Former insurance agent admits fraudulent medical claims
2000-8-18
A former insurance agent today (Friday) pleaded guilty to having used false documents pertaining to a number of policy holders to make a series of fraudulent medical insurance claims, totalling about $204,000.
Chan Ping-nam, 38, formerly employed by American International Assurance Co. (Bermuda) Ltd. (AIA), pleaded guilty to five counts of using false documents to deceive his principal under Section 9(3) of the Prevention of Bribery Ordinance, between August 19 97 and November 1998.
Eastern Court Magistrate Mr Ian Candy adjourned the case to September 1, 2000 for sentence, and remanded the defendant in the custody of the Correctional Services Department.
The case arose from a corruption complaint alleging that the defendant might have accepted bribes from some policyholders to facilitate fraudulent medical insurance claims. ICAC investigations revealed that the corruption allegation was unsubstantiated.
The court heard that between August 1997 and November 1998, the defendant had on five occasions submitted false claim forms to his employer, all of which purportedly made and signed by four of his policyholders.
The defendant, in the name of the policyholders, had made entries in the claim forms, falsely representing that the “claimants” had sustained injuries in accidents in Fujian Province and had been hospitalized, with intent to deceive AIA.
The court heard that each claim form was supported by various false documents, including a patient record purportedly issued by a Mainland hospital, a hospital receipt and a photocopy of what purportedly to be the relevant claimant's Home Visit Permit.
In fact, the “claimants” were never involved in any accident and were unaware of the false claims.
As a result, a total of $204,136 was reimbursed to the bank accounts of the policyholders.
The defendants subsequently made up some excuses and asked the policyholders to divert the money back to him.
The prosecution was today represented by Senior Government Counsel Frederick Chung, assisted by ICAC officer Torres Leung.
Chan Ping-nam, 38, formerly employed by American International Assurance Co. (Bermuda) Ltd. (AIA), pleaded guilty to five counts of using false documents to deceive his principal under Section 9(3) of the Prevention of Bribery Ordinance, between August 19 97 and November 1998.
Eastern Court Magistrate Mr Ian Candy adjourned the case to September 1, 2000 for sentence, and remanded the defendant in the custody of the Correctional Services Department.
The case arose from a corruption complaint alleging that the defendant might have accepted bribes from some policyholders to facilitate fraudulent medical insurance claims. ICAC investigations revealed that the corruption allegation was unsubstantiated.
The court heard that between August 1997 and November 1998, the defendant had on five occasions submitted false claim forms to his employer, all of which purportedly made and signed by four of his policyholders.
The defendant, in the name of the policyholders, had made entries in the claim forms, falsely representing that the “claimants” had sustained injuries in accidents in Fujian Province and had been hospitalized, with intent to deceive AIA.
The court heard that each claim form was supported by various false documents, including a patient record purportedly issued by a Mainland hospital, a hospital receipt and a photocopy of what purportedly to be the relevant claimant's Home Visit Permit.
In fact, the “claimants” were never involved in any accident and were unaware of the false claims.
As a result, a total of $204,136 was reimbursed to the bank accounts of the policyholders.
The defendants subsequently made up some excuses and asked the policyholders to divert the money back to him.
The prosecution was today represented by Senior Government Counsel Frederick Chung, assisted by ICAC officer Torres Leung.