Based on a six-week jury trial, the
United States District Court for the Northern District of Texas has entered a
$3.8 million judgment in favor of Allstate Insurance Company ALL. The jury found
that Michael Kent Plambeck, D.C., Jennifer Giessner, Douglas Friedman, Randal
Toca, and other persons and entities engaged in a pattern of racketeering
activity in violation of the Federal Racketeering Influenced and Corrupt
Organizations Act (RICO) and the Ohio Corrupt Practices Act. This judgment
sets the stage for the company to vigorously fight this type of healthcare
fraud, so it can continue offering competitive products in the involved
states.
Allstate logo. (PRNewsFoto/Allstate Insurance Company)
"Insurance fraud affects all policyholder's premiums, and it's not fair for
consumers to pay higher rates for this type of behavior," says Allstate
Spokesperson Michelle Therrien. "We are committed to protecting our customers
from being victimized by this type of fraud."
The RICO complaint filed by Allstate alleged an intricate multi-state scheme
involving the operation of chiropractic clinics, law offices, and
telemarketing entities, in Texas, Louisiana, Ohio, Alabama, and other states.
Allstate alleged the organization solicited persons involved in automobile
accidents, ran them though unnecessary treatment, and referred them to
associated personal injury law offices in order to make claims against
Allstate and its insureds. Allstate presented evidence of a pattern of
racketeering activity in violation of RICO, including use of the U.S. Mail and
interstate wire transmissions to facilitate the scheme, and interstate
transportation of money wrongfully obtained through the scheme. In addition to
Plambeck, Giessner, Friedman, and Toca, the jury found that Michael
Capobianco, D.C., Paul Grindstaff, D.C., Chiropractic Strategies Group, Inc.,
Media Placement Services, Inc., and a number of clinic entities in Texas, Ohio
and Alabama were also involved in the racketeering organization.
"This case demonstrates our commitment to fight fraud wherever it lives and
the victory is a testament to our zero-tolerance approach in the fight against
insurance fraud," Therrien said.
The Allstate Corporation ALL is the nation's largest publicly held
personal lines insurer, serving approximately 16 million households through
its Allstate, Encompass, Esurance and Answer Financial brand names and
Allstate Financial business segment. Allstate branded insurance products
(auto, home, life and retirement) and services are offered through Allstate
agencies, independent agencies, and Allstate exclusive financial
representatives, as well as via www.allstate.com, www.allstate.com/financial
and 1-800 Allstate^®, and are widely known through the slogan "You're In Good
Hands With Allstate^®." As part of Allstate's commitment to strengthen local
communities, The Allstate Foundation, Allstate employees, agency owners and
the corporation provided $29 million in 2012 to thousands of nonprofit
organizations and important causes across the United States.
ALLAllstate Corp
$204.54-0.43%
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