<h2>Naples Man Sentenced In Connection With “PIP” Scheme To Defraud Automobile Insurance Companies</h2>
<p>Fort Myers, FL – U.S. District Judge Sheri Polster Chappell has sentenced Wisler Cyrius (36, Naples) to three years in federal prison for conspiracy to commit mail fraud and money laundering. The Court also ordered him to pay $270,329.92 in restitution to the victim automobile insurance companies, and to forfeit property in the amount of the proceeds traceable to the offense. Cyrius pleaded guilty on May 18, 2016.</p>
<p>According to the plea agreement, Cyrius conspired with others to operate unlicensed chiropractic clinics and to bill automobile insurance companies for Personal Injury Protection (PIP) benefits. The conspirators also paid patients to induce them to seek treatment at particular chiropractic clinics so they could bill automobile insurance companies for their PIP benefits. In addition, members of the conspiracy participated in staged motor vehicle accidents and submitted claims to automobile insurance companies for PIP benefits based on those fake accidents.</p>
<p>Four others previously pleaded guilty and have been sentenced for their roles in this conspiracy. Garry Joseph (37, Naples) pleaded guilty to conspiracy to commit mail fraud and was sentenced to 3 years and 1 month in federal prison. Anouce Toussaint (33, Naples) was sentenced to 18 months’ imprisonment for conspiracy to commit mail fraud and conspiracy to launder money. Maria Victoria Lopez (44, Moore Haven) pleaded guilty to conspiracy to commit mail fraud and was sentenced to 3 years’ probation. David Adamson (47, Bonita Springs), a licensed chiropractor, pleaded guilty to mail fraud and received 5 years’ probation with 180 days of home detention.</p>
<p>A fifth individual, Nesly Loute, was convicted of conspiracy to commit mail fraud following a six-day jury trial. On February 27, 2017, he was sentenced to 14 years in federal prison.</p>
<p>This case was investigated by the Federal Bureau of Investigation; the State of Florida’s Department of <a class="wpil_keyword_link" href="https://www.fraudswatch.com/tag/financial-fraud/" title="Financial" data-wpil-keyword-link="linked" data-wpil-monitor-id="748">Financial</a> Services Division of Insurance Fraud; the Internal Revenue Service &#8211; Criminal Investigation; and U.S. Immigration and Customs Enforcement’s Homeland Security Investigations. Assistance was also provided by the National Insurance Crime Bureau; the Florida Highway Patrol; the Florida Department of Health; Florida’s Agency for Health Care Administration; the State Attorney’s Offices for the 13th and 19th Judicial Circuits. The following insurance companies also assisted with the case: Travelers, Nationwide, Bristol West, Esurance, Windhaven, Farmers, Direct General, Allstate, State Farm, Progressive, Geico, Infinity, and Foremost. The cases were prosecuted by Assistant United States Attorneys Charles D. Schmitz and David G. Lazarus.</p>
<p><a href="https://www.justice.gov/usao-mdfl/pr/naples-man-sentenced-connection-pip-scheme-defraud-automobile-insurance-companies">Original PressReleases&#8230;</a></p>

Tag Archives: Insurance Fraud Scheme
Financial Fraud: James P. Smith Charged With a Insurance Fraud Scheme
<h2 class="node-title">Insurance Agent Charged with Defrauding Clients, Money Laundering</h2>
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<p>Springfield, Ill. – A federal grand jury has indicted a Decatur, Ill., man who worked as an independent insurance agent. The indictment, returned Sept. 7, charges James P. Smith, 60, of the 5400 block of Traughber Road, with a fraud scheme that allegedly exposed clients to a potential loss of more than $250,000 from February 2011 to July 2016.</p>
<p>Smith is currently in custody on charges filed by the Macon County State’s Attorney’s Office. The U.S. Clerk of the Court will schedule a date for Smith to appear for arraignment in federal court in Urbana.</p>
<p>The Federal Bureau of Investigation and the Macon County Sheriff’s Office are conducting the investigation. Assistant U.S. Attorney Eugene L. Miller is prosecuting the case with the cooperation of the Macon County State’s Attorney’s Office.</p>
<p>According to the indictment, from at least February 2011 through July 2016, Smith represented that he was employed by or owned the Prairie State Insurance Agency in Decatur, Ill., and he acted as an independent agent. Smith solicited clients to purchase insurance, including whole life insurance, and <a class="wpil_keyword_link" href="https://www.fraudswatch.com/tag/financial-fraud/" title="financial" data-wpil-keyword-link="linked" data-wpil-monitor-id="598">financial</a> products, including annuities. As part of the alleged scheme, Smith falsely represented the minimum rate of return the annuities could obtain for his clients. Instead of investing clients’ money in insurance, annuities, or other financial products, Smith allegedly used the money for his own benefit.</p>
<p>As alleged in the indictment, Smith requested payments be made payable to “MSM, Inc.,” which he represented was the insurance company or the investment company for the annuity the clients were purchasing. In fact, as Smith knew, MSM, Inc., was actual “Main Street Marathon,” a gas station in Mt. Zion, Ill., owned by Smith. Rather than use the clients’ funds as represented, Smith used the money to finance the gas station without his clients’ knowledge. Smith also used his clients’ money to make <a class="wpil_keyword_link" href="https://www.fraudswatch.com/category/mortgage/" title="mortgage" data-wpil-keyword-link="linked" data-wpil-monitor-id="66">mortgage</a> payments on his personal residence.</p>
<p>Further, Smith allegedly cancelled or cashed out clients’ insurance policies or annuities without their knowledge or permission, and used the cash value and / or future premiums or payments for his personal benefit, including to pay his personal attorney’s fees, his personal bankruptcy fees, and as purported annuity payments to other clients to prevent them from discovering that he had not purchased their annuities as promised.</p>
<p>If convicted, the statutory maximum penalty for each count of mail fraud (two counts) and wire fraud (one count) is 20 years in prison, and a fine of up to $250,000, and the statutory maximum penalty for the offense of money laundering (one count) is 20 years in prison, and a fine of up to $500,000, or twice the value of property involved in the transactions, whichever is greater.</p>
<p>Members of the public are reminded that an indictment is merely an accusation; the defendant is presumed innocent unless proven guilty.</p>
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