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Fake Illness Insurance Scam Busted in Chiang Mai & Bangkok

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Pictures courtesy of Daily News

 

Economic crime police have dismantled a fraud network accused of forging medical certificates to claim health insurance payouts online. The group, known as the “fake illness” or puay thip gang, allegedly produced counterfeit documents for false medical claims, defrauding insurance companies of hundreds of thousands of baht. Three suspects were arrested in coordinated raids on 9 October in Chiang Mai’s Doi Saket district and in Bangkok.

 

The arrests followed an order by Police Major General Thasanapoom Charuprat, Commander of the Economic Crime Suppression Division (ECD), who directed Police Colonel Krit Woratat, Chief of the ECD’s 4th Subdivision, to lead the operation. Officers detained Mr Phai (29), Mr Saharat (47) and Ms Kulthida (41) under Criminal Court warrants on charges of fraud, document forgery and use of forged documents and making false insurance claims for unlawful gain.


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Investigations began in September after a health insurance company lodged a complaint with the ECD. The insurer discovered three fraudulent claims supported by falsified medical certificates, resulting in wrongful payouts. Police traced the documents to the same private hospital, leading to suspicions of organised criminal activity.

 

According to investigators, the group recruited individuals with active health insurance policies, persuading them to participate in the scam. Participants were taken to a cooperating clinic or private hospital to obtain forged medical certificates despite not being ill. The fake documents were then submitted via online insurance claim systems. Once payments were approved, the group split the insurance money evenly between members.

 

All three suspects confessed, admitting they were enticed by promises of easy money. They said their insurance premiums cost between 500–600 baht per year, with coverage up to 100,000 baht. Believing the risk was minimal, they agreed to submit false claims. Police have charged the trio and are pursuing others believed to be involved, including those connected to the clinic that issued the fake documents.

 

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Key Takeaways

 

• Police arrested three people in Chiang Mai and Bangkok for forging medical certificates to claim health insurance.

• The scam caused losses using fake online claims.

• Suspects admitted splitting proceeds from fraudulent payouts; more arrests are expected.

 

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image.png  Adapted by Asean Now from Dailynews 2025-10-11

 

 

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