(1) No person, firm,
corporation, partnership, association, agency, institution, or
other legal entity, but not including an industrially injured
recipient of health service, shall, on behalf of himself or
herself or others, obtain or attempt to obtain payments under
this chapter in a greater amount than that to which entitled by
means of:
(a) A wilful false statement;
(b) Wilful misrepresentation, or by concealment of any
material facts; or
(c) Other fraudulent scheme or device, including, but not
limited to:
(i) Billing for services, drugs, supplies, or equipment that
were not furnished, of lower quality, or a substitution or
misrepresentation of items billed; or
(ii) Repeated billing for purportedly covered items, which
were not in fact so covered.
(2) Any person, firm, corporation, partnership, association,
agency, institution, or other legal entity knowingly violating
any of the provisions of subsection (1) of this section shall be
liable for repayment of any excess payments received, plus
interest on the amount of the excess benefits or payments at the
rate of one percent each month for the period from the date upon
which payment was made to the date upon which repayment is made
to the state. Such person or other entity shall further, in
addition to any other penalties provided by law, be subject to
civil penalties. The director of the department of labor and
industries may assess civil penalties in an amount not to exceed
the greater of one thousand dollars or three times the amount of
such excess benefits or payments: PROVIDED, That these civil
penalties shall not apply to any acts or omissions occurring
prior to April 1, 1986.
(3) A criminal action need not be brought against a person,
firm, corporation, partnership, association, agency, institution,
or other legal entity for that person or entity to be civilly
liable under this section.
(4) Civil penalties shall be deposited in the general fund
upon their receipt.
[2010 c 8 § 14012; 1986 c 200 § 4.]