Posted 11/19/2012 12:00 am
An Illinois insurance company has accused a Jonesboro husband and wife team of carrying on a fraud for six years after the husband received a liver transplant.
The amount? $448,000.
Combined Insurance Co. of America is suing David W. and Debbie L. Thomas to recover the money.
Combined Insurance complained in U.S. District Court in Jonesboro that the couple bought a policy in 2005 that allows them to receive money if they are hospitalized or are recovering at home following a hospital stay.
The policy came in handy a year later when David Thomas, who was diagnosed with cirrhosis of the liver, received a transplant, according to the lawsuit.
The insurance company said he submitted valid claims, but the couple “also submitted numerous fraudulent” ones.
It said the couple submitted 18 fraudulent claims seeking benefits for 50 separate instances.
The alleged scheme included submitting doctored documentation from hospitals and medical workers.
What might have tripped up the couple was they allegedly submitted statements from Dr. Brad Moore after Sept. 21, 2007 — which was the day he died, the lawsuit said.
The alleged fraud occurred from September 2006 through July 19, 2012.
The insurance company is suing for fraud, civil conspiracy and breach of contract.
The couple hasn’t been charged with any crime in connection with the allegations. However, a source tells us that a complaint has been filed with the Arkansas Insurance Department.
The AID said it could neither confirm nor deny an investigation.
We couldn’t reach the Thomases Thursday afternoon.