People v. Allen
295 Mich. App. 277
| Mich. Ct. App. | 2011Background
- Allen pled guilty to attempting to commit prescription fraud under MCL 333.7407(l)(c); MCL 333.7407a(l).
- The trial court sentenced her under a sentencing agreement to one year of probation and ordered restitution of $5,753.88 to Blue Cross Blue Shield of Michigan.
- Allen used a fraudulent prescription that contained a legitimate Blue Cross contract number; the pharmacy alerted BCBS to the attempted purchase.
- Allen, as a vendor employee, had access to Blue Cross subscriber databases containing highly sensitive information.
- Burnett, BCBS field investigator, testified the investigation cost $5,738 and was longer and more complex because of Allen’s access to confidential information; the cost was calculated by 44 hours at $130.77 per hour.
- BCBS argued the investigation represents a direct financial loss because the time could have been spent on other claims or controlling premiums; the trial court agreed and ordered restitution.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether BCBS suffered a loss under CVRA from Allen's conduct. | Allen contends there was no loss; costs would have been incurred regardless. | Allen argues no direct financial harm from the crime. | No clear error; BCBS suffered a direct financial loss from the time spent investigating. |
Key Cases Cited
- People v. Gahan, 456 Mich 264 (1997) (restitution requires full compensation to victims; statutory interpretation applied de novo)
- People v. Akins, 259 Mich App 545 (2003) (standard for reviewing restitution findings; clear error standard)
- People v. Bemer, 286 Mich App 26 (2009) (statutory interpretation of restitution under CVRA)
- People v. Gubachy, 272 Mich App 706 (2006) (broad construction of 'course of conduct' and remedial nature of CVRA)
