Complaint — Negron v. Progressive Casualty Insurance (D.N.J.)

Summary

A qui tam Complaint for violations of the federal and state False Claims Act, filed under seal on January 28, 2014 in United States of America and the State of New Jersey ex rel. Elizabeth Negron v. Progressive Casualty Insurance Company and Progressive Garden State Insurance Company, Case 1:14-cv-00577-NLH-KMW, in the United States District Court for the District of New Jersey. Relator Elizabeth Negron alleges that the defendants exploited New Jersey auto insurance law to avoid paying medical benefits to motor vehicle accident victims by causing healthcare providers to submit claims to Medicare and Medicaid. The complaint cites the Medicare Secondary Payer statute, 42 U.S.C. § 1395y, and N.J.A.C. 11:3-14.5(a). It seeks treble damages and civil penalties of $5,500 to $11,000 per claim.

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