MAN FILES FRAUDULENT PERSONAL INJURY CLAIM AGAINST SEPTA AND PROGRESSIVE INSURANCE COMPANY

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Charges:              Insurance Fraud 18 Pa C.S. § 4117 – F3 (2 counts)

Attempted Theft by Deception 18 Pa C.S. § 3922 – F3

Theft by Deception 18 Pa C.S. § 3922 – M1

Philadelphia – Detectives from the Philadelphia District Attorney’s Office Insurance Fraud Unit investigated Jean Oplan after receiving a referral from SEPTA. On July 19, 2014, Oplan was a passenger on the SEPTA Route 47 bus when the bus brushed against a Progressive insured Dodge Durango. As a result of the contact, the SEPTA bus broke the side view mirror of the Dodge Durango and the bus itself was scratched. Despite the lack of substantial damages, Oplan filled out a SEPTA claim form in which he stated that he injured his back, neck and arm as a result of this accident. Oplan retained a personal injury attorney to represent him in the lawsuit against SEPTA and Progressive Insurance Company.

Although Oplan did not seek emergency medical treatment immediately after the accident, he did later seek chiropractic treatment from Olney Orthopedic and Therapy. Medical records indicate that Oplan sought treatment at this facility on fifty-three separate occasions between July and December of 2014. The total cost of Oplan’s medical bills exceeded fifteen thousand dollars and were submitted to both SEPTA and Progressive. In response to Oplan’s claim, Progressive paid in excess of sixteen hundred and forty-two dollars towards Oplan’s medical bills.

The SEPTA Route 47 bus is equipped with a digital surveillance system which shows that the bus made slight contact with the parked Dodge Durango while traveling on N. 5th Street. The video shows the SEPTA bus damaging the side mirror of the Dodge Durango and then coming to a stop. The surveillance footage also shows that Oplan remains seated throughout this incident and none of the passengers on the bus appear to be disturbed or injured. Oplan was arrested for filing an allegedly fraudulent personal injury claim against SEPTA. Oplan was charged with two counts of Insurance Fraud, one count of Attempted Theft by Deception (F-3) and one count of Theft by Deception (M-1). He is next scheduled to appear in Philadelphia Municipal Court on January 26, 2016 for a hearing.


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