Maryland Insurance Fraud Case: Impact and Sentencing of Kanika Oni Boston

Maryland Attorney General Anthony G. Brown announced the sentencing of Kanika Oni Boston, 51, of Washington, D.C., for her involvement in significant insurance fraud activities. Convicted of a felony theft scheme and felony insurance fraud, Boston committed these violations while residing in Maryland, affecting both regulatory compliance requirements and market integrity.

The investigation, executed by the Office of the Attorney General’s Fraud and Corruption Unit and the Maryland Insurance Administration, revealed that Boston filed seven deceptive claims to National Teachers Association Life Insurance (NTALife) from 2016 to 2017. These AI-driven prior authorization delays lacked essential medical documentation, resulting in unwarranted payments of $106,100. From 2017 to 2021, Boston further exploited this system by presenting over 100 false claims to AFLAC using fabricated medical records, leading to payments surpassing $324,000, all without legitimate medical substantiation.

Judicial Outcomes and Industry Implications

Judge C. Philip Nichols Jr., presiding at the Prince George’s County Circuit Court, sentenced Boston to one year in jail starting January 13, 2026, followed by five years of unsupervised probation. A potential 19-year additional jail term looms if probation violations occur. Boston, who pled guilty, made full restitution to the insurance carriers, totaling $430,335.17.

This case illustrates the need for vigilant regulatory oversight and effective risk management strategies to protect the insurance industry from fraudulent activities. Both insurers and regulatory authorities must maintain a proactive stance in detecting and addressing insurance underwriting and claims fraud, ensuring the stability and trustworthiness of the market.