Glaucoma Lies About 165 Thousand Yuan For Cheating.
Glaucoma, but the insurance company said that he was accidentally injured, and his nephew conspire to cheat 165 thousand yuan from 3 insurance companies.
At the end of August this year, four insurance companies in Hangzhou opened an internal exchange meeting. We were surprised to find that the four policyholders were the same insured. The company that had not yet made the claim was suspicious and rushed to report to the police.
Last year around November, a man named Wang Minjun took over an accident insurance for an insurance company in Hangzhou, adding an accidental injury medical insurance for a year.
In May of this year, the insurance company received a request from Jin Sunchu to claim compensation. He said he had an accident when he took a tricycle in May 24th, and his eyes were knocked out, and the eyeballs were removed from the hospital.
The insurance company promised to make a settlement after preliminary investigation.
When the insurance company was ready to pay the claim, in August of this year, they opened an internal business exchange with 3 other insurance companies in Hangzhou. It was discovered that 3 other companies also accepted Jin Sunchu's Insurance during the same period last year. In a year's validity period, the total amount of insurance invested by the company in the 4 companies amounted to about 700000 yuan, and the other 3 companies had already paid 165 thousand yuan in settlement claims.
This is too weird.
The insurance company immediately followed up.
The survey found that Wang Minjun and Jin Sunchu were nephew brothers.
Wang Minjun had insured his father 200 thousand yuan for personal accident in April 16, 2004, when his father drowned in May 25th, and asked for an insurance claim application a month later. The insurance company found Wang Minjun's father was sick in the investigation, and finally Wang Minjun gave up the claim.
The insurance company that has not yet claimed compensation immediately reported the case to the police.
In September 27th, Jin Sunchu, who was unable to claim compensation, went to the insurance company for money. He was immediately taken to the public security organ by the insurance company.
The uncle who had asked for money never came back. Wang Minjun, who was waiting at home, knew that the matter was uncovered and fled immediately.
Jin Sunchu was suffering from glaucoma and had a tendency to aggravate. However, because of poor economic conditions at home, he had never been able to perform surgery.
Jin Sunchu said that in September last year, his nephew Wang Minjun found him, saying that as long as he listened to his arrangement, he could not spend money on his eyes, but he could also get the "nutrition fee".
When he heard such a good thing, Jin Sun first made a promise.
After two months, Wang Minjun bought four insurance for Kim Sun and 3000 yuan of premiums, and Jin Sunchu himself paid 1600 yuan.
In May 4th this year, Wang Minjun and Kim Sun went to the hospital to do a left eye surgery.
On the second day after the operation, Wang Minjun said to his uncle, "if someone asks you how your eyeball is removed, tell them that when you were riding a tricycle in the morning of May 4th, you had a steelyard stick in your hand and you accidentally hurt your eye."
With this lie, Wang Minjun began to settle claims for 4 insurance companies and successfully obtained 165 thousand yuan from 3 companies.
According to Wang Minjun's account, he spent 45 thousand yuan on the money spent on seeing a doctor and paying for his nutrition. When he returned to,
The remaining 120 thousand yuan, 60 thousand yuan in cash in his home, and 60 thousand yuan there in Jin Sunchu.
The doctor softened his nephew and asked his niece to cheat on a large sum of money. The insurance company should ask the applicant to issue a health certificate when accepting the insurance. Why can't Jin Sunchu's eye disease be known by the insurance company?
Accidental injury and normal operation can not afford the insurance company's investigation. But how can the two nephews cheat the money?
Wang Minjun said that when handling insurance procedures, every insurance company did not require Jin Sunchu to issue a health certificate. Only a form was filled out by Jin, and it was successfully passed according to the medical record issued by the attending physician.
After the arrest of Wang Minjun and Jin Sunchu, the people's Procuratorate of Xiacheng District of Hangzhou issued a procuratorial suggestion to the hospital for the operation of Jin Sunchu yesterday afternoon, and disclosed the fact that the medical record was modified.
In May 2nd, Jin Sunchu underwent the operation of left eye enucleation and artificial eye in hospital.
At that time, Wang Minjun presented to the hospital's chief physician, Cui, asking him to describe the condition in Jin Sunchu's medical records as eyeball excision due to trauma.
Beginning Cui did not agree, Wang Minjun repeatedly found Cui said Jin Sunchu's family difficulties, hoping to reimburse the cost of surgery.
Cui can not help Wang Minjun repeatedly request, heart soft, out of humanitarian help in the medical record will be described as the condition of the injured eyeball rupture, surgical removal, and for Jin Sunchu issued a false diagnosis of eyeball removal caused by trauma.
It is Dr Cui's temporary weakness that caused 3 insurance companies to suffer huge losses.
The prosecutors said that there was no evidence to prove that the doctors who operated on Jin Sunchu were involved in joint crime, and no relevant measures have been taken yet.
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