Defense Base Act Compensation Blog

The Modern Day DBA Casualty

Archive for July, 2009

Tangiers International, AIG’s Medical Provider/Spy Kids Caught Lying

Posted by defensebaseactcomp on July 31, 2009

Not Once, not just twice, should anything they say hold up in court?

Should these people be providing anyones medical care in the war zones?

Company That Probes War Contractor Injuries for AIG Is Itself Under Scrutiny

by T. Christian Miller, ProPublica – July 31, 2009 4:06 pm EDT

tangiers_id_20090731

WASHINGTON — A company hired by insurance giant AIG to investigate federal contract workers injured in war zones is itself under scrutiny after an employee brandished an ID card that falsely suggested he was a government agent.

The Department of Labor has asked the agency’s inspector general to investigate the actions of Tangiers International [1], a Maltese insurance services firm that AIG uses to document or dispute injury claims filed by wounded contract workers, labor officials said.

The inquiry arose after a video surfaced on YouTube [2] in which a Tangiers employee operating in Australia is seen displaying an ID card with an official-looking seal that identifies him as an “international investigator” for the “United States DoL.”

“Tangiers has no authority to make such claims or use DOL’s name or indicia on its badges,” Shelby Hallmark, the Labor Department official who oversees the federal workers’ compensation program for injured contractors, said in a prepared statement [3] (PDF). He said the Labor Department has never had a relationship of any kind with Tangiers.

Chris Catrambone, Tangiers’ CEO, declined to comment on the investigation. Labor Department officials said Catrambone told them in an e-mail that the ID card was supposed to refer to “Division of Loss.” He said the card had been “approved for use by the U.S. Embassy in Malta.” Embassy officials in Malta [4], however, said the mission had never authorized any such cards for Tangiers.

“The U.S. Embassy has not approved the use of any identity card by Tangiers International,” said Elijah Waterman, the embassy’s spokesman.

Under federal law, it is illegal to impersonate a government official, a crime punishable by up to three years in prison. The government’s inquiry into a major insurance company’s investigative partner comes amid growing controversy about the care of injured contract workers and their families [5].

Insurance carriers dispute more than 40 percent of claims for serious injuries filed by contractors injured in Iraq and Afghanistan, according to an investigation [5] by ProPublica, ABC News and the Los Angeles Times. Congress held hearings [6] on the issue in June, and the Pentagon’s inspector general has begun an examination of the system.

In fighting claims, insurance carriers typically rely upon investigative firms such as Tangiers. Company employees, often licensed private investigators, gather evidence to support or deny payment of disability benefits or medical treatments. They videotape contractors suspected of faking injury and interview friends and family to determine the circumstances of an injury.

Tangiers has made a specialty of investigating claims arising from the wars in Afghanistan and Iraq — a growth industry with claims soaring from fewer than 100 per year to more than 7,000 in 2008. Contractors now outnumber soldiers in Iraq and Afghanistan, according to Pentagon figures.

If Tangiers’ business ethics were put into doubt, scores if not hundreds of claims could be affected. The authenticity of documents produced by the firm could come under legal question, adding time to an already lengthy claims process in which contractors spend months and sometimes years battling for benefits.

“At the end of the day, it could cause more litigation and more expense,” said David Barnett, a Florida lawyer who has represented hundreds of injured contractors.

Labor Department officials said they had not ruled out using information gathered by Tangiers employees. The company’s Web site states that it has investigated more than 240 cases in Iraq and 24 in Afghanistan.

“We do not reject out of hand reports submitted by any source, but assessing credibility is certainly a component of our reviews,” Hallmark of the Labor Department said.

Tangiers has previously misrepresented facts when it comes to the workers’ compensation system for contractors, required by a law known as the Defense Base Act [7], or DBA.

Earlier this year, the company’s Web site boasted that the Labor Department was “using Tangiers International as the primary DBA provider and third party administrator” to handle claims involving wounded contractors.

Tangiers removed the language in January 2009 after department officials asked them to do so.

AIG said it was investigating the ID incident.

“It is our commitment to handle claims professionally, ethically and fairly in every respect,” said Marie Ali, a company spokeswoman, in a statement. “We are investigating these allegations. When that investigation is complete, we will determine what future action is required.”

The video was taken by Mark Munro, an Australian security contractor wounded in Iraq when a suicide bomber attacked his convoy in 2005. In an interview, Munro said that in September 2008, he answered a phone call early one morning from someone with an American accent who immediately hung up. Later, a person claiming to be from AIG set up a meeting with Munro’s attorney but never showed up and provided a phone number as a contact, but it was a non-working number.

Finally, Munro noticed that someone appeared to be following him as he drove around town. Munro said he confronted the man and demanded identification.

On the video, the person in the car appears reluctant, denying any knowledge of Munro. Then he pulls out a card and shows it to the camera. It identifies him as Cabot Goslin, a Tangiers employee. The card displays Goslin’s mug shot, and under the heading “Agency/Department” is the phrase “United States DoL.”

Goslin, an artist in Malta [8], did not return e-mails or phone calls requesting comment. In his e-mail to Labor Department officials, Catrambone said that Goslin no longer works for Tangiers and that the company no longer uses such an identity card.

Munro, who has been diagnosed with severe post-traumatic stress disorder, or PTSD, said he was upset that someone would follow him and his family around town.

It is not clear why Goslin was following Munro. AIG has not disputed Munro’s claim and has faithfully paid his doctor bills and disability benefits, Munro said. Munro is seeking to sign a settlement with the company, although AIG has not responded to Munro’s attorney’s letters in nearly a year.

AIG declined to comment on individual cases.

“At the time, I was furious. It was such a joke,” said Munro. He said he had done everything AIG asked him to do. “And they just ignore us.”

Original Story here Tangiers at ACII

Malta-based company probing war contractor injuries for AIG under scrutiny

Posted in AIG and CNA, Department of Labor, spykids, Uncategorized | Tagged: , , , , , , , , , , , , , , , , | 5 Comments »

Tangiers International Updates

Posted by defensebaseactcomp on July 31, 2009

Coming soon to a blog near you……

spy_kids

Posted in AIG and CNA, Department of Labor, spykids, Uncategorized | Tagged: , , , , , , | 1 Comment »

Wounded Back Home

Posted by defensebaseactcomp on July 30, 2009

Editors note: There have been more contractors than soldiers in the war zones for a long time now.  These TBI and PTSD issues are just being denied when it comes to the contractor, they are not going away.

In the first of a three-part series, our workers’ comp columnist Peter Rousmaniere explores the health, wellness and compensation burdens of America’s returning military veterans.

By PETER ROUSMANIERE, the Risk & Insurance® workers’ compensation columnist

Late in the evening of Nov. 14, 2004, on the outskirts of Camp Anaconda, a sprawling U.S. base in Balad, Iraq, 40 miles north of Baghdad, three U.S. Army National Guard soldiers were injured by the devastatingly effective roadside bombs, also known as IEDs, used by insurgents against the U.S. military.

One of those soldiers, Sgt. Stephen Kinney, 52, of the New Hampshire 172nd Mountain Infantry Regiment, was struck by the shock of the bomb, which exploded six feet from the passenger side of his Humvee.

Kinney didn’t know that he had just become one of hundreds of U.S. returning veterans whose neurological impairment threatens to overwhelm employers and military medical personnel.  Read full story here


Posted in Uncategorized | Tagged: , , , | 5 Comments »

Report Finds Advantages in Gov’t Takeover of Care for Injured Contractors

Posted by defensebaseactcomp on July 29, 2009

by T. Christian Miller, ProPublica – July 28, 2009 12:04 pm EDTcrs_report_graphic_20090728

The Congressional Research Service has found that the Defense Department was paying far higher premiums to insure civilians working in war zones than either the State Department or the U.S. Agency for International Development.

The insurance is required by the Defense Base Act [1] and provides medical care and disability benefits for those injured while working under U.S. contracts overseas. Pentagon contractors negotiate rates individually with insurance firms, while the other agencies use a bidding process to set a blanket rate.

The report [2] (PDF), obtained by ProPublica, found that it was nearly impossible to determine why premiums were set so high for the Pentagon. The agreements between the carriers and individual contractors are private, even though taxpayers pay the premiums.

And while the Labor Department oversees the system, it has no power to investigate rates. In the past, both the Government Accountability Agency [3] (PDF) and the Army Audit Agency [4] (PDF) have questioned whether insurance carriers such as AIG charged the government too much for the policies. It is “difficult to assess what factors are currently used to set current DBA premiums,” the analysis said. AIG says its rates are fair and notes that they have declined over time.

The report acknowledged that it might be difficult to find a single insurance carrier to cover all the contractors for the Pentagon, which employs far more civilian workers than any other agency. It raised the possibility that the government might save money by simply taking over the system.

The Defense Base Act already requires the government to reimburse insurance carriers for costs incurred when civilian contract workers are injured in combat. By taking the system over, the government would cut out the middleman, the report said. “There are several potential advantages to having the federal government self insure,” the report said. The Congressional Research Service produces non-partisan analyses for Congress on policy matters.

One of the possible advantages is quicker payment of claims. The report pointed to a congressional hearing [5] in June prompted by investigations [6] by ProPublica, the Los Angeles Times and ABC News finding that carriers routinely denied claims for injured workers. At the hearing, the Labor Department’s deputy secretary, Seth Harris, acknowledged “extensive and troublesome” flaws in the system. The current system, the CRS report found, “can cause delays for claimants, including claimants with clear (war injury) cases that will eventually be paid” by the federal government.

The Defense Department is expected to weigh in on suggestions for reforming the system later this summer.

Original Story Here

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DBA Big Dog Attorneys Jumping Ship

Posted by defensebaseactcomp on July 28, 2009

Jump ship

Laughlin Falbo Levy & Moresi

Michael Thomas, the firms Big Dog DBA Attorney since Levy sort of retired,has left the firm to join another, or to start his own firm, depends on who you ask.

This is quick on the heels of the departure of another of the firms DBA Attorney’s  Michael Quinn.

Their departures follow the close scrutiny of the handling of DBA claims by CNA, who as of recently no longer employs LFLM to do their dirty work.

 

Posted in Uncategorized | Tagged: , , , , , | 3 Comments »

DoDIG blames system failure in death of Ryan Maseth

Posted by defensebaseactcomp on July 27, 2009

By KIMBERLY HEFLING (AP) – 1 hour ago

WASHINGTON — The Defense Department’s Inspector General has determined that military leaders and a military contractor failed to protect a Green Beret who was electrocuted while showering in his barracks in Iraq.The 2008 death of 24-year-old Staff Sgt. Ryan Maseth has triggered investigations into the other electrocution deaths of U.S. troops and the review by the Defense Department’s IG.The inspector general says that “multiple systems and organizations” failed and exposed Maseth to “unacceptable risk.” That’s according to a summary of the IG’s findings obtained by The Associated Press.

It specifically spells out that KBR Inc. installed improperly grounded equipment that faulted and led to Maseth’s death. Full Story Here

More on Ryan Maseth and electrocutions Ms Sparky

Posted in KBR | Tagged: , , , | 1 Comment »

Tangiers Vice President A Department of Labor Employee?

Posted by defensebaseactcomp on July 27, 2009

Is Tangiers International Vice President, Cabot Gosling, a Criminal/Civil Investigator for the Department of Labor?

Or is he just posing as one? Pause when his ID shows up in this video.

tangiersinvestbusted2

Posted in Uncategorized | Tagged: , , | 9 Comments »

PTSD Suicide Crises Continue to Worsen

Posted by defensebaseactcomp on July 27, 2009

Veterans for Common Senseprevention

by Paul Sullivan

Veterans for Common Sense thanks VA and the New Jersey Star-Ledger for publishing new information about the very serious mental health crisis faced by our returning Iraq and Afghanistan war veterans.  VCS has obtained even newer healthcare use and disability benefit statistics from VA using the Freedom of Information Act. The new VA data provides strong evidence that the mental health crisis among our returning Iraq and Afghanistan War Veterans continues to worsen far beyond what the University of California, San Francisco researchers found in their study using older data.

• Veterans: 981,834 (out of nearly two million deployed)
• Veterans Treated at VA Hospitals and Clinics: 425,538 (43.3% of veterans)
• Veterans Diagnosed by VA with Mental Health Condition: 193,879 (45.6% of veterans treated by VA)
• Veterans Diagnosed by VA with PTSD: 114,908 (27.0% of veterans treated by VA)
• Veterans Filing Disability Claims Against VA: 381,782 (38.9% of veterans)
• Veterans with Approved PTSD Claims: 53,079 (46.2% of veterans diagnosed by VA with PTSD)

If President Obama and Secretary Gates fail to address this issue immediately, then the PTSD and suicide epidemics will worsen. read full story here

If the Department of Labor does not address the continued denial of medical and disability benefits for years on end there will be much more blood on their hands and on AIG, CNA, and their lawyers hands.

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Tangiers International DBA “medical” providers

Posted by defensebaseactcomp on July 23, 2009

Lets not leave Tangiers out of the third party medical provider discussion.

Tangiers International

Tangiers specializes in the investigation of Defense Base Act claims, foreign death claims, personal injury, liability investigations and surveillance services around the world”

You’ll find little anywhere to back up their claims of professionalism and experience, or even their time in existence providing medical.

It may even look to you like they have an office in Louisianna.  but actually are an offshore company in Tangiers.  More US taxpayer money going Offshore?   At least that  is what it looks like to us.  We could be wrong, these situations seldom are addressed, it’s probably all legal.

Tangiers was under contract to CNA and AIG to provide medical to DBA Casualties.    At a time they even claimed to be under contract to the Department of Labor.  They were even performing amputations on injured contractors.  What happened to the first choice of doctor under the Defense Base Act?

The CEO, Christopher Catrambone even speaks at the Department of Labor sponsored conferences, he must be very experienced in medicine and psychiatry as he was speaking on

Important Medical Issues in DBA Claims
􀂄 Challenges in Dealing with Foreign Medical Providers
􀂄 War Injuries
􀂄 Psychiatric Claims and Post-Traumatic Stress Disorder
􀂄 Heart Attacks, Strokes and Other Diseases
Christopher Catrambone
Tangiers International Ltd.

Maybe he learned all about those extremely complicated and life threatening issues at Private Investigator school

We’ll leave it up to you decide what you think of this arrangement but…..

It sure sounds like a “conflict of interest” to us and the Department of Labor evidently thinks this if fine.

We welcome input on this from Tangiers and/or the Department of Labor if they have better explanations for what is going on here than we do.

Posted in Uncategorized | Tagged: , , , , | 15 Comments »

Who wants to be CNA claims “specialist”?

Posted by defensebaseactcomp on July 23, 2009

CNA Focus on Success

Here we have a job opportunity for someone, preferably with a professional designation,  though it apparently doesn’t matter what  that designation is.

This will be the person making life altering medical denials on behalf of CNA DBA Casualties.

The newbie ought to double check those sick and disability benefits, the prescription drug plan,  and the life insurance.

The flexible spending accounts are probably spot on as long its a War Hazards claim.

Posted in Uncategorized | Tagged: , , , | Leave a Comment »

 
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