Insurance News
Regulatory updates in plain English
Stay current with the latest from CMS, state departments of insurance, NAIC, the Federal Register, and Congress — rewritten so you can actually understand what it means for your practice.
CMS Proposes New Verification Requirements to Implement Law that Combats Exchange Fraud and Protects Taxpayer Dollars
The Centers for Medicare & Medicaid Services (CMS) has proposed new rules to prevent fraud in the Affordable Care Act (ACA) Exchanges. Starting in 2028, consumers must verify their eligibility for premium subsidies before receiving any financial assistance. This change aims to ensure that only eligi...
Wake County woman charged with insurance fraud, false pretense
A woman from Wake County, Lashonda Renee Brown, has been arrested for insurance fraud and filing a false police report. She falsely claimed that her car was damaged by a hit-and-run driver to receive an insurance payment of over $6,600, when the damage actually happened in a different accident. This...
Mecklenburg County man held on multiple fraud charges in two counties
A Mecklenburg County man named Jimel Eddie Tamba has been arrested and charged with multiple counts of insurance fraud and other crimes. He allegedly submitted fake documents to Farm Bureau Insurance and USAA Insurance to support fraudulent claims, including inflated auto repair bills and a false mi...
Craven County man charged with insurance fraud in roofing scam
A man from Craven County, Cameron Alexander Hammond, has been charged with insurance fraud related to a roofing scam. While working for Carolina Trophy Roofs, he allegedly damaged a roof and falsely claimed it was due to weather damage to collect insurance money. This incident took place on August 1...
Guilford County man arrested on multiple fraud-related charges
Victor Deontray Bannerman, a 43-year-old man from Greensboro, North Carolina, has been arrested for multiple charges related to insurance fraud. He allegedly created a fake towing invoice to inflate his claim on an auto insurance policy with Erie Insurance Co. The invoice falsely claimed a towing ch...
Cabarrus County woman faces insurance fraud charges
A woman from Cabarrus County, Daffney Davis, has been arrested for insurance fraud. She is facing two felony charges for fraud and one for illegally accessing a computer system while working as an adjuster. Davis is accused of making false statements and altering two insurance claims to issue over $...
Sept. 14 wildfire claims workshop to feature fraud, recovery tips
On September 14, there will be a workshop in Spokane for people affected by wildfires to help them with their insurance claims. The workshop will feature experts from the National Insurance Crime Bureau who will provide advice on avoiding fraud, as well as representatives from United Policyholders w...
Warren County man charged with insurance fraud involving restaurant claims
A man from Warren County, Melvin Junior Jones, has been charged with insurance fraud for falsely claiming he found cockroaches in his food at a KFC. He tried to get $4,000 from the restaurant's insurance. Investigators found he made similar claims at two Waffle House locations and a Denny’s between ...
Charlotte man faces insurance fraud charge over false doctor’s note
Henry Lee Clyburn Jr., a 42-year-old man from Charlotte, North Carolina, has been charged with insurance fraud for submitting a fake doctor’s note to Progressive Insurance. He claimed he needed to miss work due to injuries from a car accident, but he never actually saw the doctor listed on the note....
Warren County man charged with insurance fraud involving restaurant claims
A man from Warren County, Melvin Junior Jones, has been arrested for insurance fraud. He is accused of falsely claiming to have found cockroaches in his food at a KFC, trying to get $4,000 from the restaurant's insurance. Investigators found he made similar claims at two Waffle House locations and a...
CMS Prevents $1.6 Billion in Fraudulent Medicare Laboratory Payments
The Centers for Medicare & Medicaid Services (CMS) has successfully stopped over $1.6 billion in fraudulent payments to Medicare laboratories. This includes the removal of 157 fraudulent lab providers from the Medicare program, which saved $732 million. CMS is using advanced technology, like artific...
Two Mecklenburg County residents charged in insurance fraud scheme
Two residents from Mecklenburg County, Christopher Hammonds and Ashley Sowers, have been charged with insurance fraud. Sowers allegedly received money for a rental car by falsely claiming her vehicle was undriveable after a crash. Hammonds is accused of trying to collect money from the insurance com...
Federal Marketplace (FFE and SBE-FP) Anti-Fraud Actions
The Federal Marketplace has taken strong actions against fraud and improper enrollments that affect consumers and taxpayers. Recently, they canceled about 315,000 unauthorized enrollments, impacting over 760,000 individuals, and expect to recover around $2.2 billion in premium tax credits. They are ...
CMS Cracks Down on Fraud, Waste, and Abuse in the Federal Health Insurance Marketplace®
The Centers for Medicare & Medicaid Services (CMS) is taking strong action to combat fraud in the Federal Health Insurance Marketplace. They are canceling about 315,000 unauthorized enrollments, affecting over 760,000 individuals, which will help recover around $2.2 billion in taxpayer-funded subsid...
Charlotte man charged in multi-county insurance fraud scheme
A man from Charlotte, Joshua Alexander Willis, has been arrested and charged with 14 felonies related to insurance fraud. He allegedly added people to car insurance policies without their knowledge to create fake proof of insurance for purchasing vehicles in their names. This scheme involved multipl...
Atlanta Man Arrested on Insurance Fraud and Forgery ChargesAugust 19, 2026
Darrion Deneen Lucius, a 39-year-old man from Atlanta, has been arrested for insurance fraud and forgery. He allegedly reported a burglary to the police, claiming that over $18,000 worth of personal items were stolen, and then filed a claim with Lemonade Insurance. To support his claim, he tried to ...
Guilford County woman faces insurance fraud, false pretense charges
A woman from Guilford County, Cidnee Nicole Greene, has been arrested for insurance fraud. She faces multiple felony charges for lying on her insurance application to get money for damages to her car. Greene claimed her 2022 Mercedes-Benz was damaged while insured, but investigators found she made f...
Mecklenburg County insurance brokers face insurance fraud, related charges
Two insurance brokers from Charlotte, North Carolina, have been arrested for insurance fraud. Johnnisha Kierra Albert faces multiple charges for submitting 17 fake life insurance applications, earning over $43,000 in commissions. Regina Renee King is charged with submitting five false applications t...