James ”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 to Aetna.

Dorman's 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.

Dorman 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.

The sentences for the separate cases will run concurrently.

Detective 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.

Assistant Prosecutor Meghan Hoerner handled the case for the Cape May County Prosecutor’s Office.

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.

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