For immediate release: July 16, 2015
BWC investigations result in 10 workers' comp fraud convictions in June
Columbus - Ohio Bureau of Workers' Compensation (BWC) Administrator/CEO Steve Buehrer announced today that 10 individuals were convicted of,
or pleaded guilty to, charges related to defrauding Ohio's workers' compensation system in June 2015. These court actions are the result
of investigations conducted by BWC's Special Investigations Department (SID).
"Whether it's an employer failing to pay workers' comp premiums, a medical provider doling out prescriptions without evaluating patients,
or claimants secretly working while improperly receiving disability benefits, BWC does not take workers' compensation fraud lightly," Buehrer
said."Funds that are recovered thanks to SID's efforts are returned to the State Insurance Fund to care for injured workers who are
truly injured, and to keep employer premiums as low as possible."
The following is a sampling of cases that resulted in guilty pleas or convictions during June:
Tina Trill, doing business as TEP Bedding Group Inc. (Orwell, Ashtabula County), pleaded guilty June 1 in the Ashtabula County Court
of Common Pleas to one count of obstructing official business, a second-degree misdemeanor. BWC's employer fraud team received an allegation
from the agency's collections department that the employer submitted a workers' compensation premium payment that was dishonored by the bank,
and the policy lapsed. The employer submitted outstanding payroll reports, but didnâ€™t make any other attempts to bring the policy into
compliance with the law. Trill paid $12,000 in restitution to BWC.
James Crist, of Middletown (Butler County), pleaded guilty and was sentenced June 2 in Middletown Municipal Court on one count
of workers' compensation fraud, a first-degree misdemeanor. A BWC employee alerted SID that Crist was difficult to contact during the
day and that machinery was sometimes heard running in the background during telephone calls. Investigators found that Crist returned
to work for his own business, Crist Construction LLC, while collecting temporary total disability benefits from November 2010 to August
2011. Claimants are not permitted to work while receiving this type of benefit. Crist paid $21,579 in restitution before entering his
plea in court, and paid $4,155.07 to cover the fraud investigation costs on the same day he appeared in court. He was given a suspended
sentence of 180 days in jail and was also fined $500.
Laurie Nesit, of Akron (Summit County), pleaded guilty June 8 in the Franklin County Court of Common Pleas to one count
of workers' compensation fraud, a fifth-degree felony. BWC became aware through a data cross-match with the Ohio Department of
Job and Family Services that Nesit received wages and temporary total disability benefits from BWC during the same time period.
Claimants are not permitted to work while receiving this type of benefit. Investigators found that Nesit returned to work as an
inspector for two businesses from April to May 2013, and from July 2013 to January 2014, while receiving temporary total disability
benefits. In August 2014, an Industrial Commission hearing officer issued an order finding an overpayment of BWC benefits for those
time periods. The hearing officer also issued a finding of fraud relative to the declared overpayment. Nesit was sentenced to serve
11 months in jail, which was suspended for five years of community control. She was ordered to pay $23,847 in restitution to BWC
and ordered to maintain employment.
Melony Belcher, of Toledo (Lucas County), was granted into a criminal diversion program June 17 in the Lucas County Court of
Common Pleas. SID received an allegation through BWC's fraud hotline that Belcher may have returned to work while collecting workers'
compensation benefits from her self-insured employer. Investigators discovered that Belcher returned to work from February to
April 2014 as a full-time elder assistant for a Monclova business while collecting temporary total disability benefits. Claimants
are not permitted to work while receiving this type of benefit. In addition to the criminal diversion program, which she must
remain in for two years, Belcher was ordered to repay $2,696.70 in restitution to the self-insured employer.
To report suspected workers' compensation fraud, call 1-800-644-6292 or visit bwc.ohio.gov. Check out our latest cases
at ohiobwcfraud.wordpress.com, follow Fraud Fridays on Twitter @OhioBWCFraud, or join in the conversation at
facebook.com/ohiobwcfraud. View and share BWC's workers' comp fraud awareness
video on our YouTube channel.
Follow BWC on Twitter.
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