People v. Podgurski CA4/1

CourtCalifornia Court of Appeal
DecidedAugust 14, 2015
DocketD064114
StatusUnpublished

This text of People v. Podgurski CA4/1 (People v. Podgurski CA4/1) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Podgurski CA4/1, (Cal. Ct. App. 2015).

Opinion

Filed 8/14/15 P. v. Podgurski CA4/1 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

THE PEOPLE, D064114

Plaintiff and Respondent,

v. (Super. Ct. No. SCD227563)

WANDA PODGURSKI,

Defendant and Appellant.

APPEAL from a judgment of the Superior Court of San Diego County, Howard H.

Shore, Judge. Affirmed in part; reversed in part.

Robert E. Boyce, under appointment by the Court of Appeal, for Defendant and

Appellant.

Kamala D. Harris, Attorney General, Julie L. Garland, Assistant Attorney General,

Kevin Vienna and Heather F. Crawford, Deputy Attorneys General, for Plaintiff and

Respondent.

A jury found defendant and appellant Wanda Podgurski guilty of 29 counts of

insurance fraud. The jury found true that in the commission of the offenses (i) defendant took funds and/or property of another in excess of $100,000, within the meaning of Penal

Code1 sections 1203.045, subdivision (a) and 186.11, subdivision (a)(1); (ii) the

aggregate losses to the victims from all counts exceeded $200,000 within the meaning of

section 12022.6, subdivision (a)(2); and (iii) defendant, in the commission of two or more

related felonies a material element of which was fraud and embezzlement and which

involved a pattern of related felony conduct, took more than $500,000 within the

meaning of section 186.11, subdivision (a)(2). The court sentenced defendant in absentia

to 20 years four months in state prison, after defendant failed to appear at sentencing.

Defendant on appeal raises a series of contentions including (1) prosecutorial

misconduct; (2) sentencing error; (3) failure to prosecute within the applicable statute of

limitations; and (4) insufficiency of the evidence on certain counts.

As we explain, because on this record we cannot determine whether counts 1-3 are

time-barred under the applicable statute of limitations, we reverse defendant's conviction

with respect to these counts only and remand the matter to the trial court to determine

after hearing both (i) when the prosecution of counts 1-3 commenced and, depending on

the outcome of that issue, (ii) whether in fact counts 1-3 were time-barred as defendant

contends. If the court determines counts 1-3 were timely commenced, it then can

reinstate defendant's conviction on these counts. In all other respects, the judgment of

conviction is affirmed.

1 All further statutory references are to the Penal Code. 2 BACKGROUND2

A. Disability Claims

In October 1980, defendant began working as a reservations and information clerk

for Amtrak. In 1983, she purchased three disability insurance policies from Balboa

Insurance (Balboa). In February 1986, defendant purchased a disability income policy

from Reassure American Life Insurance (Reassure). About two months later, defendant

filed her first disability claim with Reassure. In 2008, Reassure had paid defendant about

$123,000 on this policy. Defendant was disabled under the Reassure policy for about 13

of the 22 years it was in place (determined in 2008), or for about 59 percent of the time.3

Between 1996 and 2000, defendant took an unpaid medical leave from Amtrak

after claiming she had suffered a slip-and-fall injury outside of work. Defendant in June

1996 submitted a claim to Reassure that was paid through early September 1999.

Defendant returned to work for Amtrak in March 2000, but then took another leave of

absence about a year later.

In 2001, defendant claimed she fell in the shower. Defendant took a leave of

absence from Amtrak and filed disability claims with Reassure and Balboa. Over the

next three years, defendant received the maximum disability payments available under

both polices.

2 We view the evidence in the light most favorable to the judgment. (See People v. Osband (1996) 13 Cal.4th 622, 690.) Portions of the factual and procedural history related to certain of defendant's contentions are discussed post.

3 The record shows this number rose to 64 percent because Reassure paid plaintiff additional benefits after 2008. 3 Defendant in August 2004 returned to work at Amtrak. Although Amtrak did not

pay defendant while she was on medical leave between March 2001 and August 2004,

defendant did receive some payments from the Railroad Retirement Board. After

defendant returned to work, she again went out on medical leave for a nonwork-related

injury. The record shows defendant over the next year or two took several additional

medical leaves from Amtrak, until September 2006, when she went on leave and never

returned.

During this period of time, and in particular in April 2004, defendant told her

doctor that she was taking a Vitamin C collagen drink and no longer had any pain or

disability. A few days later, at defendant's request, her doctor provided defendant's

medical records to various long-term care insurance providers for the purpose of

obtaining such insurance. Defendant ultimately obtained long-term care insurance

policies with Prudential Insurance Company (Prudential), MetLife Insurance (MetLife),

Kanawha Healthcare Solutions (Kanawha) and Unum Insurance (Unum) (sometimes

collectively long-term care insurers).

Defendant filed for disability benefits as a result of an alleged August 16, 2006 fall

that she claimed left her unable to perform at least two activities of daily living.

Defendant sought benefits from Amtrak, Balboa, Reassure and her long-term care

insurers. During the course of this disability claim, defendant received nearly $700,000

in tax-free benefits, broken down as follows: Amtrak paid $7,410; Reassure paid

$32,430; Prudential paid $305,500; Kanawha paid $243,833; and MetLife paid $26,800.4

4 Unum denied defendant's claim in February 2007. After defendant appealed that decision and submitted additional documentation to support her disability claim, Unum 4 Defendant did not include her disability payments on her 2007, 2008 and 2009

state tax returns, which ultimately resulted in almost $60,000 in lost taxes for the

California Franchise Tax Board. Defendant signed these tax returns under penalty of

perjury.

In February 2007, defendant gave a statement to an insurance investigator

regarding her August 2006 claim. Defendant stated she was in the process of moving a

table outside when she allegedly tripped on a can of bug spray and fell down some steps.

The interview was played for the jury. As a result of the fall, defendant the next day

hired her cleaning lady, Kristen Ian, as her full-time "caregiver."

The record shows that despite claiming she needed a full-time caregiver and

claiming she was disabled as a result of the August 2006 fall, defendant did not see her

doctor until the end of August 2006 and even then, it was noted during that appointment

that defendant had no trouble walking, sitting or standing. An MRI showed defendant

had back arthritis and a pinched nerve.

Defendant's doctor in January 2007 ultimately withdrew as her primary care

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People v. Podgurski CA4/1, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-podgurski-ca41-calctapp-2015.