Naples Man Sentenced To 14 Years In Connection With A “PIP” Scheme To Defraud Automobile Insurance Companies

Fort Myers, FL – U.S. District Judge Sheri Poster Chappell has sentenced Nesly Loute (52, Naples) to 14 years’ imprisonment for conspiracy to commit mail fraud. In addition, the Court ordered him to pay restitution in the amount of $2,146,147.23 to the victim automobile insurance companies.

Loute was found guilty by a federal jury on September 29, 2016.

According to the evidence introduced during the six-day trial, Loute conspired with others to operate unlicensed chiropractic clinics and bill automobile insurance companies for Personal Injury Protection (PIP) benefits. Members of the conspiracy also paid patients to induce them to seek treatment at the unlicensed clinics so that the automobile insurance companies could be billed for their PIP benefits. In addition, members of the conspiracy participated in staged motor vehicle accidents and then submitted claims to automobile insurance companies for PIP benefits based on those fake motor vehicle accidents.

Five others previously pleaded guilty to charges relating to this conspiracy. Four of those individuals have already been sentenced. Garry Joseph (37, Naples) pleaded guilty to conspiracy to commit mail fraud and was sentenced to 37 months’ imprisonment. Anouce Toussaint (33, Naples) pleaded guilty to conspiracy to commit mail fraud and conspiracy to launder money and received 18 months’ imprisonment. Maria Victoria Lopez (44, Moore Haven) pleaded guilty to conspiracy to commit mail fraud and was sentenced to 3 years’ probation. David Adamson (47, Bonita Springs), a licensed chiropractor, pleaded guilty to mail fraud and was sentenced to serve a 5-year term of probation and 180 days of home confinement. Wisler Cyrius (35, Naples) pleaded guilty to conspiracy to commit mail fraud and conspiracy to launder money. He is scheduled to be sentenced on March 13, 2017.

This case was investigated by the Federal Bureau of Investigation - Fort Myers Office, the State of Florida’s Department of Financial Services Division of Insurance Frauds - Fort Myers Office, the Internal Revenue Service - Criminal Investigation in Fort Myers, and U.S. Immigration and Customs Enforcement’s Homeland Security Investigations, Fort Myers. Assistance was also provided by the National Insurance Crime Bureau, the Florida Highway Patrol, the Florida Department of Health, Florida’s Agency for Health Care Administration, and the State Attorneys’ Offices for the 13th and 19th Judicial Circuits. The following insurance companies also assisted in the case: Travelers, Nationwide, Bristol West, Esurance, Windhaven, Farmers, Direct General, Allstate, State Farm, Progressive, Geico, Infinity, and Foremost. It was prosecuted by Assistant United States Attorneys Charles D. Schmitz and David G. Lazarus.