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Injury News
Automobile Insurance Personal Injury Protection (Pip) Fraud
TRENTON - Attorney General Zulima V. Farber and Division of Criminal Justice Director Gregory A. Paw announced that a Passaic County woman has pleaded guilty to attempting to fraudulently collect more than $23,000 in automobile insurance Personal Injury Protection (PIP) benefits.
According to Insurance Fraud Prosecutor Greta Gooden Brown, Virginia B. Kinion, 66, of Paterson, pleaded guilty before Passaic County Superior Court Judge Ernest M. Caposela to third-degree health care claims fraud. The charge was contained in a June 29, 2005 Passaic Grand Jury indictment. When sentenced on Aug. 18, Kinion faces up to five years in state prison and a criminal fine of up to $15,000. At the guilty plea, Kinion agreed to pay a $10,000 civil penalty.
Kinion’s husband, John Knight, 49, was also named in the indictment. Knight pleaded guilty on March 24 before Judge Caposela to fourth-degree falsifying records. He agreed to pay a $5,000 civil insurance fraud fine when sentenced on July 7, 2006.
At the April 13 guilty plea hearing, Kinion admitted that she submitted a false automobile insurance policy application and false PIP claims to the Clarendon National Insurance Company after being involved in an automobile accident. An investigation by the Division of Criminal Justice - Office of Insurance Fraud Prosecutor determined that, at the time of the accident, neither Kinion nor Knight had automobile insurance. Kinion acknowledged that she applied for and received automobile insurance issued by Clarendon National Insurance Company on June 7 - a day after the motor vehicle accident. The investigation further revealed that Kinion denied involvement in any accidents during the prior 36 months.
Upon receiving automobile insurance coverage, Kinion and Knight filed PIP health-care claims totaling more than $23,100 with the Clarendon National Insurance Co. Kinion admitted that on June 10, three days after the applying for insurance, she falsely reported to the Paterson Police Department that the accident occurred on June 7. The investigation determined that Kinion later returned to the Paterson Police Department to revise her report, adding that Knight was a passenger when, in fact, Knight was the driver at the time of the accident. Clarendon National Insurance denied both claims and referred the matter to the Division of Criminal Justice - Office of Insurance Fraud Prosecutor.
State Investigator Wendy Wylie, Civil Investigator Eileen Bellantine, and Deputy Attorney General Frank L. Holstein coordinated the investigation.
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Did You Know?
Health care insurers can be repaid from a personal injury settlement
It's quite common. Most health insurance policies now have language that allows the insurance company to be repaid for the amount paid out on medical bills if the insured person gets a personal injury settlement. Depending on the law in your state, your daughter may be able to deduct attorney's fees and costs from the total amount owed to her health insurer.
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Definition:
Any injury, whether physically or emotionally inflicted. "Trauma" has both a medical and a psychiatric definition. Medically, "trauma" refers to a serious or critical bodily injury, wound, or shock.
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Which measure actual dollar-value losses for such things as medical expenses, lost income, loss of future earning capacity, etc.
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Type of illness or injury that ordinarily lasts less than 3 months, was first noticed less than 3 months before the reference data of the interview, and was serious enough to have had an impact on behavior.
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