A labour arbitrator has served notice that employees who commit benefit fraud will have a hard time avoiding dismissal. Earlier this summer, arbitrator Eli Gedalof upheld the termination of Diana Spokiene, an associate professor of German studies at York University, for submitting more than 100 false benefit claims totalling more than $8,000 for paramedical services, including physiotherapy […]
The City of Toronto’s auditor general is raising yet more concerns about benefits fraud after discovering employees may have shopped around for doctors to get prescriptions for excessive amounts of erectile dysfunction drugs. In an update this month to her October 2016 report on potentially excessive and unusual drug claims by employees to the city’s […]
The Toronto Transit Commission has confirmed that more than 100 employees have either resigned or been dismissed as part of a benefits fraud investigation. In February, the public transit provider said it had dismissed 73 employees in connection with what it described as a multimillion-dollar benefits fraud scheme. That number is up to 82, with […]
Toronto city councillors are asking questions after the municipality’s auditor general raised red flags about several questionable benefits claims, including the case of an employee who submitted claims for 66 pairs of orthotics and orthopedic shoes between 2013 and 2015. “We’re supposed to believe that a child needed 66 pairs of orthotics in a year?” asked Coun. […]
Thirty-one employees at St. Michael’s Hospital in Toronto have been fired in relation to “irregularities in some employee health benefit claims,” spokesperson Leslie Shepherd confirmed in an email to Benefits Canada. The irregularities were discovered during a routine audit, and approximately $200,000 worth of claims were found to be in breach of the hospital’s code of […]
An officer from the York Regional Police Service was fired yesterday for benefits fraud, two years after pleading guilty and being suspended with pay. In the original hearing on Dec. 10, 2015, York Regional Police superintendent Graeme Turl ruled that first class constable Salwa Husseini would have seven days to resign from her position or face […]
Compliance is one of the hallmarks of the insurance industry, but with amendments to federal privacy laws last year, group benefits providers are facing a host of new consent and disclosure-related obligations that can offer helpful tools or signal potential headaches. Bill S-4, the Digital Privacy Act, came into force in June 2015. It amended […]
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Toronto Police have arrested three people over an alleged $4-million benefits fraud scheme directed against the Toronto Transit Commission (TTC) and Manulife.
The Canadian Health Care Anti-fraud Association (CHCAA) is hoping to raise awareness of the fight against fraud by spreading information to the public.