Nine months for former insurance agent cheating medical claims
2000-9-1
A former insurance agent was today (Friday) sentenced to nine months' imprisonment at Eastern Court for using 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), earlier pleaded guilty to five counts of using false documents to deceive his principal under Section 9(3) of the Prevention of Bribery Ordinance, between A ugust 1997 and November 1998.
The case arose from a corruption complaint alleging that the defendant might have accepted bribes from some policyholders to facilitate fraudulent medical insurance claims.
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 policyholders.
The defendant had made false representations in the claim forms that a number of policy holders had sustained injuries in accidents in Fujian Province and had been hospitalized, with intent to deceive AIA.
The claim forms were supported by other false documents, including a mainland hospital's patient records, hospital receipts and photocopies of Home Visit Permits of the "claimants".
ICAC inquiries revealed that the "claimants" were never involved in any accidents in the Mainland and had no knowledge about the fraudulent claims.
As a result, a total of $204,136 was reimbursed to the bank accounts of the policyholders.
The defendants subsequently used various excuses to request the policyholders to divert the money back to him.
The prosecution was today represented by Government Counsel Crystal Chan, assisted by ICAC officer Torres Leung.
Chan Ping-nam, 38, formerly employed by American International Assurance Co. (Bermuda) Ltd. (AIA), earlier pleaded guilty to five counts of using false documents to deceive his principal under Section 9(3) of the Prevention of Bribery Ordinance, between A ugust 1997 and November 1998.
The case arose from a corruption complaint alleging that the defendant might have accepted bribes from some policyholders to facilitate fraudulent medical insurance claims.
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 policyholders.
The defendant had made false representations in the claim forms that a number of policy holders had sustained injuries in accidents in Fujian Province and had been hospitalized, with intent to deceive AIA.
The claim forms were supported by other false documents, including a mainland hospital's patient records, hospital receipts and photocopies of Home Visit Permits of the "claimants".
ICAC inquiries revealed that the "claimants" were never involved in any accidents in the Mainland and had no knowledge about the fraudulent claims.
As a result, a total of $204,136 was reimbursed to the bank accounts of the policyholders.
The defendants subsequently used various excuses to request the policyholders to divert the money back to him.
The prosecution was today represented by Government Counsel Crystal Chan, assisted by ICAC officer Torres Leung.