ULSTER COUNTY INSURANCE FRAUD REVEALED
ISSUED 10/06/2009 FOR IMMEDIATE RELEASE
ULSTER WOMAN WHO CLAIMED DISABILITY ARRESTED FOR FRAUD
An Ulster County woman who claimed to be totally disabled after falling out of a chair was arrested Friday for accepting $73,000 in workers’ compensation benefits while she worked at a youth sports camp.
The New York State Insurance Department reported that Kathy M. Martinez, 56, of Carney Road, Ulster Park, started collecting benefits after claiming that injuries she suffered from the fall left her unable to work. She suffered the injuries while employed as a Spanish teacher in the Kingston School District in 2005.
However, Insurance Department Frauds Bureau investigators found that Martinez was actually handling payroll and other business services for the youth camp while collecting compensation benefits. Martinez is accused of stating on three separate occasions that her injuries prevented her from working. The benefits she received were paid through Ulster County, whose self-insured workers’ compensation plan covers Kingston School District employees.
“We appreciate the investigative work of the New York State Insurance Department and law enforcement personnel in this matter. As I have said many times before, my administration is committed to rooting out fraud and abuse, whenever it occurs, and there is zero tolerance in Ulster County for this type of alleged criminal behavior. These times are challenging enough for taxpayers, businesses and those who are trying to provide for their families, without the deceit that this case apparently represents,” said Ulster County Executive Mike Hein.
State police arrested Martinez on charges of insurance fraud and workers’ compensation fraud. She could be sentenced to up to 15 years in prison if she is convicted.
Judge James Gilpatric released Martinez in her own recognizance following her arraignment in city court, pending a hearing scheduled for Oct. 26. The case is being prosecuted by William Andrews, a special prosecutor for Ulster County District Attorney D. Holley Carnright.
1 comment:
Interestingly enough, the definition of 'disability' varies from public program to program. New York State Board of worker's compensation medical guidelines categorizes disability as total, partial with subcategories of permanent or temporary.
In addition, partial disability is further defined in terms of percentages based upon the severity of the medical impairment.By this reasoning, total disability is one hundred percent (100%).
The maximum cash weekly WCB wage loss benefit is currently $600. Partial disability benefits are payable in accordance with the following formula: 2/3 x average weekly wage x % of disability = weekly benefit.
The vast majority of occupational injuries and illness' are classified as partial disability. Partial disability receipants receive only a small portion of their actual salary based upon the formula. furthermore, by law, there are time limitations on partial disability payments.
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