- Attorney General Jeffrey S. Chiesa announced
that a former South Jersey family and marriage
therapist was sentenced to state prison today
for engaging in fraudulent billing by submitting
approximately $22,000 in bills to an insurance
company for services that he did not provide.
”Doug” Dorman, 55, of Glassboro,
who was a licensed family and marriage therapist,
was sentenced to three years in prison by
Superior Court Judge Christine Allen-Jackson
in Gloucester County. Dorman was also ordered
to pay restitution in the amount of $22,473
to Cigna Behavioral Health Insurance Company.
The sentence was based on Dorman’s
Feb. 14 guilty plea to a charge of second-degree
health care claims fraud, which was contained
in a Feb. 25, 2011 state grand jury indictment.
The indictment also charged him with submitting
fraudulent bills to Aetna Insurance Company.
He was ordered to pay restitution of $1,543
license was suspended by the New Jersey
Board of Marriage and Family Therapy Examiners
in August 2010.
In pleading guilty, Dorman admitted that
between Aug. 20, 2004 and March 21, 2006,
he fraudulently submitted more than $22,473
in bills to Cigna Behavioral Health Insurance
Company for therapy services. An investigation
by the Office of the Insurance Fraud Prosecutor
determined that, as a result of the fraud,
Dorman received approximately $22,473 in
reimbursements to which he was not entitled.
was also sentenced today to three years
in state prison after pleading guilty on
Feb. 14 to a charge of third-degree insurance
fraud filed by the Cape May County Prosecutor’s
Office. The charge was contained in a June
7, 2011 Cape May County grand jury indictment.
In pleading guilty to this charge, Dorman
admitted that between April 4 and June 12,
2007, he fraudulently submitted a claim
for reimbursement for jewelry and watches
he claimed were stolen from his home. An
investigation determined that the items
were not stolen. Dorman received a payment
from State Farm Insurance Company in the
amount of $22,278 for the fraudulent claims.
Judge Allen-Jackson ordered Dorman to pay
restitution in the amount of $14,553 to
State Farm in connection with the charge,
after taking into account that State Farm
had recovered some of the funds paid to
the defendant as a result of the fraud.
sentences for the separate cases will run
Sergeant Weldon Powell, Civil Investigator
Shawn Stewart and Deputy Attorney General
James A. Carey, Jr. coordinated the investigation.
Carey represented the Office of the Insurance
Fraud Prosecutor at the sentencing. Acting
Insurance Fraud Prosecutor Ronald Chillemi
thanked Susan Roberts, Fraud Specialist
from Cigna, and Robin Cizek, R.N., Investigator
from Aetna, for their assistance in the
investigation. He also thanked Cigna Behavioral
Health Insurance Company for referring the
matter to the Office of the Insurance Fraud
Prosecutor Meghan Hoerner handled the case
for the Cape May County Prosecutor’s
Acting Insurance Fraud Prosecutor Chillemi
noted that some important cases have started
with anonymous tips. People who are concerned
about insurance cheating and have information
about a fraud can report it anonymously
by calling the toll-free hotline at 1-877-55-FRAUD,
or visiting the Web site at www.NJInsurancefraud.org.
State regulations permit a reward to be
paid to an eligible person who provides
information that leads to an arrest, prosecution
and conviction for insurance fraud.