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For Immediate Release:  
For Further Information:
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November 14, 2006  
Division of Criminal Justice
609-292-4791

Office of The Attorney General
- Stuart Rabner, Attorney General
Division of Criminal Justice
- Gregory A. Paw, Director

Office of the Insurance Fraud Prosecutor
- Greta Gooden Brown, Insurance Fraud Prosecutor

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Englewood Woman Pleads Guilty to Theft in Marriage Counseling Health Insurance Scam
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TRENTON – Attorney General Stuart Rabner and Division of Criminal Justice Director Gregory A. Paw announced that a former licensed family therapist pleaded guilty today to submitting fraudulent health insurance claims.

According to Insurance Fraud Prosecutor Greta Gooden Brown, Evelyn S. Wilson, 65, of Englewood, who formerly was licensed in New Jersey as a clinical social worker and a marriage and family therapist, pleaded guilty to third-degree theft by deception before Superior Court Judge Lois Lipton in Bergen County. On April 14, Wilson surrendered her two professional licenses to the state boards that license social workers and family counselors.

At the guilty plea hearing, Wilson admitted that between Aug. 20, 2001 and June 16, 2004, she submitted insurance claims to Horizon Blue Cross and Blue Shield for social work, marriage counseling and family therapist services that were never rendered to patients or clients. An investigation determined that Wilson submitted claims for several hundred therapy sessions that did not take place. Wilson used her residence as her place of business.

Crimes of the third degree carry a sentence of up to five years in state prison and a criminal fine of up to $15,000. Wilson may also face civil insurance fraud fines.

State Investigator Abraham Aquino, Civil Investigator Martin Arasin and Deputy Attorney General Cheryl A. Maccaroni handled the case.

“When health care providers commit fraud, it is particularly disturbing because the integrity of the health care insurance claims process depends on the trustworthiness of the licensed professionals involved,” said Insurance Fraud Prosecutor Brown.

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