“Insurance fraud is not a victimless crime and impacts California businesses and consumers in a multitude of ways.  Investigating these crimes can be complicated and time consuming and I applaud the professionals who investigated this case and saw it through prosecution and sentencing.” – CSLEA President Alan Barcelona

NOVATO— On February 14, 2021, the California Department of Insurance announced that Carmen Hall Soruco, 70, and her husband Antonio Soruco, 75, both of Novato, were sentenced after pleading guilty to workers’ compensation fraud charges. Hall was sentenced on multiple felony counts to two years of probation with full search and seizure, 120 days in jail, and ordered to pay more than $925,000 in restitution to the State Compensation Insurance Fund (SCIF) and Employment Development Department (EDD). Soruco was sentenced to one year of probation with full search and seizure, 120 days in jail, and was also ordered to pay more than $925,000 in restitution to SCIF and EDD after pleading guilty to multiple misdemeanor charges.

The Department of Insurance began an investigation into Soruco Structures, a general contractor company, after a worker filed a Workers’ Compensation claim alleging to be injured on a job site while working. The business had not reported employees or payroll on their Workers’ Compensation policy until the claim was filed. Although Soruco Structures was licensed as a sole proprietorship under Carmen Hall Soruco, Antonio Soruco, Hall’s husband, also operated the business.

The investigation revealed Hall and Soruco committed Workers’ Compensation insurance premium fraud by failing to report employees and payroll to SCIF from October 15, 2013 through December 8, 2016. The investigation further revealed unreported payroll to SCIF, leading to a premium loss of approximately $585,666. Investigators also discovered Hall and Soruco committed payroll tax evasion by failing to report employees and payroll to California’s EDD from October 15, 2013 through February 6, 2019 which resulted in a payroll tax loss to EDD of approximately $342,405.

This case was prosecuted by the Marin County District Attorney’s Office.

“The Marin County District Attorney's Office will continue to partner with the California Department of Insurance to identify, investigate, and prosecute businesses who engage in workers' compensation premium fraud in order to gain an unfair advantage in their industry,” said Deputy District Attorney Sean Kensinger. “In this case, the insurance fraud was compounded by the defendants' failure to report almost $3.5 million in payroll to EDD. We are glad to see that they took responsibility early in the proceedings and can now begin repaying the significant loss to both State Compensation Insurance Fund as well as the State of California.”