Glass Company Owner Arrested for False Claims and Identity Theft

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Arizona Department of Insurance
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Phoenix, AZ  85007-2630

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Phoenix – On November 30, 2016, the Arizona Department of Insurance Fraud Division arrested 20-year-old Gilbert Martinez, owner of Gilligan’s Auto Glass, on allegations of fraud schemes, insurance fraud, aggravated identity theft and theft.


The allegations involve Martinez’s unauthorized use of several insureds’ personal information, details of their auto insurance company and vehicle information, all taken from another glass company’s business where Martinez formerly worked. Gilbert Martinez is alleged to have started Gilligan’s Auto Glass in June 2016 and then allegedly reported false windshield-replacement claims to an insurance company posing as the insureds. So far, the investigation involves 33 known victims whose identities were used without their knowledge to make false claims. The insurance company paid out over $19,000 on the alleged false claims. The investigation is continuing with the hopes of locating other victims and insurance companies involved. The investigation will be submitted to the Arizona Attorney General’s Office for prosecution.

 

About the Fraud Unit

The Fraud Unit was established in the Arizona Department of Insurance in 1994 to deter, investigate and facilitate convictions of insurance fraud. By deterring fraud, the Fraud Unit reduces the inflationary impact of fraud that is passed on to consumers through higher costs of insurance products. If you believe you are a victim of insurance fraud or know of someone committing insurance fraud, please contact the Arizona Department of Insurance Fraud Unit at 602-364-2140.

About the Arizona Department of Insurance

The Arizona Department of Insurance, an agency of the State of Arizona, is responsible for the education and protection of insurance consumers and for oversight of the insurance industry in the state.  If you need assistance with your insurance, please contact the Arizona Department of Insurance Consumer Affairs Division at 602-364-2499 (metro Phoenix) or 800-325-2548 (outside Phoenix).

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Not all health care bills qualify for the surprise bill resolution process.  The Department's Suprise Out-of-network Billing Dispute Resolution website (https://insurance.az.gov/soonbdr, and especially the section entitled, "I got a surprise bill. Can I submit a request for arbitration?") lists conditions when a health care bill may not qualify under Arizona law for the dispute resolution process.  But for those that do, the enrollee will only be responsible for paying the enrollee's cost-sharing amounts (copay, coinsurance and deductible) if the enrollee provides information the Department needs, and participates in an informal settlement teleconference with the health care insurer and the health care provider.

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Notice of Proposed Rulemaking - Corporate Governance Annual Disclosure Model Regulation In 2019, the Arizona Legislature adopted the NAIC Corporate Governance Annual Disclosure Model Act at Arizona Revised Statutes (“ARS”) by enacting the Corporate Governance Act at Title 20, Chapter 2, Article 16 (Laws 2019, 1st Reg. Sess., Ch. 180, § 1).   The Department of Insurance (“Department”) seeks to adopt the correlate Corporate Governance Annual Disclosure Model Regulation.  ARS § 20-492.02 allows the Department to adopt rules to carry out the Act upon notice and an opportunity to be heard.  The Legislature has exempted the Department from Title 41, Chapter 6 for one year after the effective date of the Act.  (Laws 2019, 1st Reg. Sess., Ch. 180, § 2.)
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