Federal Employee Health Benefit Plan
Health Insurance companies Blue Cross Blue Shield, Cigna, Humana, Kaiser Permanente, and United Healthcare have purposefully defrauded the Federal Employee Health Benefit Plan (FEHB) in order to get profits for their shareholders. What is the FEHB? The FEHB was established by the Federal Employee Health Benefits Act (P.L. 86-382) was enacted in 1959 and was specifically created to provide health insurance benefits for federal employees, annuitants, and dependents. The plan is administered by the Office of Personnel Management’s Healthcare and Insurance Office. The provisions of the Federal Employees Health Benefits Act are implemented by the Office of Personnel Management through regulations codified in Chapter 1, Part 890 of Title 5 CFR. These specific provisions state that health insurance coverage is provided through contracts with health insurance carriers who provide service benefits, indemnity benefits, or comprehensive medical services. Unfortunately, insurance carriers have defrauded this program on purpose in order to get profits for their shareholders.
Federal Employee Health Benefit Plan Fraud
Blue Cross Blue Shield
$1,515,898 (August 2001 – OPM)
$975,000 (May 2007 – OPM Audit)
$1,806, 296 (March 2010 – OPM)
$4,237,986 (July 2010 – OPM)
$9,560,516 (October 2010 – OPM)
$81,307 (June 2012 – OPM Audit Report)
$631,605 (July 2012 – OPM)
$143,406 (August 2012 – OPM Audit Report)
$689,762 (August 2012 – OPM Audit Report)
Total – $19,641,776
Cigna
$19,100,000 (May 2001 -OPM Final Audit Report)
Humana
$208,502 (May 2011 -OPM Final Audit Report)
$595,346 (November 2011 – OPM Final Audit Report)
$788,247 (December 2008 – OPM Final Audit)
Total – $1,592,095
Kaiser Permanente Foundation Health Plan
$23,212,726 (August 2001 -OPM Final Audit Report)
United Healthcare
87,300,000 (April 2002 – OPM Final Audit Report)
$281,542 (January 2011 – OPM Final Audit Report)
Total – $87,581, 542
Total Fraud by Insurance Companies - $151,128,139
Federal Employee Health Benefit Plan Fraud by Felonious Health Insurance Companies
Over the past decade, health insurers have defrauded the Federal Employee Health Benefit Plan by $151,128,000 on purpose in order to get profit for their executives and shareholders. Blue Cross Blue Shield was fined the most at $19,641,776. 8% of what Blue Cross Blue Shield defrauded happened in 2012. You can expect the insurance companies to defraud even more out of the federal government in the upcoming days and years. The U.S. government must put a stop to this felonious behavior if they wish to protect the health benefits of their employees. For more information on this, please visit the website of the Office of Personnel Management.
