NH Man Arraigned in Connection with Allegedly Stealing Nearly $14,000 in Workers' Compensation Benefits
"We allege that Mr. Wilson manipulated the workers' compensation system for his own personal benefit," said AG Martha Coakley. "Workers' compensation violations and the abuse of a system that helps many deserving recipients will not be tolerated in Massachusetts."
In May 2009 , the Attorney General's Office began an investigation after Wilson's alleged activities were initially investigated and referred by the Insurance Fraud Bureau of Massachusetts (IFB). In August 2006, Wilson reportedly suffered an injury while working as a heavy machinery mechanic subcontractor on a work site in Milford, MA. After undergoing surgery for the injury in April 2007, Wilson began to collect workers' compensation benefits at an approximate rate of $857.00 per week from April 2007 through August 2007. The general contractor of the work site where Wilson was injured learned that during the relevant time period Wilson was allegedly employed as a sub-contractor for another construction company where he earned nearly $10,000 working while out on disability.
The general contractor brought the matter to the attention of the Insurance Fraud Bureau of Massachusetts (IFB) to assess the validity of Wilson's workers' compensation claim. Investigators for the IFB discovered that Wilson fraudulently collected nearly $14,000 in worker's compensation benefits to which he was not entitled.
In addition, the IFB discovered that on two separate occasions in August 2007 and August 2008, Wilson filled out and signed Employee Earnings Reports indicating that he did not receive any income while collecting workers compensation benefits. Wilson also attended two separate independent medical exams which were required by his insurer due to his work related injury and at both of these exams he reported that he was not working. After completing its investigation, the IFB then referred the matter to the Attorney General's Office for prosecution.
Attorney General Martha Coakley's Insurance and Unemployment Fraud Division works to protect consumers and the integrity of the insurance system by investigating and prosecuting those who commit fraud against all types of insurers, including the Commonwealth's unemployment insurance and workers' compensation system. The prosecution of insurance fraud helps prevent the increase in premiums and taxes that are the result of fraudulent insurance claims. In Fiscal Year 2009, the Insurance and Unemployment Fraud Division obtained over $2.6 million in restitution orders in 103 matters.
A Middlesex Grand Jury returned indictments against Wilson on June 3, 2010. Wilson was arraigned yesterday in Middlesex Superior Court at which time he entered a plea of not guilty and was released on personal recognizance. Wilson is due back in court on July 19, 2010, for a pre-trial conference. Clerk Magistrate Michael A. Sullivan presided over the arraignment.
The case is being prosecuted by Assistant Attorney General Jennifer Cotter of AG Coakley's Insurance and Unemployment Fraud Division and was investigated by the IFB.