Consumer Groups Partner to Offer Free Discount Drug Card


TALLAHASSEE, Fla. – A leading consumer organization has partnered with a non-profit advocacy group Read more

FLORIDA GOV. RICK SCOTT TO NO-FAULT SWINDLERS: YOU’RE NOT WELCOME

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FLORIDA GOV. RICK SCOTT TO NO-FAULT SWINDLERS: YOU’RE NOT WELCOME

Signs anti-fraud reforms that target crooked clinics and providers

WASHINGTON, May 4, 2012 – Florida Gov. Rick Scott’s signing of tough no-fault fraud reforms today is a welcome next step toward thwarting rampant bogus injury claims that are driving up auto premiums in the state, according to the Coalition Against Insurance Fraud.
“It’s a sunnier day for Florida drivers. Crooked clinics and crash rings will have less room to maneuver. The reforms could drive more swindlers out of the state by steadily eroding the illicit profits that cheaters make from no-fault crime in the state,” said Dennis Jay, the Coalition’s executive director.
The anti-fraud measures are the centerpiece of a larger no-fault reform package (HB 119). They’re the largest and potentially most-effective fraud reforms any state has passed in several years, Jay said. The measures lean especially hard on shady clinics.
Among the fraud provisions, the new law:
  • Requires clinics to be licensed to treat auto-crash passengers;
  • Makes it a crime to run a clinic without a license;
  • Allows insurers 90 days to investigate claims (up from 30);
  • Allows insurers to require examinations under oath; and
  • Creates an agency under the state CFO to accept grants and gifts to help fund investigations and prosecutions
Convicted doctors and other medical providers also could lose their licenses for up to five years, and be barred from doing no-fault business in the state for up to 10 years.
“Taking away providers’ ability to practice goes directly to their wallets. Their income and careers will dry up, costing them their mansions and fancy cars. That’s a potentially strong deterrent,” Jay continued.
Chiro fees also are capped, which should be yet another deterrent, Jay added.
Florida is America’s epicenter of no-fault auto fraud. Crooked clinics and crash gangs lodging bogus injury claims have spread widely through urban areas around the state. Reforms were urgently needed to counter a crime trend that has made Florida auto premiums among the highest in the nation, Jay said.

Most of the new anti-fraud measures stemmed from proposals last year by the Sunshine Alliance to Erase Fraud. The Coalition co-founded the group, which mounted a campaign to pass anti-fraud reforms. The brief 60-day session last year ended before the package could pass. But the awareness that the campaign built among legislators and consumers helped clear the way for passage this year, Jay said.

The Coalition is encouraging organizations representing insurers, consumers and government to monitor the implementation and effectiveness of the new law. The goal is to determine its impact on crime and auto rates.
“The reforms are a potentially effective next step, but only a next step. Much more work needs to be done before Florida finally turns the corner on this crime,” Jay said.
CONTACT:
Howard Goldblatt, director of government affairs

Consumer Alert: Old tires could be dangerous

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A note from executive director Walter Dartland:

Old, unused spare tires may be the deadliest product defect in your car. A spare tire can sit in your trunk for years and still look brand new, even though its inside has rotted away so much that the tire can detread without warning. The tire is especially dangerous on vans, SUVs and light trucks.

I recently visited a local Discount Tires store for a regular tire rotation. The mechanic could not perform the rotation or test the spare because the tires on the car were over 10 years old. They would not even check the tire pressure for fear of potential liability.

**Remember to check the age of your tires and spare to determine if you are putting yourself and your family in potential danger.**

Insurance Networking News: Florida PIP Reform Effects

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ICYMI

Insurance Networking News

Florida PIP Reform Effects

Fewer fraudulent claims and lower premiums a few effects of the passed personal injury protection reform

By Juliette Fairley

March 13, 2012

A House compromise proposal to revamp Florida’s personal injury protection (PIP) insurance squeaked through the Senate late Friday night just hours before the 2012 legislative session concluded. The measure (HB 119) reduces the types of medical treatments that PIP will pay for.

“No-fault insurers have been besieged with fake injury claims by crooked injury clinics. They have been bleeding insurers for years,” Coalition Against Insurance Fraud’s James Quiggle told Insurance Networking News. “PIP reform is good news for insurance companies because the bill has provisions that apply a great deal of heat on sham clinics that operate solely to make bogus injury claims against auto insurers.”

Among other things, the bill requires claimants to seek treatment within 14 days, that initial treatment be rendered at a hospital or by a claimant’s physician, bans massage and acupuncture treatments and tightens licensure requirements for medical clinics.

Under PIP reform, a licensed health care practitioner who is found guilty of insurance fraud will lose their license for five years and may not receive reimbursement for PIP benefits for 10 years.

“We need a well-funded insurance fraud division and dedicated fraud prosecutors for enforcement because insurance fraud is a specialized area. There are lots of loopholes and it’s hard to convict someone of larceny,” said Dartland who is also a Coalition Against Insurance Fraud Boardmember. “More and more cases will be flooding in. Fraud prosecutors need to prepare these cases to put before a jury.”

The bill calls for insurers to submit a rate filing by October 1, requiring insurers to request a 10-percent reduction in rates or explain in detail its reasons for not achieving those savings. A second rate filing must be made by Jan. 1, 2014 and reflect a 25-percent rollback in rates from when the bill became law.

“More and more residents in Tampa, Orlando and Miami drive around without auto insurance because they can’t afford the premiums, which creates a whole other subset of problems,” Consumer Federation of the Southeast Executive Director Walt Dartland told INN. “But once these provisions take effect, I am confident that auto insurance rates will decrease.”

The average premium in Florida is $1,476 a year, according to Insure.com. The national average is $1,500.

To view this article on the Insurance Networking News website, click here.

NEW FRAUD LAWS RAISE HEAT ON QUACK-SHACK CLINICS

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Contact:

Walt Dartland

850-562-2086; wdart71@yahoo.com

James Quiggle, Coalition Against Insurance Fraud

202-393-7331; jamesq@InsuranceFraud.org

Statement from the Coalition Against Insurance Fraud

NEW FRAUD LAWS RAISE HEAT ON QUACK-SHACK CLINICS

Walt Dartland, Coalition Against Insurance Fraud*

“These are the toughest PIP fraud reforms Florida has passed in years. The statehouse showed tremendous will and shared purpose to carve out a serious anti-fraud package with the clock rapidly ticking down.

“The full-on commitment by Gov. Scott and his CFO Jeff Atwater lent critical weight to passage. Their making fraud a top-tier priority reinforced this crime’s high costs to Floridians, and the higher costs of inaction.

“A hammer came down hard on crooked clinics and medical providers that are bleeding Florida’s no-fault system. These quack shacks are the nerve centers for no-fault gangs. Weakening a clinic’s ability to operate freely can undermine a crash gang’s entire operation.

“Fraud factories will feel more heat than they’ve felt in a long while. The risks for shady clinic operators just grew higher, and the potential rewards sunk lower. Dishonest clinics will have a harder time entering Florida’s no-fault system, and staying there.

“The key is decisive followup to hold the high ground — rapid deployment of the resources needed to enforce the law’s good intentions. Key will be adequate funding of the Division of Insurance Fraud, and of dedicated fraud prosecutors. Both are proven effective if given the resources.

“Passage took two long years of raising awareness about fraud as a costly epidemic. Several new provisions reflect proposals pushed last year by an alliance of consumers, insurers and law enforcement. Passage this year built on those earlier efforts.

“Passage is encouraging, but Florida has a long way to go before turning the corner on this crime. Relentless enforcement and continued reforms are needed before Florida loses the forgettable tag of being America’s hub of auto fraud.”

###

* Walt Dartland is a board member of the Coalition Against Insurance Fraud, and executive director of the Consumer Federation of the Southeast.

Consumer Groups Partner to Offer Free Discount Drug Card

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TALLAHASSEE, Fla. – A leading consumer organization has partnered with a non-profit advocacy group to offer Floridians an easy, free way to save money on many of their prescription medications. The discount can be used by consumers regardless of their income or whether or not they have insurance.

The Consumer Federation of the Southeast has announced its partnership with NeedyMeds, a non-profit information resource devoted to helping people afford their medications and health care costs. The partnership between the Consumer Federation and NeedyMeds means Floridians now have easier access to drug discount cards that can be used at many pharmacies throughout the state.

Read more

Consumer Federation of the Southeast ALERT

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The Consumer Federation of the Southeast has issued a consumer alert regarding provisions in HB 1101. The letters below outline concerns about the racketeering of damaged motor vehicles.

Please find three letters below from the National Salvage Vehicle Reporting Program, the National Vehicle Service and a retired agent of the Federal Bureau of Investigation. Read more

Sunshine State News: Bad, Bad Bills: Getting Consumer Protection Struck From the Statutes

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ICYMI

Sunshine State News

Bad, Bad Bills: Getting Consumer Protection Struck From the Statutes

By Nancy Smith

February 25, 2012

Rolling under the radar like a Stealth bomber, through committee after insurance committee, are HB 4087 and SB 1152 — among the worst proposed legislation of the 2012 legislative session.

These bills smell fishier than a Key West cannery. (See bills attached below.) Read more

Walter Dartland: Everything Old is New Again – in PIP

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By Walter Dartland Consumer Federation of the Southeast
“We are aware of organized criminal groups which stage phony car accidents. Many of the staged automobile accidents involve highly structured groups…”

With the rampant auto insurance fraud we see today in Florida, it would be easy to believe that quote came from the Governor or Chief Financial Officer. Actually, it came from then-FBI Director Louis Freeh, speaking back in 1995. Here we are 17 years later, still grappling with the same problem of criminals looking to rob our personal injury protection insurance (PIP) system. These fraudsters are now ripping off the system to the tune of $1 billion per year, and we – the law-abiding citizens – pay the price for their misdeeds. Read more

STAGED PIP CRASH W/ SCOTT AND ATWATER

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Deep Health Care Cuts? Raid the Chiles Endowment? Consumer Federation of the Southeast Says It Does Not Have to Be This Way

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Tallahassee, FL – As Florida lawmakers consider budget proposals that raid the Lawton Chiles Endowment and propose deep cuts to health care services – threatening some of the Sunshine State’s most vulnerable citizens – the Consumer Federation of the Southeast today urged lawmakers to impose an equity fee on cigarettes made by manufacturers who do not participate in the state’s historic tobacco settlement. Depending on federal matching dollars, the fee could generate anywhere from $50 million to $200 million to help protect vital services for at-risk Floridians. Read more