Mecklenburg County Woman Charged With Pet Insurance Fraud
September 29, 2025 | JacobiJournal.com — A Mecklenburg County resident has been charged with pet insurance fraud after state investigators alleged she falsified veterinary invoices to receive improper payouts from her pet insurance policy. The North Carolina Department of Insurance (NC DOI) announced that the woman altered multiple invoices to claim reimbursements for services that were never rendered, a scheme described as pet insurance fraud. Officials said the investigation began when the insurance company noticed inconsistencies between the submitted paperwork and the veterinary clinic’s records. Everyday Fraud Carries Real Consequences While the alleged fraud involves a relatively small sum, experts warn that “everyday fraud” like this drives up insurance premiums for honest policyholders. NC DOI officials emphasized that pet insurance fraud—no matter the dollar amount—remains a felony offense in North Carolina. “Even small, false claims erode public trust and increase costs for everyone,” said an NC DOI spokesperson. They noted that cases of pet insurance fraud can start with minor invoice alterations but have lasting financial impacts on both insurers and consumers. How the Investigation Unfolded Investigators coordinated with the pet insurance company and local veterinarians to verify the authenticity of invoices submitted for reimbursement. Once discrepancies were confirmed, the suspect was formally charged and now awaits a court hearing in Mecklenburg County. Authorities noted that the cooperation between insurers and veterinary clinics was crucial in uncovering the alleged scheme, highlighting how industry oversight and consumer vigilance can play a major role in detecting pet insurance fraud. Consumer Alert: Protect Yourself From Fraud Pet owners are encouraged to keep accurate records, request itemized receipts from veterinarians, and immediately correct any billing errors to avoid misunderstandings. The NC DOI provides resources to help consumers report suspicious activity. Visit the official NC DOI Fraud Division page for guidance. FAQs: North Carolina Pet Insurance Fraud What is considered pet insurance fraud? Submitting falsified veterinary records, inflating treatment costs, or claiming reimbursement for procedures not performed all qualify as insurance fraud. What penalties can someone face for insurance fraud in North Carolina? Depending on the amount and intent, penalties can include felony charges, restitution, fines, and potential jail time. How do insurers detect fraudulent claims? Insurers use invoice verification with clinics, claim audits, and data analytics to flag suspicious patterns. How can pet owners avoid false accusations of fraud? Maintain thorough documentation, confirm invoices with your veterinarian, and quickly address any discrepancies with your insurance provider. Stay informed. Subscribe to JacobiJournal.com for timely consumer protection and insurance news. 🔎 Read More from JacobiJournal.com:
Washington Man on Workers’ Comp for 3 Years Caught Lifting Heavy Table
January 29, 2025 | JacobiJournal.com — Washington Man Caught Lifting: A Pierce County man must repay more than $60,000 to Washington’s workers’ compensation fund after investigators discovered he had been working while collecting benefits. The case is a clear example of workers’ compensation fraud, as video evidence showed him lifting a 48-pound table—far exceeding his medical restrictions. Workers’ compensation fraud cases like this highlight how false claims undermine the system designed to protect legitimately injured workers. When individuals misrepresent their medical conditions to continue receiving benefits, it not only drains state resources but also increases insurance costs for employers and makes it harder for truly injured employees to access the support they need. Claimed Injury, But Kept Working Juan P. Delgado, a roofer in Tacoma, suffered back, ankle, and knee injuries in March 2019 after falling over six feet from a ladder. His doctor determined he could not work, and Delgado repeatedly submitted official forms affirming his inability to hold a job. However, in early 2021, a private investigator—hired by his former employer—reported that Delgado had been working. The Washington State Department of Labor & Industries (L&I) launched its own investigation and found that just weeks after his injury, he resumed working as a custodian, roofer, and house-cleaner. Video Evidence Uncovers the Truth In October 2022, an undercover L&I investigator approached Delgado near a Tacoma house and asked if he could have a discarded table. Delgado agreed and carried it alone for more than 50 feet—unaware that another investigator was filming the scene. Later, investigators weighed the table and found it was 48.6 pounds, nearly double the 25-pound limit imposed by his doctor. After reviewing the footage, Delgado’s physician concluded he had misrepresented his physical abilities and could have resumed roofing work much earlier. Guilty Plea Leads to Restitution and Sentencing Delgado, 51, pleaded guilty to second-degree malicious mischief, a felony, for unlawfully collecting workers’ compensation payments from April 2019 to January 2022. A Pierce County judge ordered him to pay $60,116 in restitution and serve 20 days on electronic home monitoring. The Washington State Attorney General’s Office prosecuted the case. In addition to financial penalties, the guilty plea underscores how seriously Washington courts treat workers’ compensation fraud. Prosecutors emphasized that even short-term schemes can lead to felony charges, restitution orders, and restrictions on personal freedom. While the electronic home monitoring sentence is less severe than jail time, it still reflects the court’s intent to hold offenders accountable while allowing them to maintain limited community access under strict supervision. Cases like Delgado’s serve as a warning that fraudulent claims are aggressively pursued and carry long-lasting legal and financial consequences. Restitution in workers’ compensation fraud cases is not optional; it is a court-ordered obligation. If defendants like Delgado fail to make scheduled payments, the state can enforce restitution through wage garnishment, tax refund interception, or even placing liens on property. These enforcement measures ensure that stolen funds are repaid to the workers’ compensation system, protecting the integrity of state resources. For many offenders, the financial impact of restitution lasts years beyond the initial conviction, serving as both a penalty and a deterrent against future fraud. Read the full report from Washington State L&I. FAQs: Workers’ Compensation Fraud What is workers’ compensation fraud? Workers’ compensation fraud occurs when someone lies about their injury or ability to work in order to keep receiving benefits they are not entitled to. How was the Washington man caught committing workers’ compensation fraud? Investigators filmed him lifting a 48-pound table, well above his doctor’s restriction, proving he misrepresented his condition while collecting benefits. What are the penalties for workers’ compensation fraud? Penalties can include restitution, probation, electronic monitoring, or even prison time, depending on the scale and intent of the fraud. Why is workers’ compensation fraud a serious issue? Fraudulent claims drain state funds, raise insurance premiums for employers, and undermine the system designed to protect legitimately injured workers. How long do I have to file a workers’ comp claim in Washington state? Workers in Washington generally have three years from the date of injury to file a claim with L&I. However, it’s best to report injuries as soon as possible to avoid delays in medical treatment and wage benefits. Certain exceptions may apply for latent injuries or occupational illnesses. Is Washington L&I the same as Workers Comp? Yes. In Washington state, the Department of Labor & Industries (L&I) administers the state’s workers’ compensation program. While “workers’ comp” is the benefit system itself, L&I is the government agency that manages claims, enforces regulations, and investigates potential fraud. Don’t miss real cases that shape workplace law and fraud enforcement. Subscribe to JacobiJournal.com today and stay ahead of the headlines. 🔎 Read More from JacobiJournal.com: