An individual accused of betrayal admitted altering data for up to 66 insurance policies, exploiting his position as head of the Life Underwriting team after paying 360,000 euros to an insurer. The fraud involved making relatives eligible for benefits, including an 87-year-old grandmother and a 4- and 8-year-old child in the family.
The prosecutor charged Ana GR with defrauding the company through a mutual arrangement with three other close relatives. It was claimed that these relatives did not know the full details of the facts involved.
According to records, the accused was diagnosed with pathological gambling in 2018, ten years after he began moving funds between policies and changing data to extend benefits to his own relatives. This timeline suggests a long pattern of manipulation tied to a gaming impulse that affected policy records.
One psychiatrist who evaluated the individual noted that the person could not control impulses and sometimes distorted reality, convinced that the money would somehow bring him back from the edge. The expert report supported a reduction in the sentence based on these insights.
Prior to the trial, prosecutors consulted the special prosecutor’s office, which represents the defense and insurer in the case, handled by the Chabaneix Lawyers office, to seek a compliance agreement.
The parties agreed to shorten the accused’s sentence from six years to two years in prison, acknowledging the gambling disorder as a mitigating factor and agreeing to repair the damage by returning the 360,000 euros involved in the fraud.
During court proceedings, the defendants admitted the facts and expressed remorse for their actions. A sentence established under the compliance agreement was issued, with the two-year prison term suspended pending compliance.
The prosecutor noted that the defendant held the role of head of the Life Insurance team with decision-making authority from November 27, 2008, to January 29, 2018, and had access to relevant computer systems.
In the course of its operations, Genesis 1+2+3 Policies marketed through Banco Santander instructed the insured to make periodic payments to obtain a final benefit, with coverage extending to risks as they arose.
These policies applied to insured individuals who paused premium payments, entering a so-called “reduced” state. When the policy expired, the insured would receive a reduced capital corresponding to the expiration date.
The case revealed that some minor beneficiaries did not claim any sums subsequently. The general policy conditions stated that, five years after expiration, the right to exercise any claim expired and the funds then became the insurer’s property.
Consequently, the defendant continued to seize these amounts by altering names, identification numbers, and current accounts of policyholders, including the data of direct relatives with only minimal changes. The assumption was that the computer system required the beneficiary to allocate the insured capital directly to themselves and to the other defendants.
Advanced systems and data indicated that these policies should be paid, and the defendant’s personal accounts, along with those of other defendants, were accessed. This activity occurred between November 27, 2008, and January 10, 2018, affecting a total of 66 policies with a cumulative value of 360,239.58 euros.
These findings underscore a sustained effort to exploit administrative controls and beneficiary data to divert funds, affecting both the insurer and the insured’s rightful beneficiaries. The actions were investigated by authorities and reviewed in court as part of the formal proceedings. [Source: Prosecutor’s Office]