For immediate release: Dec.15, 2011
BWC Investigations Result in Five Workers’ Comp Fraud Convictions in November
Columbus - Ohio Bureau of Workers’ Compensation (BWC) Administrator/CEO Stephen Buehrer today
announced five individuals were convicted of or pleaded guilty to charges related to defrauding
Ohio’s workers’ compensation system during the month of November. The court actions are the
result of investigations conducted by BWC’s Special Investigations Department (SID), which
works to deter, detect, investigate, and prosecute workers’ compensation fraud. The cases
bring the total number of convictions this year to 119.
“With another month comes five more fraud convictions, the result of our investigators’
outstanding work following up on leads and proactively identifying fraud,” said Buehrer. “What
many perpetrators often do not understand is that if their activity does not generate tips
from suspicious neighbors, co-workers or others surrounding them, their activity will raise
red flags among BWC staff trained to detect suspected fraud.”
Following are four of cases that resulted in a guilty plea or conviction during the month of
Michael Roe (Middletown, Butler County) was sentenced November 28 for working while
receiving benefits. SID received an allegation through BWC’s fraud hotline indicating Roe was
working for a friend while collecting temporary total disability benefits. Investigators
found Roe was working as a part-time tow truck driver for Lightening Towing and Recovery in
Middletown. Roe pleaded guilty in the Franklin County Common Pleas Court to a felony count
of workers’ compensation fraud. Roe was ordered to pay restitution of $5,163.91, and another
$2,000 for investigative costs. He was also placed on community control for two years.
Roe must pay full restitution by June 15, 2012 and obtain no further felony convictions
or he will serve six months in jail.
James Mann (Toledo, Lucas County) was sentenced November 30 for fraud after he was
found treating injured workers without a medical license. BWC’s Health Care Provider team
investigated Mann after an employer reported inconsistencies with the treatment provided
to an injured worker by Mann, owner of Toledo Medical Evaluators, LLC. The team found
Mann was performing disability exams and file reviews in both Ohio and federal workers’
compensation cases although he lost his license to practice medicine in 1991 after he
was convicted of illegal processing of drug documents. Mann was attempting to conceal
the fact that he was personally conducting exams by erroneously reporting that one of
the licensed physicians in his practice conducted the exam. Mann then submitted the
fraudulent exam reports to the Ohio Industrial Commission. Mann pleaded no contest to
a bill of information in Lucas County Common Pleas Court to one count of workers’
compensation fraud. He was sentenced to serve five years of probation and pay $90,278 in
restitution, in addition to $10,530 for investigative costs. Mann previously pleaded
guilty in the United States District Court, Northern District of Ohio, to three counts
of Mail Fraud.
Thomas McAllister (Steubenville, Jefferson County) pleaded guilty to deception to
obtain narcotics. BWC’s Intelligence Unit identified Thomas McAllister as potentially receiving
prescriptions from several physicians and pharmacies. SID’s investigation confirmed that he
used deception to obtain 11 prescriptions from three prescribing physicians. McAllister
entered a guilty plea in October to a felony count of deception to obtain dangerous drugs.
A Franklin County judge sentenced McAllister November 30 to 30 days in jail. He was also
ordered to pay $424 in restitution, and his driver’s license will be suspended for six months.
Gary Metz (Sharonville, Hamilton County) was sentenced November 22 for working while
receiving benefits. BWC’s Special Investigations Department investigated Metz after receiving a
tip and found he was working as a cable technician for his brother’s company Comteam, Inc.,
while receiving Living Maintenance and Non-Working Wage Loss benefits. Metz pleaded guilty
in the Franklin County Common Pleas court to one felony count of workers’ compensation fraud.
He was ordered to pay restitution of $6,165 and investigative costs of $1,000. He was
also sentenced to six months in Ohio Department of Rehabilitation and Correction, suspended
if he pays restitution and court costs by Dec. 30.
To report suspected workers’ compensation fraud, call 1-800-OHIOBWC, visit ohiobwc.com, or visit
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