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Man Pleads Guilty to Workers Comp Fraud
updated: Feb 07, 2014, 6:37 PM

Source: Santa Barbara District Attorney

People v. Daniel John Sifuentez

District Attorney Joyce E. Dudley announced today that Daniel John Sifuentez, age 31, pled guilty to one felony count of Insurance Code section 1871.4(a)(1), commonly known as Worker's Compensation Fraud. Sifuentez was employed by the Metropolitan Transit District (MTD) as a bus driver.

An investigation conducted by the California Department of Insurance revealed that Sifuentez went to see his physician complaining of a back injury he received while working out in the gym. Three days later Sifuentez filed a claim with the MTD, fraudulently stating that he injured his back on the job. The investigation further revealed that Sifuentez again lied about his pre-existing back injury during his deposition regarding the claim, and told MTD coworkers that he disliked the MTD and "was going to get even with them."

Sifuentez received $5,386.89 in disability payments as well as $3,485 in medical benefits before the fraud was discovered and benefits were terminated. "Filing a fraudulent Worker's Compensation Claim or making a false or misleading statement which could affect the way the claim is handled is a felony," noted Deputy District Attorney Gary Gemberling, who prosecuted the case. Gemberling continued, "Additionally, if someone is untruthful during a deposition about a material fact or intentionally fails to disclose a pre- existing injury or medical treatment, they can be prosecuted for Worker's Compensation Fraud."

Compensating someone for a fraudulent Workers Compensation claim eventually effects everyone, therefore everyone is encouraged to contact the District Attorney's Office if they even suspect Worker's Compensation Fraud. The District Attorney Tip Line is (805) 568-2222.

 

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