The penalties for certain types of fraud are a class D felony. For example, any person who knowingly presents a false or fraudulent claim for the payment of benefits on a workers′ compensation claim, or any insurance company or self-insured employer refusing to comply with known and legally indisputable compensation obligations with intent to defraud. The following fraud cases are still regarded as a class A misdemeanor. These include, but are not limited to, to knowingly present multiple claims for the same occurrence with intent to defraud, to knowingly assist or conspire with any person who knowingly presents a false or fraudulent claim for the payment of benefits, to knowingly submit a claim for a health care benefit that was not used by or on behalf of the claimant, to knowingly make false or fraudulent statements with regard to entitlement to benefits with the intent to discourage an injured worker from making a legitimate claim. If a person has previously been found to be guilty or pled guilty to workers′ compensation fraud, and subsequently commits fraud, that person shall be guilty of a class C felony. If a person prepares or provides an invalid certificate of insurance as proof of workers′ compensation coverage the person is guilty of a class D felony and is liable to the state of Missouri for a fine up to ten thousand dollars or double the value of fraud, whichever is greater.
