NC Department of Insurance Press Release
North Carolina Insurance Commissioner Mike Causey today fined UnitedHealthcare of North Carolina Inc. and its affiliate UnitedHealthcare Insurance Co. $3.4 million following over four years investigating the companies’ claims handling practices involving balance billing.
In addition to the fine, UnitedHealthcare agreed to provide the Department of Insurance with a corrective action plan to address violations uncovered in the investigation and submit to future compliance examinations.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of Timothy Scott Gilbert, 60, of 2242 Shelton Ave., Statesville. Gilbert was charged with obtaining property by false pretense, a felony.
According to special agents with the Department of Insurance’s Criminal Investigations Division, Gilbert, who owns a collision repair shop, obtained an insurance payment check from a customer in the amount of $7,514.23 to repair a damaged vehicle and did not perform the repairs outlined. He later paid back $266.48 of the funds received.
Insurance Commissioner Mike Causey has announced that the North Carolina Department of Insurance saved or recovered nearly $144 million for North Carolinians in the 2024 calendar year.
This amount represents a record in recoveries since Commissioner Causey took office in January 2017, eclipsing the $130 million mark set in 2023. The recovered funds include those from insurance fraud restitution and external reviews. The department also announced a total of 406 arrests via its Criminal Investigations Division.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of Shaqura Tyeisha Cobb, 34, of 730 Gateway Park Drive, Raleigh. Cobb was charged with three counts of embezzlement and three counts of obtaining property by false pretense, all felonies.
Special agents with the Department of Insurance’s Criminal Investigations Division accuse Cobb, a licensed bail bond agent, of obtaining bail bond premiums totaling $13,300 from three different jail inmates and keeping the money instead of bailing the inmates out of jail.
With cold temperatures already affecting the state and the possibility of wintry weather this weekend, Insurance Commissioner Mike Causey is reminding North Carolinians to prioritize fire safety when using portable heaters and take precautions when traveling on icy or snow-covered roads.
Last year, there were 119 home fire deaths in North Carolina, many related to home heating. According to the National Fire Protection Association (NFPA), heating equipment is the second leading cause of home fires in the U.S., with nearly 90% of fire deaths involving space heaters.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of Travis Van Coleman, 45, of 4036 McConnell Road, Greensboro. Coleman was charged with insurance fraud and attempting to obtain property by false pretense, both felonies.
According to special agents with the Department of Insurance’s Criminal Investigations Division, Coleman attempted to obtain $13,800 by submitting fictitious documents to claim stolen items on his State Farm Insurance home renters policy.
According to the arrest warrants, the offense occurred on Aug. 3, 2023.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of Darrius Moore, 35, of 224 Stratford Road, Archdale. Moore was charged with four counts of insurance fraud, three counts of obtaining property by false pretense, two counts of attempting to obtain property by false pretense, two counts of forgery, three counts of common law uttering and two counts of perjury, all felonies.
With Christmas just around the corner, North Carolina Insurance Commissioner Mike Causey has compiled a list of home safety and driving tips to keep you and your family safe during the heart of the Christmas season.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of Vincent E. Johnson, 54, of 1142 Dublin Drive, Winston-Salem. Johnson was charged with insurance fraud and obtaining property by false pretense, both felonies.
North Carolina Insurance Commissioner Mike Causey today announced the arrest of an Alamance County elementary school principal on insurance fraud related charges involving pet insurance.
Robert Grayson Dail, 35, of 201 Slate Drive, Gibsonville, was charged with insurance fraud, attempting to obtain property by false pretense, common law forgery and common law uttering, all felonies.
According to arrest warrants, Dail attempted to obtain money from Nationwide Insurance Co. by submitting falsified and forged veterinary invoices to the company.