Posts Tagged ‘Florida legislature’

Does New York ‘no-fault’ lead to PIP fraud? The signs point to ‘yes’

Thursday, February 24th, 2011

Listen up Florida legislators, especially those of you who grew up or lived in the New York City area. Personal injury protection (PIP) fraud is on the rise and drivers in the Big Apple are carrying the cost. Florida has the same problem and there’s something you can do about it.

An extensive study of more than 4,500 instances in which New Yorkers filed PIP claims tell how badly PIP insurance is being abused. In New York City, 4 out of 10 people who claimed they were injured in an accident said they visited an acupuncturist for treatment. Upstate, only 3 in 50 filed such claims.

For chiropractic treatments, 5 in 10 of those living New York and its suburbs filed claims versus 2 in 10 upstate residents. Overall, 44% of those injured in New York City-area accidents visited 4 or more healthcare providers versus just 14% upstate.

Even factoring in cosmopolitan differences, the PIP numbers don’t add up, according to the Insurance Research Council. The council and state fraud investigators say that organized groups of fraudsters are using minor or fake accidents to run up medical and lost-wage bills that by law can total as much as $50,000 per person per accident.

In Florida, PIP claims are capped at $10,000, but the problem is still the same: People are ripping off the auto insurance system.  Even though there is a $10,000 cap for medical benefits, the attorneys fees awarded in Florida PIP cases far exceed that amount and make PIP a very lucrative fraud business.

Medical care providers are milking auto insurance companies with faked injuries, staged accidents and the like. When insurers don’t pay fast enough, the clinics tap plaintiff attorneys who will sue for as little as $1.29.

Who gets stuck with the bill? In New York, not the insurance companies. Drivers in the Bronx paid an average of $754 a year in PIP premiums in 2009, according to the Property Casualty Insurers Association of America. That was more than three times as much as the state as a whole, which averaged just $202.

Wondering how you can help your constituents, Florida legislator? Join the fight against PIP fraud. You’ll be helping your neighbors, the police and the courts. You can even show New Yorkers how it’s done.

2011: The year of action on PIP fraud

Wednesday, February 23rd, 2011

What does 2011 hold for efforts to fight personal injury protection (PIP) fraud in Florida?

Lots.

And Florida residents can help in the PIP fraud clean-up by supporting the Chief Financial Officer and the dedicated investigators and prosecutors of his Division of Insurance Fraud (DIF).

CFO Jeff Atwater recently said he will be seeking tough sentences for perpetrators who try to rip-off the system. Now we get word from the Florida’s director of the division of insurance fraud that a new PIP squad has been added in Tampa to crack down on what’s ranked the worst region in the United States for PIP fraud.

“There is no shortage of criminals who seek to commit fraud at every opportunity,” writes director John Askins in his division’s January 2011 newsletter.” The dedicated law enforcement officers at DIF are determined to do their best to investigate and arrest them.”

The division has also hired a senior attorney in Miami to coordinate efforts and improve results in prosecutions. In addition, the division “is working for legislation that will eliminate loopholes used by accident clinics,” Askins writes in the newsletter. “We are asking for additional dedicated prosecutors to help us send more of these criminals to jail.”

How can Floridians help? By writing urging legislators to vote for legislation that would crack down on the PIP fraud that keeps pushing insurance premiums higher and higher. Legislators should also fund, even in these tough economic times, staffing to chase down and lock up PIP fraudsters.

The auto insurance industry is doing its part in 2011. The International Association of Special Investigation Units, a non-profit organization funded by insurers, is educating insurers on how to spot PIP fraud and helping law enforcement officials with their investigations.

Insurers are putting more than money into the effort to fight PIP fraud. Ohio Farmers Insurance Company has donated a car to DIF that it can use in undercover surveillance along the west coast of the state. The car will help law enforcement officials uncover the PIP fraud rings that are rampant that region.