{"id":50835,"date":"2022-09-14T13:09:21","date_gmt":"2022-09-14T20:09:21","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=50835"},"modified":"2022-09-14T13:13:04","modified_gmt":"2022-09-14T20:13:04","slug":"feds-dockworkers-allegedly-allowed-health-plans-to-be-billed-for-sex-services","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=50835","title":{"rendered":"Feds:  Dockworkers Allegedly Allowed Health Plans to be Billed for Sex Services"},"content":{"rendered":"<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<strong>\u00a0LOS ANGELES\u00a0<\/strong><\/span><\/p>\n<figure id=\"attachment_2686\" aria-describedby=\"caption-attachment-2686\" style=\"width: 274px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2686\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/04\/Long-Beach-Map.gif\" alt=\"\" width=\"274\" height=\"274\" \/><figcaption id=\"caption-attachment-2686\" class=\"wp-caption-text\">City of Long Beach, California<\/figcaption><\/figure>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">Federal prosecutors on Wednesday filed criminal charges against nine defendants \u2013 seven of them dockworkers at the Port of Long Beach \u2013 who allowed more than $2.1 million in fraudulent claims to be submitted to their labor union\u2019s health insurance plan for sexual services or for physical therapy that never was provided, officials stated.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 The conspiracy\u2019s ringleader, Sara Victoria, 46, of San Pedro, is charged with one count of conspiracy to commit health care fraud and one count of aggravated identity theft. <\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-7261 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court--300x199.jpg\" alt=\"\" width=\"300\" height=\"199\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court--300x199.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court--90x60.jpg 90w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court--180x120.jpg 180w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court--95x64.jpg 95w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/11\/Federal-Court-.jpg 301w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>The plea agreements for Victoria and the other eight defendants were filed in federal court.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 According to her plea agreement, from January 2017 to August 2021, Victoria owned and operated three business: Back to Life Wellness Center LLC and The Chiroman Wellness Center \u2013 both based in San Pedro \u2013 and the Wilmington-based Waterfront Wellness Center Inc. <\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">These companies offered patients chiropractic services, acupuncture treatments, and also sexual services.<\/span><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-1057 size-medium\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-300x300.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart-150x150.jpg 150w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/02\/Justice-Depart.jpg 320w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><span style=\"font-size: 24px;\">Victoria knew that dock workers and others involved in the shipping industry in Long Beach had health insurance under the International Longshore and Warehouse Union \u2013 Pacific Maritime Association (ILWU-PMA) benefit plan.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\"> This plan generally covered all chiropractic services with no deductible and without requiring plan members to contribute any copay amount or out-of-pocket services.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Victoria hired women to provide sexual services to dock workers at her companies and recruited them through referrals and from strip clubs in the Long Beach area. <\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">In exchange for obtaining sexual services for themselves and their friends, ILWU-PMA plan members authorized Victoria to submit false claims for reimbursement for services not actually rendered, according to authorities.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">This included chiropractic and physical therapy, using their names or the names of their family members, such as their spouses and children.\u00a0 <\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">Victoria also agreed to pay ILWU-PMA plan members cash kickbacks in exchange for authorization to submit false claims for reimbursement for services not actually rendered.\u00a0<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Victoria also admitted to using someone else\u2019s identity without the person\u2019s consent during the commission of the health care fraud conspiracy.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 In total, Victoria submitted approximately $2,110,920 in claims to the ILWU-PMA plan, for which the plan paid approximately $551,810.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 After Victoria enters a plea of guilty, she faces up to 12 years in federal prison.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Also charged this week was Cameron Rahm, 39, of Pico Rivera, a Long Beach longshoreman and ILWU member.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">He is charged in an indictment with one count of conspiracy to commit health care fraud, two counts of health care fraud, and one count of making false statements to federal investigators.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Rahm allegedly was one of the customers of Victoria\u2019s businesses and agreed to have her submit to the ILWU-PMA plan fraudulent claims for services not rendered or for sexual services. <\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">He also allegedly lied to FBI agents investigating this case when he denied allowing anyone to bill his health insurer for sexual services.\u00a0\u00a0<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">If convicted of all charges, Rahm is facing up to 10 years in federal prison for the conspiracy and health care fraud counts and five years in federal prison for the false statements count.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 24px;\">Defendants are presumed innocent unless proven guilty.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">The FBI and the United States Department of Labor \u2013 Employee Benefits Security Administration investigated this matter.<\/span><\/p>\n<p class=\"yiv6215038577MsoNormal\" style=\"text-align: center;\"><span style=\"font-size: 24px;\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Assistant U.S. Attorney Jason C. Pang of the International Narcotics, Money Laundering, and Racketeering Section is prosecuting this case.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0LOS ANGELES\u00a0 Federal prosecutors on Wednesday filed criminal charges against nine defendants \u2013 seven of them dockworkers at the Port of Long Beach \u2013 who allowed more than $2.1 million in fraudulent&#8230;<\/p>\n","protected":false},"author":1,"featured_media":35378,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-50835","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-u-s-department-of-justice"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Feds: Dockworkers Allegedly Allowed Health 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