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Home > Insurance Division > Bureau of Fraud Deterrence Enforcement Activity
2016 Bureau of Fraud Deterrence Enforcement Activity
Previous Activity: 2015 Enforcement > 2014 Enforcement
Please Note: P.L. 2013, c. 259 became effective on July 1, 2014.  This law amended the Administrative Procedure Act, R.S. 52:14B-1 et seq. One of the amendments requires all state agencies to post on their websites all non-confidential final agency orders, decisions and opinions. Accordingly, all such final agency orders or decisions in disciplinary actions issued subsequent to July 1, 2014 may be accessed by clicking on the link within the summaries below. Orders or decisions issued on such matters prior to July 1, 2014 are available upon request to the Bureau of Fraud Deterrence.
January
 
January


Executed Consent Orders

Dominic Gagliostro, Clifton, NJ
Order #14-50054-33, January 21, 2016
Respondent, Dominic Gagliostro, as an employer, knowingly made misrepresentations on September 18, 2012 on a workman's compensation claim to Selective Insurance Company.  Specifically, Dominic Gagliostro provided a statement denying that a certain employee was injured while on the job, which would have effectively denied the benefit that said employee was entitled to.
Civil Penalty: $5,000

Laszlo Gere, Hasbrouck Heights, NJ
Order #14-52807-35, January 11, 2016
Respondent, Laszlo Gere, provided false and misleading information to Plymouth Rock Management Company of New Jersey on December 16, 2013, when he failed to disclose the commercial use of a 200 Ford Econoline Van on an application for personal automobile insurance.
Civil Penalty: $1,500

Victor Vega, Clifton, NJ
Order #15-50838-35, January 4, 2016
Respondent, Victor Vega, knowingly provided false and misleading information to Metropolitan Property and Casualty Insurance Company.  Specifically, by failing to list his wife as a licensed household driver on his automobile policy application request dated January 26, 2013, and again on a renewal form dated January 26, 2014.
Civil Penalty: $1,500

Tony Joisil, West Orange, NJ
Order #15-50495-04, January 4, 2016
Respondent, Tony Joisil, provided false and misleading information to Personal Service Insurance Company on November 16, 2014, after he secured an automobile policy on November 14, 2014, and later claimed to have had a crash on November 15, 2014, when in fact the crash occurred on November 14, 2014, just prior to the policy binding.
Civil Penalty: $3,500

Liliana P. Ocampo, Saddle Brook, NJ
Order #15-50293-04, January 4, 2016
Respondent, Liliana P. Ocampo, on April 2, 2013, failed to disclose two household operators on an application for automobile insurance with Mid Century Insurance/Farmers Insurance Group.
Civil Penalty: $1,500

Jeffrey I. Aron, Matawan, NJ
Order #12-51809-44, January 22, 2016
Respondent, Jeffrey I. Aron, knowingly submitted claims to Delta Dental of New Jersey, Cigna, and Horizon Blue Cross Blue Shield Dental, dated between April 19, 2011 and May 9, 2011, which contained false and misleading information.  Specifically, Dr. Aron submitted claims with backdated dates of service in order to receive reimbursement for services which were actually rendered after his license to practice dentistry had been suspended.
Civil Penalty: $2,500

Iris Quiones, Perth Amboy, NJ
Order #15-51707-35, January 21, 2016
Respondent, Iris Quiones, knowingly provided false and misleading information to IFA Insurance Company by not disclosing an additional household resident on her policy application dated September 23, 2014.
Civil Penalty: $1,500

Andre J. Vargas, Dunellen, NJ
Order #14-54175-35, January 7, 2016
Respondent, Andre J. Vargas, violated the New Jersey Insurance Fraud Prevention Act by conspiring with Mikisha D. Vargas on September 28, 2011 (application) and on October 4, 2014 (renewal) to Progressive Garden State Insurance Company. Andre J. Vargas was not disclosed on the policy as a resident and driver of the household.
Civil Penalty: $500

Vierge Chery, Union, NJ
Order #14-54211-35, January 6, 2016
Respondent, Vierge Chery, when applying for coverage on September 15, 2014, knowingly failed to disclose to Progressive Insurance Company an additional household resident operator.
Civil Penalty: $1,500

Tamara Jones, Union, NJ
Order #15-51256-35, January 6, 2016
Respondent, Tamara Jones, when providing a recorded statement of no loss on March 18, 2015 at 4:05 p.m., knowingly failed to disclose to Progressive Garden State Insurance Company of the auto loss that occurred on that same date at 1:40 p.m.
Civil Penalty: $3,500

Jaeho Shim, Edison, NJ
Order #15-52014-35, January 4, 2016
Respondent, Jaeho Shim, did provide materially false information to Selective Auto Insurance Company of New Jersey in obtaining an automobile insurance policy dated October 10, 2013, by knowingly failing to disclose that his son was a licensed driver and household resident.
Civil Penalty: $1,500

Gary Stevens, Union, NJ
Order #15-51364-35, January 21, 2016
Respondent, Gary Stevens, when adding a 2011 Kia to his Drive New Jersey Insurance Company policy on September 20, 2014, knowingly failed to disclose an additional operator of this vehicle, and knowingly failed to disclose that this vehicle would be garaged at a location other than the policy address.
Civil Penalty: $1,500

Jeffrey A. Speight, Waldorf, NJ
Order #13-52890-31, January 11, 2016
Respondent, Jeffrey A. Speight, did knowingly provide materially false information with USAA General Indemnity Company on or about December 12, 2011, by falsely claiming he resided in Willingboro, NJ, when in fact, he resided in Philadelphia.
Civil Penalty: $2,500

John McGowan, Bayville, NJ
Order #15-51558-35, January 11, 2016
Respondent, John McGowan, did provide a materially false statement to CURE Auto Insurance Company on December 17, 2014, when renewing automobile insurance, by knowingly failing to disclose a household member with a suspended New Jersey Driver’s license; and whereas, respondent, John McGowan, knowingly supplied material false information to CURE Auto Insurance Company on March 3, 2012, by acknowledging he was the owner of the insured 2003 Dodge Ram, when in fact, the vehicle was purchased, titled and registered to another individual.
Civil Penalty: $1,500

Miriam E. Flaer, Cinnaminson, NJ
Order #12-54255-24, January 11, 2016
Respondent Miriam E. Flaer, did cause claims to be submitted to Aetna Insurance Company between October 2011 and May 2013 for eight prescriptions that she obtained from multiple pharmacies and under the names of multiple physicians during periods when those prescriptions would have been denied due to early refills had she used one pharmacy.
Civil Penalty: $3,500

Barbara L. Dailey, Northfield, NJ
Order #13-50133-12, January 21, 2016
Respondent, Barbara L. Dailey, knowingly provided false and misleading information to Travelers Insurance Company; specifically by stating her ring was stolen from her home on April 12, 2013, when in fact, it was not stolen.
Civil Penalty: $5,000

Wonmi Rooney, West New York, NJ
Order #15-51242-35, January 21, 2016
Respondent, Wonmi Rooney, did knowingly provide materially false information during a statement of no loss on February 23, 2015, to Progressive Insurance Company, by indicating that neither she nor any member of her household had been involved in an at fault motor vehicle accident during the lapse period of February 13, 2015 and February 23, 2015, when in fact she was involved in a motor vehicle accident on February 22, 2015 at 4:40 p.m.
Civil Penalty: $3,500

Griselle Gomez, Paterson, NJ
Order #15-51349-35, January 27, 2016
Respondent, Griselle Gomez, provided false and misleading information to IFA Insurance Company on an automobile insurance application dated August 8, 2014, on an underwriting questionnaire dated August 11, 2014, and on an undisclosed driver certification dated October 27, 2014.  Specifically, she failed to disclose two household residents.
Civil Penalty: $1,500

Danielle R. Falasca, Garwood, NJ
Order #14-52551-35, January 27, 2016
Respondent, Danielle Falasca, failed to disclose a licensed household resident to IFA Insurance Company on February 6, 2014, when she filed an undisclosed driver certification and addition of car form.
Civil Penalty: $1,500

Allison Zeno, Lincoln Park, NJ
Order #15-52177-35, January 27, 2016
Respondent, Allison Zeno, failed to notify CURE Insurance Company on a 2015 auto insurance renewal that a policy vehicle was operated exclusively by a family member who did not reside at the policy address.
Civil Penalty: $1,500

Salvatore S. Mummiani, Hawthorne, NJ
Order #15-50029-35, January 27, 2016
Respondent, Salvatore S. Mummiani, knowingly made a false and misleading statement on his automobile application to CURE Insurance Company dated April 29, 2013.  Specifically, he failed to list a household member as a licensed driver.
Civil Penalty: $1,500

Denise Banks, Newark, NJ
Order #11-23067-33, January 27, 2016
Respondent, Denise Banks, knowingly filed and presented false and misleading information regarding an accident that occurred on January 19, 2011, in the City of Orange, New Jersey, while in the performance of her duties as a police officer.  Specifically, Ms. Banks claimed she was struck while parked in her police unit by a hit and run truck, when in fact she caused the accident while backing onto the roadway.  This misinformation generated a false Insurance Claim with the Hanover Insurance Company.
Civil Penalty: $5,000

Yolanda Dominguez, Emerson, NJ
Order #15-50795-35, January 27, 2016
Respondent, Yolanda Dominguez, when applying for coverage on August 5, 2013, with New Jersey Indemnity Company and on August 5, 2009, with Twin Lights Insurance Company, knowingly provided misinformation material to her policy by failing to disclose a licensed policy household resident operator and that she was separated.
Civil Penalty: $3,000

Pedro L. Martinez, Atlantic City, NJ
Order #14-52991-35, January 27, 2016
Respondent, Pedro L. Martinez, did knowingly provide a materially false statement to CURE Auto Insurance Company on February 20, 2013, on an initial application, and on December 1, 2013, on a CURE renewal application questionnaire, by failing to disclose that a co-owner and the primary driver of the 2007 Nissan Altima automobile listed on that policy, and that the automobile was garaged at a location other than the policy address.
Civil Penalty: $1,500

David A. Baxter, III, Mount Ephraim, NJ
Order #14-53078-35, January 27, 2016
Respondent, David A. Baxter, III, did provide a materially false statement to CURE Auto Insurance Company on May 1, 2014, in obtaining automobile insurance, by knowingly failing to disclose his wife was a resident in his household and had a suspended driver’s license; and failed to disclose his stepdaughter was a resident in his household with a New Jersey driving permit.
Civil Penalty: $1,500

 
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