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Over 80 people, including insurance planners and patients, have been referred to the prosecution for allegedly pocketing billions of won in insurance payouts by enrolling patients currently undergoing treatment into insurance plans or intentionally inflicting injuries on each other to undergo surgery.
According to police and other sources on Monday, June 15, the Chungbuk Provincial Police Agency recently referred over 80 individuals—including planners at an insurance agency in Cheongju and their clients—as well as a dentist identified as A and a consultation manager, to the prosecution without detention on charges of violating the Insurance Fraud Prevention Act.
They are accused of defrauding insurance companies of approximately 2 billion won after enrolling clients in various insurance policies.
The investigation revealed that they primarily targeted patients already receiving treatment, persuading them to sign up for insurance by promising that the payouts would cover their medical expenses. They then allegedly submitted falsified documents as if the patients were receiving treatment for the first time to claim the insurance money.
In some cases, they submitted fake medical certificates even when no treatment had been received at all.
Police suspected that dentist A and the consultation manager conspired in the crimes by issuing false medical records and other documents required for the insurance claims. Police requested arrest warrants for them, but the requests were rejected at the prosecution stage.
It is reported that A has denied the charges during police questioning, claiming to have been deceived as well.
The police are currently investigating further crimes and additional accomplices.
Separately, some patients were also found to have intentionally struck each other with bottles to cause injuries, subsequently obtaining medical certificates from surgical clinics to claim insurance payouts.
A police official stated, "As the investigation is ongoing, the amount of damages may increase," adding, "We cannot confirm specific details at this time."
※ Please note: This article was translated by AI and may contain errors.