TRENTON
- Attorney General Zulima V. Farber and
Criminal Justice Director Gregory A. Paw
announced that a Salem County Sheriff's
Department officer has been charged with
health care claims fraud and theft for his
role in a health insurance fraud.
According
to Insurance Fraud Prosecutor Greta Gooden
Brown, John K. Hoover, 40, Pedricktown,
Salem County, was charged with second-degree
health care claims fraud, and third-degree
theft by deception. Second-degree crimes
carry a maximum punishment of 10 years in
state prison and a criminal fine of $150,000,
while crimes of the third-degree carry a
maximum punishment of five years in state
prison and a criminal fine of $15,000. In
addition, Hoover faces civil insurance fraud
fines.
The
Aug. 21 state grand jury indictment alleges
that between Oct. 27, 2003 and Dec. 31,
2005, Hoover, who was employed by Salem
County as a sheriff's officer, falsified
employer-sponsored health insurance records
concerning his marital and family status.
An investigation by the Division of Criminal
Justice - Office of Insurance Fraud Prosecutor
determined that Hoover falsified a health
insurance benefits form reflecting that
he was separated but still married to his
wife and that his step-daughter remained
his dependent for employer sponsored health
insurance. The investigation revealed that
Hoover was divorced and was to pay for his
ex-wife's health insurance out of pocket.
The indictment charges that, as a result
of this fraud, Hoover allegedly received
more than $20,400 in health care claims,
prescription drug benefits and insurance
premiums paid by Salem County for his ex-wife
and his step-daughter to which he was not
entitled.
State
Investigator Anthony Butler, and Deputy
Attorney General Joan Burke were assigned
to the investigation. DAG Burke presented
the case to the State Grand Jury.
This office is committed to protecting New
Jersey's citizens from unscrupulous acts
by combating insurance fraud in any form
it takes. It is particularly disturbing
when sworn law enforcement officers violate
the public's trust by choosing to participate
in insurance fraud schemes, Fraud Prosecutor
Brown said. The Office of the Insurance
Fraud Prosecutor vigorously investigates
and prosecutes cases of this nature.
The
indictment is merely an accusation. The
defendant is presumed to be innocent unless
and until proven guilty beyond a reasonable
doubt.
Prosecutor
Brown noted that some important cases have
begun with anonymous tips from the public.
People who are concerned about insurance
cheating and have any information about
a fraud can report it anonymously by calling
the toll free hotline at 1 877 55
FRAUD, or visit their Web site
at www.NJInsuranceFraud.org.
State regulations permit an award to be
paid to an eligible person who provides
information that leads to an arrest, prosecution
and conviction for insurance fraud.
The
Office of the Insurance Fraud Prosecutor
was established by the Automobile Insurance
Cost Reduction Act of 1998. The Office is
the centralized state agency that investigates
and prosecutes both civil and criminal insurance
fraud, as well as Medicaid fraud.
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