Lockhart Man Sentenced for Workers’ Comp Fraud

A Travis County court has sentenced Henry Gomez of Lockhart, Texas on workers’ compensation fraud-related charges. Gomez paid $1,155 in restitution to Texas Mutual and was sentenced to seven months’ deferred adjudication.

Gomez reported a job-related injury while working as a truck driver and supervisor for Wims Environmental, Inc. in Garland, Texas. He claimed he was unable to work as a result of the injury, and Texas Mutual began paying income benefits to him.

Austin-based Texas Mutual Insurance Company is the state’s leading provider of workers’ compensation insurance, with approximately 34 percent of the market.  Texas Mutual is an industry leader in the fight against workers’ compensation fraud. In 2011, the company saved, identified or recovered $5 million through their claimant, health care provider and employer fraud investigations.

Meanwhile, Texas Mutual uncovered evidence that Gomez was working as a sales consultant for another employer while receiving income benefits.

Investigators call this type of scam double-dipping because the claimant collects benefits for being too injured to work when he or she is, in fact, gainfully employed. Texas law requires claimants to contact their workers’ comp carrier when they return to work. Left unchecked, double-dipping and other workers’ comp fraud can lead to higher premiums for all Texas employers.

Austin-based Texas Mutual Insurance Company is the state’s leading provider of workers’ compensation insurance, with approximately 34 percent of the market. Texas Mutual is an industry leader in the fight against workers’ compensation fraud. In 2011, the company saved, identified or recovered $5 million through its claimant, health care provider and employer fraud investigations.

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4 Responses to Lockhart Man Sentenced for Workers’ Comp Fraud

  1. Pingback: WORKERS COMPENSATION LAW BLOG

  2. Pingback: Workers' Comp Fraud Blotter (7/26/2012) – School Custodian Sells Houses While On Disability

  3. Pingback: Workers' Comp Fraud Blotter (7/26/2012) – School Custodian Sells Houses While On Disability

  4. Pingback: Fraud

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