Saturday, December 4 2021

NBA vets indicted in alleged health insurance fraud scheme originally appeared on NBC Sports Bayarea

NBA Vets Indicted in Alleged Multi-Million-Dollar Health Insurance Fraud Scheme originally appeared on NBC New YorkBy Jonathan Dienst and Tom Winter

More than a dozen former NBA players have been charged in New York federal court in an alleged multi-million-dollar health insurance fraud scheme to rip off the league’s benefit plan, according to an indictment unsealed in the Southern District on Thursday.

The 18 former players named in the indictment include alleged scheme ringleader Terrence Williams, selected 11th overall in the 2009 NBA Draft by the then-New Jersey Nets, six-time NBA All-Defensive Team member Anthony Allen, former Lakers Guard Shannon Brown and Ronald Glen Davis, who played for the Boston Celtics, Orlando Magic and Los Angeles Clippers over the course of his career.

Allen’s wife, Desiree Allen, is the only woman charged in the indictment.

Also named in the indictment: Brooklyn-born Sebastian Telfair, who played for a half-dozen NBA teams including the Cleveland Cavaliers, Clippers, Celtics and Minnesota Timberwolves and Darius Miles, drafted third overall by the Clippers in the 2000 NBA draft and a first team NBA All-Rookie player.

Those charged face a count of conspiracy to commit health care and wire fraud.

According to the grand jury indictment, the defendants allegedly engaged in a widespread scheme from at least 2017 up to around 2020 to defraud the NBA Players’ Health and Welfare Benefit Plan by submitting fake reimbursement claims for medical and dental services that were never actually rendered.

Those allegedly fraudulent claims totaled about $3.9 million, from which the defendants got about $2.5 million in fraudulent proceeds, the indictment alleges.

Williams allegedly orchestrated the years-long scheme and recruited other NBA health plan participants to assist by offering them fake invoices to support their allegedly false health plan claims. He is accused of receiving kickback payments totaling at least $230,000 in return for providing the alleged false documentation.

The 34-year-old Williams also allegedly helped three co-defendants — Ronald Glen Davis, Charles Watson Jr. and Antoine Wright — obtain fake letters of medical necessity to justify some of the services on which the false invoices were based.

Williams also allegedly impersonated an individual who processed plan claims at one point in furtherance of his alleged scheme.

Among the false reimbursement claims described in the indictment is a $19,000 claim that Williams filed for chiropractic services he allegedly never had and for which he received $7,672.55 in reimbursement. Williams also allegedly obtained a template for a fake invoice designed to appear as if it had been issued by the office.

Fake chiropractic treatment invoices were allegedly also created for Davis, Watson Jr. and Wright and emailed to Williams. The template had the date, invoice number, services and a charge of $15,000 filled in but left the “bill to” box, where the name of the patient would ordinarily be found, blank, according to the indictment.

Williams is accused of emailing those fake invoices to the other defendants named in the indictment. He and defendant Alan Anderson, who briefly played for the Nets from 2013 to 2015, allegedly helped get fake letters of medical necessity for Davis, Watson Jr. and Wright in furtherance of the fraud scheme as well.

Source: Yahoo Sports

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