down her nail salons for insurance money — five in all. Her modus: Buy a nail salon, usually in someone else’s name, and run it until a fire caused an insurance claim. Usually the claims were small enough that Nguyen likely wouldn’t spark an investigation, prosecutors said.

Nguyen lived off the insurance money for several months, then burned down another nail salon.

Nguyen earlier set fire to a shop in Lee’s Summit. No one was injured, and Nguyen received nearly $52,000 of insurance money.

A salon in Texas burned the same month her insurance policy expired. Yet another Texas salon flamed out after just four months. A salon in Grandview caught fire two days after Nguyen doubled her insurance. The average insurance payout was $46,000. She collected $268,000 over the years, for salons and other incidents.

Nguyen was convicted of the fires in Kansas City and Lee’s Summit, receiving 74 years in state prison.

More than 5,000 people attended a memorial service for Leggio and Mesh. The pair grew up in the neighborhood where they died. Leggio left his mourning wife and mother. Mesh never had a chance to say goodbye to his wife and four daughters.

“Our hearts are broken, but our resolve to honor these brave men is strong,” said Fire Chief Paul Berardi. “… I vow we will never forget.”