News and Press Releases

Health Care Insurance Fraud

FOR IMMEDIATE RELEASE
April 21, 2011

            Michael J.  Moore, United States Attorney for the Middle District of Georgia, announced that on April 19, 2011, eight defendants were sentenced after entering pleas of guilty to One Count of Health Care Insurance Fraud against American Family Life Assurance Company, also known as AFLAC, in violation of Title 18 United States Code, Section 1347(2) and 18 United States Code Section 2, before the Honorable Clay Land, United States District Court, Columbus, Georgia.  The sentences are as follows:


Shawnea De La Torre
6 months to serve, Restitution $62,901.25; $100 Mandatory Assessment; 3 years Supervised Release

Jesus De la Torre
12 months and one day to serve, Restitution $183, 053.25 (joint and several liability); $100 Mandatory Assessment; 3 years Supervised Release

Adraine Moore
6 months to serve; Restitution $60,426.25; $100 Mandatory  Assessment; 3 years Supervised Release

Castoreo Milsap
6 months to serve, Restitution $33,045.00; $100 Mandatory Assessment; 3 years Supervisory Release

Quandra Jones
6 months to serve, Restitution $53,126.25; $100 Mandatory Assessment; 3 years Supervisory Release

Maurice Hinkle
6 months to serve, Restitution $15, 120.00; $100 Mandatory Assessment; 3 years Supervisory Release

Candace Garcia
7 months to serve, Restitution $93,951.25; $100 Mandatory Assessment; 3 years Supervisory Release

Stephanie Ervin
6 months to serve as follows:  2 months in custody of the Bureau of Prisons followed by 4 months of home confinement; Restitution $28,570.00; $100 Mandatory Assessment; 3 years    Supervisory Release

            AFLAC is engaged in business both within and outside the state of Georgia.  While AFLAC engages in various types of businesses, its primary function is to provide supplemental insurance (health care benefit program) to policyholders who are ill or injured, or both, and are unable to work.  Each defendant submitted fraudulent claims against their supplemental insurance policies with AFLAC to fraudulently obtain funds ranging in various amounts from $243.75 to $67,105.00.  AFLAC’s actual loss was more than $500,000.00.  Each defendant faces a possible maximum sentence of ten years imprisonment, a $250,000.00 fine or both, and three years of supervised release.  “These types of cases have a far-reaching effect and are a priority of the Department of Justice,” Moore said.

            The case was investigated by Special Agent David Whitlow, Federal Bureau of Investigation and prosecuted by Assistant United States Attorney Verda Colvin.

            For additional information please contact Sue McKinney, Public Affairs Specialist at
(478) 621-2602.