Former California insurance coverage agent Marc Leigh Miles, 71, previously of Irvine, and at present residing in Eagle, Idaho, was arraigned on 9 felony counts of grand theft, insurance coverage fraud, and forgery after allegedly stealing $48,500 in premiums and a fraudulent declare deductible. Miles reportedly fled the state when felony prices had been filed towards him, however returned for his arraignment.
The California Division of Insurance coverage started an investigation after a specialty medical supplier from San Diego, who was a shopper of Miles’, made a declare on their coverage after a water leak. After they contacted Miles concerning the declare, he reportedly claimed that he had authority to regulate the declare and billed the corporate a $5,000 deductible, which they paid.
He then contested the restore prices and extended the declare course of, and the specialty medical supplier finally realized that Miles additionally did not remit $40,500 in medical malpractice insurance coverage premium funds, and their coverage had been cancelled.
The investigation reportedly revealed Miles informed the medical malpractice insurance coverage firm the specialty medical supplier was not renewing their coverage. He additionally cancelled his shopper’s enterprise insurance coverage coverage and informed the insurance coverage firm they had been going out of enterprise. Each insurance coverage corporations confirmed Miles didn’t submit any premiums for renewal of the insurance policies and he had no authority to regulate or settle claims on their behalf.
To cancel one of many insurance policies, Miles reportedly solid the shopper’s signature on a discover to the insurance coverage firm and to cowl his actions he offered a fraudulent medical malpractice coverage to his shopper. Additional investigation confirmed Miles negotiated the premium and deductible funds via his enterprise checking account and stored the funds for his personal profit.
Miles voluntarily surrendered his license and agreed to a lifetime ban from making use of or holding a California insurance coverage license, however he fled the state when felony prices had been filed towards him in 2020. The CDI was finally capable of persuade him to return to California the place he was arraigned on the felony prices and launched on $50,000 bail.
The case is being prosecuted by the Orange County District Lawyer’s Workplace.
Subjects
California
Agencies
Fraud
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