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The ultimate guide to the federal insurance fraud statute

February 27, 2025

Last Updated on: 27th March 2025, 12:52 am

FEDERAL INSURANCE FRAUD STATUTE

If you’re on our website, it’s because you’re in legal trouble and need the best possible attorney. We get it, and we take this very seriously. Our law firm, Spodek Law Group, is a nationwide federal defense law firm created by Todd Spodek. We have over 50 years of combined experience handling tough cases, and we can help you if you’re accused of insurance fraud.

WHAT IS FEDERAL INSURANCE FRAUD?

Insurance fraud that is prosecuted under federal law typically involves dishonest acts that are intended to receive an illegal payment from an insurance policy. This means that a person who lies or withholds information to get money from a claim may be charged with federal insurance fraud. According to 18 U.S.C. § 1033, individuals who commit insurance fraud can face severe penalties, including prison time and large fines. More information about this statute can be found on the Department of Justice website.

Anyone who gets investigated for these violations may be facing life-changing legal consequences. If you’re convicted, you could lose your professional license, pay high fines, or spend years in a federal prison. That means you need a defense strategy that was designed to protect you from the worst outcomes.

WHY IS IT TAKEN SO SERIOUSLY?

Insurance fraud that was committed can drain millions of dollars from the insurance system. This loss can raise insurance premiums for innocent policyholders and harm honest businesses that are forced to cover these costs. As a result, federal authorities treat these cases with strict attention, and they are usually well-prepared to argue for harsh penalties. If you’re convicted, the resulting criminal record can haunt you for the rest of your life, preventing you from finding stable employment or holding certain professional licenses.

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POSSIBLE PENALTIES

Under 18 U.S.C. § 1033, people who are found guilty of insurance fraud can be sentenced to up to 10 or 15 years in prison, depending on factors such as the amount of money involved or prior criminal history. If you’re also found to have used the U.S. mail or wire services to commit fraud, prosecutors might add charges under the federal mail or wire fraud statutes. Fines that can reach hundreds of thousands of dollars are also common, and these financial penalties can destroy a defendant’s savings. When you are released, you may be on supervised release, which can include strict conditions such as mandatory check-ins and drug testing.

Individuals who are convicted of insurance fraud often face civil lawsuits too, meaning you could be forced to pay substantial damages to insurance companies or victims. These lawsuits can go on for years, draining your finances and energy.

HOW WE DEFEND YOU

We are Spodek Law Group, and we have a team that was built to handle major federal cases, including insurance fraud. We have offices throughout the USA, and we provide a nationwide defense for clients who are dealing with complex federal investigations. We believe in transparency, and we won’t sugarcoat your situation. We are brutally honest about what’s at stake. If we see a weakness in the government’s case, we will push aggressively to get charges dismissed or reduced.

Key strategies that may help your defense:

  • Evidence that was illegally obtained might be suppressed. When certain documents are collected without a valid warrant, we file motions to block them. If key evidence is tossed out, prosecutors might lose the ability to prove their case.
  • Lack of criminal intent can be a defense. If you did not knowingly file a false claim, we can argue that any errors were unintentional, which could convince the prosecutor or judge to reduce or dismiss charges.
  • Witness credibility challenges might arise. If witnesses who testified have biases or incomplete facts, we question their testimony to show it cannot be trusted.
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When we fight for you, we study every detail that was shared by the government. Our objective is to find leverage points that create maximum impact, so we can push prosecutors to back off or negotiate a more favorable agreement. We focus on root causes, not surface-level fixes. If we see a significant flaw in the government’s investigation, we call it out and use it to your advantage.

HOW SERIOUS IS THIS REALLY?

We’ll be blunt: insurance fraud charges can ruin your life if they aren’t handled properly. You could lose your job, your freedom, and your reputation. This is why the stakes are so high, and this is why we won’t tolerate excuses during the defense strategy. We look at every angle to ensure your rights are protected, and we expect you to be transparent and fully committed. If we catch you hiding critical information, we call it out, because we care about winning your case.

FREQUENTLY ASKED QUESTIONS (FAQS)

Question Short Answer
Can I face prison time? Yes. Sentences can range up to 10 or 15 years, or even more if other charges are included.
Is there a chance to get my case dismissed? Yes. If there is weak evidence or improper investigations, we may get charges dismissed.
Is a plea agreement possible? Often, yes. Prosecutors sometimes offer reduced sentences in exchange for a guilty plea.
Where can I get more info? Visit the FBI website or Department of Justice for additional details.

CONTACT US FOR A RISK-FREE CONSULTATION

We are available 24/7, to give you a risk-free consultation. You can ask questions, regardless of how long it takes, and we’ll be honest about your odds. We use a fully online digital portal that was created to handle all of your billing and document uploads securely. We want you to focus on what matters most: fighting the charges against you and preserving your freedom.

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If you need a federal defense lawyer who truly understands your situation, call us at 888-997-5177. We work with clients nationwide, coast to coast, and we do everything we can to get you the best possible outcome.

Disclaimer: This is not legal advice, and no attorney-client relationship is formed by reading this information. Every case is different, and results are not guaranteed. You should seek the advice of a qualified attorney in your jurisdiction before taking any action.

Lawyers You Can Trust

Todd Spodek

Founding Partner

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RALPH P. FRANCHO, JR

Associate

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JEREMY FEIGENBAUM

Associate Attorney

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ELIZABETH GARVEY

Associate

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CLAIRE BANKS

Associate

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RAJESH BARUA

Of-Counsel

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CHAD LEWIN

Of-Counsel

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