May 2015
Volume 5 - Issue 11
“I’m proud of the results
of this collaborative
investigation and hope
this serves as a
deterrent for anyone
considering or currently
engaged in similar
criminal acts in our
state.”
- Deputy CFO Jay Etheridge
INSIDE THIS ISSUE
1
Tampa Arrests
2
PIP Fraud News
3
Most Wanted
4
Statewide Arrests
6
Statewide Contacts
HEADER HERELeads To Seven
Undercover Investigation
Arrests In Tampa PIP Fraud Scheme
The Florida Division of Insurance Fraud (DIF) recently announced the arrests of
seven Tampa residents following a two-year PIP (Personal Injury Protection)
investigation into fraud involving Integrated Healing Clinic in Tampa. The
investigation discovered that clinic staff had filed several patient claims with
multiple insurance carriers for prices that far exceeded actual treatment costs
and, in some cases, for treatments that never took place.
“These individuals orchestrated a complex operation to defraud insurance
companies and, ultimately, all Floridians,” said Deputy CFO Jay Etheridge. “I’m
proud of the results of this collaborative investigation and hope this serves as a
deterrent for anyone considering or currently engaged in similar criminal acts in
our state.”
This extensive investigation revealed that clinic employee Minette St. Fleur, 50,
operated as a recruiter, paying patients to go along with the scheme to file
fraudulent claims. She was arrested and charged with insurance fraud and
patient brokering.
The following patients were also arrested and charged with false and fraudulent
insurance claims; Sonthonax Ferdinand, 57; Marie Jean Gilles Valcin, 42; Marie
Celestin, 38; Josue Aguste, 42; Elisena Louissaint, 48; and Joseph D Pierre, 39.
Integrated Healing Clinic was incorporated in 2010, listing Samar Fadda as the
sole official. Fadda has been licensed as an acupuncturist in Florida since 2008.
The National Insurance Crime Bureau and several insurance companies were
instrumental to the success of the investigation, including Geico, 21st Century
Insurance, Direct General Insurance, Progressive, Safeco Insurance, State Farm
Insurance and Liberty Mutual Insurance. The case will be prosecuted by the
office of Hillsborough County State Attorney Mark A. Ober.
Anyone with information about suspected insurance fraud is asked to call 1-800378-0445. Citizens who provide tips can remain anonymous. The Department of
Financial Services has awarded $365,000 to 63 citizens as part of its Anti-Fraud
Reward Program. The program rewards individuals up to $25,000 for information
that directly leads to an arrest and conviction in an insurance fraud scheme.
The PIP Source
Page 2
Rafael Delgado Promoted to DIF Major
The Division of Insurance Fraud (DIF) recently announced the promotion of Rafael Delgado from Captain to
District II Major, effective April 29, 2015. Major Delgado will supervise the South and South Central Regions,
replacing retiring Major Glen Hughes.
Major Delgado is a career law enforcement veteran with more than 30 years of experience. He served 21
years with the New York City Police Department on uniformed patrol, organized crime control bureau,
detective bureau and assignment on an FBI task force unit, before retiring in 2002.
In 2005, Delgado moved to South Florida and renewed his law enforcement career as a detective with DIF,
assigned to the Miami Field Office. He started on a general fraud squad and later moved to a personal injury
protection (PIP) squad. In August 2011, he was promoted to lead detective of the PIP squad. He is a
certified field training officer, and for several years, he had an active role in training new law enforcement
detectives assigned to the Miami Field Office.
In March 2012, Delgado was promoted to lieutenant of the Miami workers’ compensation squad. In
September 2012, Delgado transferred to take command of one of the three PIP squads in Miami. In April
2014, Delgado was promoted to Captain of the South Central Region, supervising five squads located in Ft.
Lauderdale, Ft. Myers and West Palm Beach.
Congratulations to Major Delgado.
Katherine Super
White Female, 26 years old
5’4”, Blue Eyes, Blonde or Brown Hair
Warrant Information:
Warrant/Case #: W190986582
Felony Warrant Charge: Organized Scheme to Defraud / Money
Laundering / Racketeering / Grand Theft / Insurance Fraud
Details:
The Florida Department of Financial Services, Division of Insurance
Fraud (DIF) is attempting to locate Katherine Super in reference to the
outstanding warrant.
While working as an office manager at a chiropractic clinic, Super
schemed to file false and fraudulent billings on behalf of clients for
medical treatments that did not occur, to monetarily gain from personal
injury protection benefits.
Super has yet to be found since her warrant was issued in May 2014.
Her warrant has nationwide extradition.
If you know where Super can be located, please contact the Division of
Insurance Fraud at 1-800-378-0445.
Check out the DFS Most Wanted at http://www.myfloridacfo.com/PressOffice/MostWanted/
May 2015
Page 3
PIP FRAUD – In The News
Court Denies Attorney’s Challenge to Constitutionality of Solicitation Statute
Attorney Brian Greenspoon, arrested by the Division of Insurance Fraud in October 2014 as part of Operation Cold Call,
challenged the constitutionality of the Florida Statute regarding solicitation of accident victims.
Greenspoon filed a motion in Palm Beach County Circuit Court to dismiss his case based on that argument, which was
denied by Judge Karen Miller.
The challenge was defended by Assistant State Attorney Ryan Kelly.
James Feeney Promoted to Lieutenant of WPB Auto Fraud Squad
The Division of Insurance Fraud (DIF) announced that James Feeney was promoted from lead detective to Lieutenant of
the West Palm Beach Auto Fraud Squad in the South Central Region, effective April 29, 2015.
Lt. Feeney joined DIF more than four years ago, bringing with him an extensive background in law enforcement
investigations and training. He served on the Jupiter Police Department as a patrol commander, sergeant, detective and
officer, while fostering deep community connections on the neighborhood enhancement team. Prior to that, he gained
experience with the Palm Beach County Sheriff’s Department. Lt. Feeney is an instructor at the Palm Beach Community
College on topics covering organized crime, weapons of mass destruction awareness and police protective measures.
Lt. Feeney received a Bachelor of Arts in Criminal Justice in 1993 from Florida Atlantic University and a Bachelor of
Public Management degree in 2005 from Florida Atlantic University.
Congratulations to Lt. Feeney.
Leader of Colorado Insurance Fraud Ring Sentenced to Prison
The leader of a Colorado insurance fraud ring was sentenced to prison in April. Mike Tee, 41, will spend 18 years in the
Department of Corrections for masterminding a criminal ring that stole insurance money by staging automobile
accidents. Tee and his associates would claim both vehicle damages and bodily injury in fake accidents to collect
insurance payouts. As part of the thefts, Tee and the others claimed the vehicles they owned were stolen, when in fact
they were not and insurance companies ultimately paid more than $80,000.
See more on this story from KUSA 9News at http://www.9news.com/story/news/local/2015/04/01/leader-of-insurancefraud-ring-sentenced/70791406/
Allstate Donates Vehicle to Cape Coral Police Department
In April, Allstate Insurance Company donated a vehicle to the Auto Theft Unit of the Cape Coral Police Department to
assist in their efforts to fight insurance fraud. This donation was made possible with the assistance of National Insurance
Crime Bureau (NICB) Special Agent Frank Napolitano.
Pictured L to R:
Lt. Ellis, Det. Iten
and Capt. Barnes,
Cape Coral Police
Department; Bryan
Avery, Dave King,
Kevin
Schuman,
Fernando
Pena,
Allstate;
Deputy
Chief Newlan, Det.
Sgt. VanLandschoot,
Cape Coral Police
Department;
and
Special Agent Frank
Napolitano, NICB.
The PIP Source
Page 4
Statewide PIP Arrests – April 2015
Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name
and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company
name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.
Roberto Carlo Monzon-Mendez, 40 - staged acct 05/22/12 (driver) $74,254 - B & A Diagnostic / Doctors Professional Medical
Group / Psychologist Technology / Spring Medical & Rehab (Colony Specialty / Progressive / State Farm) M
Enriquillo Batista, 39 - staged acct 12/15/11 (recruiter) $8,737 - Cega Stress Center / First Choice Therapy / Healing and
Rehabilitation Clinic of Tampa (Geico / GMAC / Progressive) T
Yolanda Remes Nedd, 44 - application fraud (Assurance America) O
Crystal Nicole Jackson, 22 - staged acct 12/15/13 (passenger) - Nguyen Wellness Center, LLC (Ameriprise) O
Donte Antwain Wilson, 27 - staged acct 12/15/13 (passenger) - Nguyen Wellness Center, LLC (Ameriprise) O
Reinier Fundora Martinez, 49 - (1) staged acct 12/14/11 (recruiter) $7,332 - One Touch Therapy (Assurance / Geico) (2) staged acct
03/27/12 (recruiter) $10,000 - One Touch Therapy Center (Progressive / United Auto) (3) staged acct 04/11/12 (recruiter) $15,480 One Touch Therapy Center (Gainsco / Geico) (4) staged acct 04/22/12 (recruiter) $38,477 - One Touch Therapy Center (Progressive /
USAA) J (arrested for 4 staged accidents)
Zachary Talabert, 51 - jump-in 11/12/13 - $113,752 - North Miami Therapy Center (Mercury) M
Porchia Javalerie Davis, 28 - application fraud (National General) T
Yesenia M Vega, 32 - staged acct 06/07/12 (passenger) $37,469 - One Touch Therapy Center (Direct General / Infinity / Titan) J
Luis Mendoza, 21 - fake ins card (MGA) M
Robert Lee Hallack, 44 - false windshield claim - $273 - A & E Auto Glass (MetLife) T
Angelita Ann Castillo, 45 - application fraud (Infinity) O
Jaime Pianatano, 46 - staged acct 04/23/08 (driver) $16,181 - (Avis / State Farm) O
Minette Saint Fleur, 50 - patient brokering - Integrated Healing Clinic (21st Century) T
Joseph Dikens Pierre, 39 - PIP patient - $516 - Integrated Healing Clinic (Geico) T
Josue Aguste, 42 - PIP patient - $1,728 - Integrated Healing Clinic (State Farm) T
Marie M Valcin JN Gilles, 42 - PIP patient - $2,522 - Integrated Healing Clinic (Geico) T
Elisena Belizaire Louissaint, 48 - PIP patient - $3,775 - Integrated Healing Clinic (Geico) T
Sisy Farinas Mena, 46 - staged acct 08/30/11 (driver) $21,824 - Baymeadows Injury Center / EMED Primary Care (Infinity /
Peachtree) J
Sonthonax Ferdinand, 57 - PIP patient - $2,377 - Integrated Healing Clinic (Geico) T
Joseph Dikens Pierre, 39 - PIP patient - $2,152 - Integrated Healing Clinic (Geico) T
Marie Denise Celestin Joseph, 38 - PIP patient - $1,069 - Integrated Healing Clinic (Geico) T
Amanda Elaine Chester, 45 - jump-in 12/06/13 - $9,073 - Accident & Injury Clinic / Mason Injury & Accident Clinic (Acceptance /
Peachtree) O
Sonia Pearl Chester, 36 - jump-in 12/06/13 - $10,281 - Accident & Injury Clinic / Mason Injury & Accident Clinic (Acceptance /
Peachtree) O
Sonia Pearl Chester, 36 - jump-in 04/30/13 / lost wages - $12,650 - Accident & Injury Center (First Acceptance) O
Amanda Elaine Chester, 45 - jump-in 04/30/13 / lost wages - $13,728 - Accident & Injury Center (First Acceptance) O
Keyshonda Renee Campbell, 25 – jump-in 12/06/13 - $15,456 - Accident & Injury Clinic / Mason Injury & Accident Clinic
(Acceptance / Peachtree) O
Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)
May 2015
Page 5
Statewide PIP Arrests – April 2015
Each issue will provide a list of PIP arrests made by the offices throughout the State. Along with each defendant’s name
and age, we will include: the type of scheme involved; the fraud dollar amount; clinic name(s); victim insurance company
name(s); and the arresting office. If you need additional details on any of these arrests, please contact Capt. Smith.
Mariela N Quintana, 46 - massage therapist - $39,249 - D & J Rehabilitation Center (Esurance / Geico) M
Tyrone Demetrius King, 38 – statement in support of jump-ins 12/06/13 - $34,810 - Accident & Injury Clinic / Mason Injury &
Accident Clinic (Acceptance / Peachtree) O
Alicia Devonne Belson, 40 - lost wages - $6,669 (USAA) J
Ada Crislina Vega Cruz, 31 - fake ins card (Security National) O
Roxana Suarez La Rosa, 30 - massage therapist / clinic owner / scheme to defraud / racketeering - $77,095 - Saint Jose Injury
Center (Allstate / Assurance America / Farmers / First Acceptance / Geico / Imperial Fire / Kempter / MGA / Nationwide / Progressive /
Sentry / State Farm / Unitrin / USAA) J
Jazmyn Martha Aguilar Lastres, 25 - massage therapist - $19,364 - Colonial Rehabilitation (Direct General / Geico) O
Deshon Lavon Payne, 20 - fake ins card (Geico) T
Stephanie Ann Wilson, 35 - false statement in support of lost wages - $6,669 (USAA) J
Anderson Camboim, 41 - fake ins card (Mercury) O
Marc Richard La Pierre, 27 - staged acct 06/20/12 (recruiter) $77,484 - Commercial Point Physical Center / Hollywood Pain & Rehab
Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Ronie Petidos, 34 - clinic owner / staged acct 06/20/12 (recruiter) $77,484 - Commercial Point Physical Center / Hollywood Pain &
Rehab Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Elizabeth Antoinette Hasle, 40 - false statement in support of valid claim (Geico) B
Elizabeth Diane Deason, 65 - fake ins card (Infinity) P
Jeffrey Lewis, 26 - staged acct 06/20/12 (passenger) $77,484 - Commercial Point Physical Center / Hollywood Pain & Rehab
Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Shaeronda Laverne Jackson, 34 - staged acct 06/20/12 (passenger) $77,484 - Commercial Point Physical Center / Hollywood Pain
& Rehab Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Jean Wiquet Regisma, 24 - staged acct 06/20/12 (passenger) $77,484 - Commercial Point Physical Center / Hollywood Pain &
Rehab Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Stephenson Gerry Blanc, 24 - staged acct 06/20/12 (passenger) $77,484 - Commercial Point Physical Center / Hollywood Pain &
Rehab Center / New Hope Holistic Care Center (Gainsco / Hartford) B
Patrick Logene, 39 - staged acct 06/20/12 (recruiter) $77,484 - Commercial Point Physical Center / Hollywood Pain & Rehab Center /
New Hope Holistic Care Center (Gainsco / Hartford) B
Oslay Acosta-Miguel, 37 - staged acct 08/16/11 (recruiter) $24,050 - EMED Primary Care / Health Point Injury Center (unk) and
staged acct 08/30/11 (recruiter) $23,627 - Baymeadows Injury Center / EMED Primary Care (Infinity / Peachtree) J
Arrested in August 2014
Gloribel Martinez, 25 - staged acct 12/15/11 (passenger) $?? - Cega Stress Center / First Choice Therapy / Healing and Rehabilitation Clinic of Tampa (Geico / GMAC / Progressive) T
Arrested in September 2014
Lillian Ivelisse Perez, 30 - staged acct 12/15/11 (passenger) $8,737 - Cega Stress Center / First Choice Therapy / Healing and Rehabilitation Clinic of Tampa (Geico / GMAC / Progressive) T
Erika Y Moreira, 38 - staged acct 12/15/11 (driver) $0 - Cega Stress Center / First Choice Therapy / Healing and Rehabilitation Clinic
of Tampa (Geico / GMAC / Progressive) T
Code – B (Broward) F (Ft Myers) J (Jacksonville) M (Miami) O (Orlando) P (Pensacola) TL (Tallahassee) T (Tampa/St Pete) W (West Palm Beach)
The PIP Source
Page 6
Statewide PIP Contacts
DISTRICT I
Major Michael BYRNE
DISTRICT II
Major Rafael DELGAGO
PANHANDLE REGION
Counties: Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf,
Holmes, Jackson, Jefferson, Lafayette, Leon, Liberty,
Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton,
Washington
SOUTH CENTRAL REGION
Counties: Broward, Charlotte, Collier, Glades, Hendry,
Highlands, Indian River, Lee, Martin, Okeechobee,
Palm Beach, St. Lucie
Pensacola Field Office - 850.453.7802
Capt. David LINDSAY
Tallahassee Field Office - 850.413.3115
Lt. Ernie STOLL
NORTH REGION
Counties: Alachua, Baker, Bradford, Citrus, Clay, Columbia,
Dixie, Duval, Flagler, Gilchrist, Hamilton, Levy, Marion,
Nassau, Putnam, St. Johns, Sumter, Suwannee, Union
Jacksonville Field Office - 904.798.5802
Capt. Brian McCOY
Lt. Kevin JONES
NORTH CENTRAL REGION
Counties: Brevard, DeSoto, Hardee, Hernando, Hillsborough,
Lake, Manatee, Orange, Osceola, Pasco, Pinellas, Polk,
Sarasota, Seminole, Volusia
Tampa Field Office - 813.972.8602
Capt. Darrell WILSON
Lt. Carlos ROSARIO
Orlando Field Office - 407.835.4402
Capt. Evangelina BROOKS
Lt. Laquanda GREEN
Lt. John SAVINO
Copy goes her.
Editor’s
Corner
On page 1, we cover the takedown of seven
persons following a two-year undercover
investigation of a Tampa clinic.
On page 2, we announce the promotion of the
new DIF Major and feature another fugitive in
Insurance Fraud’s Most Wanted.
As always, we report on PIP Fraud in the News
and the latest PIP-related arrests.
Plantation Field Office - 954.958.5402
Lt. Bill LEE
West Palm Beach Field Office - 561.837.5601
Lt. James FEENEY
Ft. Myers Field Office - 239.278.7527
Acting Lt. Glen CLASEN
SOUTH REGION
Counties: Dade, Monroe
Miami Field Office - 305.536.0302
Capt. Steven SMITH
Lt. Violeta SERRANO
Lt. Stanley JEAN-FELIX
Lt. Missael DIAZ
South Florida Major Medical Fraud Task Force
Supervisory Special Agent Fred Burkhardt 847.544.7141
Central Florida Major Medical Fraud Task Force
Supervisory Special Agent Jose Olivier 813.558.6387