For Immediate Release - February 07, 2014

Quincy Man Indicted for Fraudulently Collecting More Than $28,000 in Benefits While Working

Defendant Allegedly Worked Under a False Identity While Collecting Benefits

BOSTON – A Quincy man has been indicted on charges he fraudulently collected more than $28,000 in workers’ compensation benefits while working under a false identity, Attorney General Martha Coakley announced today.

“We allege this defendant used a false identity to fraudulently collect workers’ compensation benefits while working,” AG Coakley said. “These benefits are essential to helping individuals that are unable to work as the result of work related injuries.”

"The Insurance Fraud Bureau continues to work through Attorney General Martha Coakley's office to bring cases like this for criminal prosecution,” said Daniel Johnston, Executive Director of the Insurance Fraud Bureau. “Fraudulent Workers Comp claims drain money from the system needed for honest injured workers, as well as drive premium costs up for businesses that are striving to succeed in this economy."

Paulo DaSilva, 53, is charged with Workers’ Compensation Fraud and Larceny Over $250.

According to authorities DaSilva suffered a work related injury in August 2010 while working for a landscaping company and began collecting total temporary disability (TTD) benefits from NGM Insurance Co. (NGM), the company’s insurer.

While collecting benefits, DaSilva allegedly applied for another landscaping job using an assumed identity and began working in April 2011. During the time of this employment DaSilva underwent an Independent Medical Examination to confirm that his injury was work related and incapacitating. According to authorities, at the examination DaSilva claimed to be unable to work while he was allegedly working fulltime.

According to authorities DaSilva entered into a negotiated settlement to conclude his workers’ compensation claim with NGM in October 2011. Based on his alleged false representations that he had not worked, DaSilva fraudulently collected a combined total of more than $28,000 in workers’ compensation benefits. 

A Suffolk County Grand Jury returned indictments against DaSilva on Thursday. DaSilva will be arraigned on Feb. 26 in Suffolk Superior Court.

In 2013, AG Coakley’s Insurance and Unemployment Fraud Division (IUFD) recovered more than $1.4 million in restitution for the state. The IUFD 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 systems. 

The case is being prosecuted by Assistant Attorney General Alistair Reader of AG Coakley’s Insurance and Unemployment Fraud Division with assistance from investigator Steven Pfister of the Attorney General’s Office and investigators from the Insurance Fraud Bureau of Massachusetts. 

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