Dan LeSieur did what most any other person would do, but he
got caught in the government’s crosshairs.
Why?
Because he was already on their radar for standing up for
himself and his community, and they (aka the government) didn’t like it.
So what did he do, and was it really fraud?
I’ll let you decide for yourself in a moment; giving you a
chance to read about it and letting it soak all in.
It all started with damage to the LeSieur’s home, which was
covered by insurance.
There is no reason to go off on insurance companies, but we
all know for a fact that we pay in to insurance, but they don’t like to pay
out.
Enough on that…
The insurance paid out and the work was completed.
That should have been the end of the story.
But it wasn’t…
Prior to this…
Dan stood up and took the lead position for local small
businesses. LeSieur was the voice against new regulations that would ultimately
hurt small business in the community and in the state. However, when he voiced
his concerns; LeSieur humiliated the government.
He didn’t lie or mock them; he did it with the truth…unsugar-coated
and raw.
They didn’t like it.
Soon after that meeting…
“Coincidentally” Dan’s business got audited, which they
passed.
Dan LeSieur was on the government’s radar.
Which takes us to LeSieur’s insurance claim on his home…
The one that everything was ok on.
Somehow the claim gets re-examined and the term “insurance fraud”
gets tossed around.
Not for the work on the home, or the family’s temporary
living arrangements, but on the dogs. The insurance company paid for the dogs
to stay in a kennel while the house was being repaired.
HOLD ON…we’re going to side step this for a moment and work
our way back to it (there’s another piece to this story).
The dog kennel themselves…
NOTE: The name of the facility will not be named. They are a
good business with real nice people. Their reputation shouldn’t have to suffer.
When a lot of small businesses start out, they start as
something that the owners love to do, but doing something that you love and
running a business are two different things.
This kennel for example…
Great with dogs, not so great with paperwork (in the
beginning at least).
All businesses have growing pains…lots and lots of growing
pains.
Like not having an accurate record of when Dan’s dogs were there.
Example…
Bookkeeper: Were the LeSieur dogs here every day last week?
Employee: I don’t remember…I think so.
Bookkeeper: It doesn’t matter, it’s an insurance claim. I’m
sure that they were here all week.
HOLD UP…STOP…
Is this wrong?
Yes it is, but isn’t that exactly what we are taught to do?
Let’s say that you have to go to the doctor for whatever
reason, and you have insurance.
You call to make an appointment, but they have to schedule
you for a pre-exam first. On your second visit, you get to see the doctor that
should have been on your first visit. Your insurance company has now been
billed twice.
The doctor schedules you for lab works and an x-ray. At this
point, your insurance company has been billed four times.
Then you have to come back to get you lab results, and then
a follow up appointment for your x-ray results. Then you have to schedule another
follow up appointment in a week or two. Your insurance company has been
invoiced for seven different visits, when it could have been only one or two.
Let me back that up…
I met with a Homeopathic doctor the other day, and they like
you to pay with cash because they don’t except most insurances.
I asked why?
The answer was the most honest answer that I have ever received…
We feel that $45 is what the office visit is worth, and so
that is what we charge if you pay cash. If we were to bill your insurance
company, we’d have to bill them $65 in hopes of getting the $45 we charge.
Most honest answer ever…
So…
Did the kennel do anything wrong? Doctors do it, why can’t
they?
Let’s start bringing things together…
The insurance company was re-examining the claim, the dog
kennel didn’t keep accurate records, and we’re taught to screw the insurance
agencies because they screw us.
Ok…are we all up to date?
When insurance pays something (usually) you get a copy of
what was being paid and how much you would have paid…”Not An Invoice” written across
it.
Dan LeSieur was receiving these copies in the mail, but
noticed that the kennel portion seemed to be off. The insurance was paying for
days that the dogs were and weren’t physically there.
Did Dan worry about it?
No he didn’t, because we’re taught this stuff by our
doctors. Plus the kennel was doing such a great job that they deserved a little
bonus for it. In all actuality…Dan didn’t care.
However…
During the investigation, it was found that Dan had placed
quite a few calls to the kennel. When asked about the calls (and not thinking
anything of it) Dan told the claims person that those were the times that he
called to say that his dogs wouldn’t be there that day.
So now there are bills to the insurance company stating that
the dogs were there every day, a statement from the owner stating that they
weren’t, and a dog kennel that can’t remember.
So who committed fraud?
Who do they go after?
The small business that can’t remember, and so they have to
go off of their past invoices as to what the truth may be?
Or…
The person who has been fighting the government and winning?
Dan LeSieur was the scapegoat.
The only thing that Dan did that was wrong…
Was not telling when he noticed the discrepancies.
He did not tell, and for that they tried, and tried, and
tried to pin something on him.
There were other articles written about this, but they don’t
tell you the complete story because the media is one-sided. Nobody wants the
truth.
They say they want the truth, but they don’t.
The media doesn’t want the truth…they want to sell stories.
The judicial system doesn’t want the truth…they want a
conviction.
Dan LeSieur did what was right in standing up for his
freedoms, and they went after him for it.
It’s not right, but what can we do about it?
