Sambhal A sensational case has been exposed in the district that has shaken the foundation of both law and order and insurance sector. Police investigation has revealed that an organized gang used to go from village to village to search for people suffering from deadly diseases like cancer. These thugs used to insure the victims’ family in their name by pretending to be false insurance schemes and after death they would grab a heavy claim themselves.
Two masterminds arrested, but this is just the beginning
Sambhal police has given two notorious accused of this gang – Ankit Sharma And Sheelu – Arrested and sent behind bars. Both these accused had been carrying out such insurance fraud for a long time. Both are said to be residents of Babrala and Kailadevi towns.
Police opened net: 40 accused have been caught so far
ASP Anukreethy Sharma Has stated in the press conference that the wires of this inter -state gang are spread to several districts. So far, more than 40 accused have been arrested. The people involved in the gang used to reach their victims with the help of village head, Asha Bahu, Anganwadi workers and panchayat secretaries.
Case Study 1: Sunita Devi gets only 20 thousand, cheated 10 lakhs!
Bulandshahr resident of Bhimpur village of Bulandshahr district Sunita Devi When the complaint lodged, the whole matter was revealed. His husband Subhash Cancer died in 2024. Taking advantage of this, the accused gang took out an insurance claim of ₹ 10 lakh from ICICI Prudential in his name, in which Sunita was given only ₹ 20,000 and the remaining amount was grabbed.
Case Study 2: Insurance in Rukasar’s husband’s name, fake account opened and blown away
Second case is a resident of Pahasu region of Bulandshahr Rukasar Is of His husband Aslam After the death of the gang Fake account in Yash Bank in Anupshahar Opened and withdrawn the entire insurance amount itself. Rukasar had no information about this insurance.
The network spread from village power to bank
Investigation also revealed that this gang Bank employees, Insurance agents, Village heads And ASHA workers Was included till These people identify the cancer victims and confuse them in the name of the scheme and then collect identity cards and documents from them and prepare fake policy.
Used to hide the disease from insurance company, made fake medical records
The next step of these fraudsters was to keep the insurance company in the dark. Fake health declaration forms were filled by hiding a disease like cancer. After this, when the patient died, the gang would be ready and immediately claim it.
Police has dozens of complaints, estimates of cheating of more than 50 crores
According to the ASP, so far dozens of complaints have been revealed in cases related to insurance scam. Investigation agencies suspect that this gang has cheated more than ₹ 50 crore in the last 2 years. Investigation of fake claims made from different insurance companies has also been started.
Demand for cooperation from central government, ED and IRDA investigation possible
Since the matter has now taken the form of national level, Sambhal Police has given the insurance regulator of the Central Government IRDAI And Enforcement Directorate (ED) Have also informed. It is very possible that in the coming weeks, the National Investigation Agencies should take the investigation of this case in their hands.
Warning to the public: Do not give any documents in the name of cancer patients
The police have appealed to the common man not to give documents to any unknown person. If someone asks for information in the name of insurance or assistance scheme, immediately inform the police station.
Insurance companies were also brought on alert mode
All major insurance companies have been alerted in view of the case. Especially Icici prudential And Yash bank For example, after joining the names, the monitoring of the insurance process and the document verification has been tightened.
Warning is: Do not let death be made of profit
This insurance scam is not just a financial offense, but a murder of human sensibilities. While a family is losing a loved one, some people are counting money even on his death. Even though the back of this gang is broken by the activism of the police, it has already given a warning – now death is not safe either.
,Have you been a victim of any insurance scam? Share your experiences, and make others aware.
Government schemes were made tools of fraud, profiteering on diseases too!
After the insurance scam in the name of cancer patients in Sambhal district, now another shocking revelation has been revealed. Poor, seriously sick patients are being looted in the name of Ayushman Bharat and other government health schemes. Fake hospitals, gangs and brokers of doctors are running a system in which the patient’s disease is only on paper and the claim earns crores.
Fake hospitals disclosed: treatment without treatment, claims of millions
Police sources and health department investigations revealed that many fake hospitals showed a claim of lakhs of rupees in their name by showing cancer and kidney failure patients, while the patients never got treatment. Bills were made on the basis of only card swipes, fake recruitment and documents.
Asha and connivance of panchayat workers: commissions were found in lieu of documents
In this network, the role of Asha Bahu, Panchayat Secretary and village heads working at the ground level has also been revealed. He used to gather information of people suffering from serious diseases and give it to fake hospitals and took commission of ₹ 2,000 to ₹ 5,000 per patient.
The condition of patients is worse: neither got treatment, no money, upside down case
Patients who have this fraud in the name, later when they need the real benefit of the government scheme, then it is known that their card has already been ‘used’. In many cases, Ayushman health cards were made even to blacklist, due to which he could not get further treatment.
Fake medical record making factory: lab report, fake up to MRI
Investigations have revealed that some private diagnostic labs and doctors used to make fake medical reports in which the patient was told to be serious diseases like liver cancer, stage-3 brain tumor or heart blockage. On the basis of these papers, fake hospitals used to make claims of millions of rupees.
Private insurance agencies involved in the claim also under suspicion
Under Ayushman Bharat, many private insurance companies process treatment claims. Now the question has started to arise whether companies passed fake claims blindly? Or was they also involved in this trap? Several companies have started questioning and some officers have also been suspended.
Warning and suggestions to the general public:
का Do not inform your Ayushman card to any unknown hospital or agent
क्या Check on the portal before treatment what claims have been made on the card
क्या Before making a medical report, check whether the lab is registered or not
क्या Confirm the name of the name in any scheme from the Health Department or CSC
क्या Provide immediate information in your nearest police station or District Magistrate’s Office
Another gesture: The system is running within the system!
This case is not only of fake insurance claim, but is a mirror of the black truth hidden in the health sector of India where business is going on in the name of illness. The beneficiaries of government schemes have now become victims and fake network is earning profits.
The public now needs to be cautious not only by treatment, but also those who give treatment.
Has you or someone in your area cheated in the name of Ayushman Bharat Scheme? Tell us – so that the next fraud can stop.
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