Bill Text: NY S08434 | 2017-2018 | General Assembly | Introduced


Bill Title: Discourages workers' compensation fraud; increases penalties; forfeiture of real property, buildings, and appurtenances.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2018-05-07 - REFERRED TO LABOR [S08434 Detail]

Download: New_York-2017-S08434-Introduced.html


                STATE OF NEW YORK
        ________________________________________________________________________
                                          8434
                    IN SENATE
                                       May 7, 2018
                                       ___________
        Introduced  by  Sen.  MURPHY -- read twice and ordered printed, and when
          printed to be committed to the Committee on Labor
        AN ACT to amend the workers' compensation law  and  the  penal  law,  in
          relation to discouraging workers' compensation fraud
          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:
     1    Section 1. Section 114 of the workers' compensation law, as  added  by
     2  chapter  635  of the laws of 1996, subdivision 4 as amended and subdivi-
     3  sion 5 as added by chapter 6 of the laws of 2007, is amended to read  as
     4  follows:
     5    § 114. Penalties for fraudulent practices. 1. Any person who, knowing-
     6  ly  and  with  intent  to  defraud  presents, causes to be presented, or
     7  prepares with knowledge or belief that it will be presented to or by  an
     8  insurer  or  purported insurer, or any agent thereof, any written state-
     9  ment as part of, or in support of, an application for the issuance of or
    10  the rating of an insurance policy  for  compensation  insurance[,  or  a
    11  claim  for  payment  or other benefit pursuant to a compensation policy]
    12  which he or she knows to: (i) contain a  false  statement  or  represen-
    13  tation  concerning  any  fact  material  thereto; or (ii) omits any fact
    14  material thereto, shall be guilty of a class E felony. Upon  conviction,
    15  the  court  in  addition  to  any  other  authorized sentence, may order
    16  forfeiture of [all rights to compensation or payments  of  any  benefit]
    17  any  property, including real property, buildings and appurtenances that
    18  constitute the instrumentality of the entity on whose behalf the  appli-
    19  cation was made, and may also require restitution of any amount received
    20  as a result of a violation of this subdivision.
    21    1-a.  Any  person  who, knowingly and with intent to defraud presents,
    22  causes to be presented, or prepares with knowledge  or  belief  that  it
    23  will be presented to or by an insurer or purported insurer, or any agent
    24  thereof, any written statement as part of, or in support of, a claim for
    25  payment  or  other benefit pursuant to a compensation policy which he or
    26  she knows to: (i) contain a false statement or representation concerning
    27  any fact material thereto; or (ii)  omits  any  fact  material  thereto,
    28  shall be guilty of a class E felony. Upon conviction, the court in addi-
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14814-01-8

        S. 8434                             2
     1  tion  to  any  other  authorized  sentence,  may order forfeiture of all
     2  rights to compensation or payments of any benefit, and may also  require
     3  restitution  of  any  amount received as a result of a violation of this
     4  subdivision.
     5    2. An employer or carrier, or any employee, agent, or person acting on
     6  behalf  of an employer or carrier, who knowingly makes a false statement
     7  or representation as to a material fact  in  the  course  of  reporting,
     8  investigation  of, or adjusting a claim for any benefit or payment under
     9  this chapter for the purpose of avoiding provision of  such  payment  or
    10  benefit shall be guilty of a class E felony.  Upon conviction, the court
    11  in  addition  to  any other authorized sentence, may order forfeiture of
    12  any property, including real property, buildings and appurtenances  that
    13  constitute  the  instrumentality of the employer or carrier and may also
    14  require restitution of any amount received as a result of a violation of
    15  this subdivision.
    16    3. A person who knowingly makes a false statement or representation as
    17  to a material fact for the purpose of obtaining, maintaining or renewing
    18  insurance under this chapter, whether for himself or herself or for  any
    19  other person or entity or for the purpose of evading the requirements of
    20  section fifty of this chapter shall be guilty of a class E felony.  Upon
    21  conviction,  the court in addition to any other authorized sentence, may
    22  order forfeiture of any property, including real property, buildings and
    23  appurtenances that constitute the instrumentality of the entity on whose
    24  behalf the application was made. In addition to any  other  remedy,  the
    25  carrier  providing  insurance  shall  be  entitled to restitution of any
    26  amount obtained or withheld as a result of a violation of this  subdivi-
    27  sion.
    28    4.  Consistent  with  the provisions of the criminal procedure law, in
    29  any prosecution alleging a violation of subdivision one, two or three of
    30  this section, or sections fifty-two and one hundred thirty-one  of  this
    31  chapter,  in  which  the  act  or  acts  alleged  may  also constitute a
    32  violation of the penal or other law, the prosecuting official may charge
    33  a person pursuant to the provisions of this  section  and  in  the  same
    34  accusatory instrument with a violation of such other law.
    35    5.  A  person  (a)  who is convicted of a second or subsequent offense
    36  under this section within ten years of the prior conviction, or (b)  who
    37  violates any provision of this section concerning two or more claimants,
    38  shall be guilty of a class [D] B felony.
    39    §  2.  Paragraph  (b)  of subdivision 1 of section 460.10 of the penal
    40  law, as amended by chapter 442 of the laws of 2006, is amended  to  read
    41  as follows:
    42    (b)  Any  felony  set  forth  elsewhere  in the laws of this state and
    43  defined by the tax law relating to alcoholic beverage, cigarette,  gaso-
    44  line  and  similar motor fuel taxes; article seventy-one of the environ-
    45  mental conservation law relating to water pollution, hazardous waste  or
    46  substances  hazardous or acutely hazardous to public health or safety of
    47  the environment; article twenty-three-A  of  the  general  business  law
    48  relating  to  prohibited acts concerning stocks, bonds and other securi-
    49  ties, article twenty-two of the general business law concerning  monopo-
    50  lies, article seven of the workers' compensation law concerning fraud.
    51    § 3. This act shall take effect immediately.
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