Integrity Focus

An insurance intermediary, charged by the ICAC, was today (November 19) sentenced to seven months’ imprisonment at the Eastern Magistrates’ Courts for conspiring with two policyholders to deceive an insurer into paying accident insurance compensation to them by making false representations about their injuries. The offence was revealed in the course of an ICAC corruption investigation.

Lalwani Jay Jerome, 35, formerly engaged by Asia One Asset Management Limited (Asia One) as a referrer, was earlier convicted of four counts of conspiracy to defraud, contrary to the Common Law, after trial. The court had earlier ordered the defendant to compensate a sum of about $52,000 to the insurer.

In sentencing, Magistrate Mr Tsang Chung-yiu reprimanded the defendant for his dishonesty, adding that the court had to mete out a custodial sentence to convey a proper message to the society that the fraudulent acts in the present case amounted to serious offences.

At the material time, insurance broker Asia One was entrusted by AIA International Limited (AIA) to sell its insurance products to customers. When the case took place between late 2017 and June 2018, two policyholders Tam Kai-chun and Lam In-kwan respectively took out an AIA life insurance policy with an accident rider through Lalwani.

The insurance policies covered accident medical expenses reimbursement and accident indemnity. The policyholders were required to submit an accident insurance claim to AIA directly or via Asia One, supported by documentary proof, including receipts of medical consultations or treatments, and sick leave certificates or receipts issued by doctors or physiotherapists.

The court heard that in their applications for insurance claims, Lalwani and the two policyholders falsely represented to AIA that the latter had respectively suffered injuries in his/her back or knees, and attached various documents purportedly issued by two doctors and two physiotherapy clinics to support that the duo had suffered from injuries, attended for medical consultations with the aforesaid doctors or therapists of the physiotherapy clinics, and taken sick leave. As a result, they had deceived AIA into paying insurance compensation totalling at least over $52,000.

The ICAC investigation arose from a corruption complaint. Enquiries revealed that the two policyholders did not suffer from the aforesaid injuries, nor did they receive any treatment or take the sick leave concerned.

The policyholders concerned, Tam, 37, and Lam, 34, were also charged by the ICAC for their roles in separate cases. The duo had earlier pleaded guilty and their cases were both adjourned to November 25 for mention.

AIA rendered full assistance to the ICAC during its investigation into the case.

The prosecution was today represented by Senior Public Prosecutor Steven Liu, assisted by ICAC officer Ivy Ho.