Archive for April, 2016

Criminal Charges Filed in Ed4Mil Military Education Whistleblower Case

The Department of Justice filed criminal charges in a military education whistleblower case first exposed by whistleblower and James Hoyer client Adam Boyce. Boyce came forward to the government after concerns that Army National Guard members were being subjected to a bait and switch for online certificate courses, that were marked up in cost by 6-times and more when sold to military personnel.

Read More…

 

Two Insurance Fraud Laws That Whistleblowers Often Overlook…

Insurance Fraud

Most whistleblower cases are brought to recover the ill-gotten gains of fraud committed against the government. Most cases arise in the healthcare field, but many stem from military contracts, educational grants, and even environmental fraud.

One area that is often overlooked by whistleblowers is the opportunity to bring insurance fraud cases on behalf of private insurers in California and Illinois where special laws exist that provide whistleblower provisions to protect against insurance fraud.  Both acts are modeled after the Federal False Claims Act, with one major distinction: the government does not have to suffer harm. Read More…

 

Judge Rules IU Health Whistleblower Case Should Move Forward

Dr. JudithRobinsonPic

Dr. Judith Robinson

The James Hoyer whistleblower case against HealthNet and IU Health, the largest health system in Indiana, will move forward.  The suit, brought by Dr. Judith Robinson, an ob/gyn and former director at both entities, alleges HealthNet and IU Health provided substandard care to low income pregnant women and fraudulently billed for their care.

Under Indiana Medicaid rules, high risk pregnant women must receive care from a doctor in order for that care to be reimbursed. Instead, the suit says IU Health and HealthNet used certified nurse midwives to provide their care, in what Dr. Robinson believes was a money saving scheme.

The latest development was reported in the Indianapolis Star and on WTHR TV in Indianapolis, which have been following the case over the past year.

“She (Dr. Robinson) brought this case to make sure Medicaid patients are getting the care they deserve. We believe allowing this lawsuit to go forward is a really strong step in that direction,” Jame Hoyer Partner Jillian Estes told WTHR.

 

Property Damage Insurance Claim Problems

Homeowners and Condo Owners:
Know Your Rights

Did your property insurance company invoke its “right to repair” your property? Did they require you to use “preferred” contractors? This is called MANAGED REPAIR and when an insurance company uses that option, you have certain rights, the most important of which is:

Under the law, you are not required to pay any deductible or out-of-pocket payment for the repairs to be completed.

Our firm’s experienced attorneys and investigators work on behalf of homeowners, condo owners, and condo associations to make sure that your rights were not violated.

Below is a list of Florida property insurers that regularly invoke their “right to repair” residential property claims and also some of their “preferred” or affiliated repair contractors.

Insurance CompaniesPreferred Contractors
People's Trust Insurance CompanyRapid Response Team
Tower Hill Insurance Company, including:

Tower Hill Signature Insurance Company

Tower Hill Preferred Insurance Company

Tower Hill Prime Insurance Company

Tower Hill Select Insurance Company
CastleCare through Alacrity Services (a Lowe’s Company)

Rytech and others
Florida Peninsula Insurance CompanyManaged Repair Program

Contractor Connection
Heritage Property & Casualty Insurance CompanyPlatinum Prepared Savings Program

Contractor Connection and others
Prepared Insurance CompanyConcierge Claim Program

Our firm is investigating claims that these insurance companies and/or their repair companies violated Florida law when they invoked the “right to repair” and still made people pay out-of-pocket for deductibles, supplies, or other amounts for repairs to homes, condos, or condo common areas, which should have been covered.

WHAT YOU SHOULD DO

Fill out the contact form below. Each submission is read by an attorney or investigator. We will contact you as soon as possible based on the information you give. If you’re a homeowner, condo owner, and/or condo association share your story about what you experienced when the insurance company invoked the “right to repair” your property.