by Guest » Fri May 02, 2014 10:57 pm
Hypothetically speaking, you would have to have indisputable proof of fraudulent billing. Assuming I had that, I would approach the broker/IMO with my evidence and simply ask questions. Play dumb if you want.
"Mr. Broker, I'm not sure I understand this: Right here, we can clearly see you've billed Blue Cross for marketing that never happened. Why would a successful guy like you bill insurance carriers for work that was never performed? I wonder how the insurance companies would feel about this? I wonder if this is illegal/unethical/immoral? What should I do here?"
Some people are going to call this type of approach confrontational. Good God, we'd hate to hurt anyone's feelings - especially if they're ripping off insurance companies.
The chances of you finding a regulatory agency that'll take an interest in this sort of thing are slim at the very best. You might call he insurance company and see who'll chat with you about it.
It certainly seems as though your intentions are good and I applaud that. Good luck.
"Mr. Broker, I'm not sure I understand this: Right here, we can clearly see you've billed Blue Cross for marketing that never happened. Why would a successful guy like you bill insurance carriers for work that was never performed? I wonder how the insurance companies would feel about this? I wonder if this is illegal/unethical/immoral? What should I do here?"
Some people are going to call this type of approach confrontational. Good God, we'd hate to hurt anyone's feelings - especially if they're ripping off insurance companies.
The chances of you finding a regulatory agency that'll take an interest in this sort of thing are slim at the very best. You might call he insurance company and see who'll chat with you about it.
It certainly seems as though your intentions are good and I applaud that. Good luck.
Posted: Sat May 03, 2014 11:54 pm Post Subject:
Thanks for the input INvestigator,I appreciate it. So hypothetically if i had what I believe to be copies of invoices provided to the broker, who then submitted them to the Ins Companies, its your opinion the CA DOI investigators wouldnt pursue this? The amount of invoicing is quite substantial, deep into the six figures. I assume one would contact the SIU reps at the Companies affected?
Posted: Mon May 05, 2014 09:19 pm Post Subject:
Again, hypothetically speaking:
I doubt CDOI's investigators would give you anything more than a letter explaining why they can't/won't help.
I assume one would contact the SIU reps at the Companies affected?
I think that would be a great idea.
Posted: Tue May 06, 2014 01:45 pm Post Subject:
Hypothetically of course, if the indisputable documents were in hand and DOI had been contacted and commented that they wanted the whistleblower to come in and meet for an interview would you have any advice on how one would proceed with them? Would a Qui Tam suit be the logical course of action? Appreciate your comments Investigator.
Posted: Tue May 06, 2014 02:26 pm Post Subject:
If the DOI had been notified and asked the person holding the indisputable documents to come in for an interview, I think they should do exactly that. The False Claims Act would be a great option if there are substantial damages. Good idea. If you need a Qui Tam law firm, let me know.
Posted: Tue May 06, 2014 03:31 pm Post Subject:
Thanks again, can you provide the law firm info, seems it would be advisable to talk with them before the DOI or not?
Posted: Tue May 06, 2014 05:12 pm Post Subject:
I've been informed that I cannot refer law firms in this forum. Either send me an email, give me a call or Google Qui Tam and see what comes up.
Posted: Tue May 06, 2014 05:38 pm Post Subject:
Understood, will give you a call a bit later. Thanks
Posted: Wed Jul 24, 2019 10:30 am Post Subject:
Sex attacks involving dating apps building in number
The number of recorded sexual offences involving online dating sites and apps has almost doubled in the last four years, Police figures advise.
Offences where a dating site was said in a police report increased from 156 in 2015, To 286 last year, in figures from 23 of the 43 forces in England and Wales.
The figures reveal that between 2015 and 2018 have been a total of 2,029 recorded offences including sexual offences where an uniform dating website or app was mentioned in a police report.
throughout the 2015, 329 offences were taken, as compared with 658 recorded offences last year.
'They should double check'Victims told BBC's 5 Live Investigates more should be done by the companies operating the apps to prevent predators from using them to seek out victims.
They called on companies to ask for proof of ID documents and to carry out criminal background checks to prevent offenders from using dating apps to target victims.
Katherine henderson, 26, Was stabbed to death by Anthony Lowe in september 2017, Two months after they met on the site Plenty of Fish.
Ms Smith was stabbed 33 occasions when, having wounds to her back, body.
Lowe pleaded guilty to murder at Cardiff Crown Court last year and was jailed for in the 18 years.
His trial heard how Lowe faked his i. d to meet Ms Smith, Saying he was 10 years younger and also that his name was Tony Moore. He did not mention his illegal past.
Katherine's sister, Debbie, pointed out: "They should make sure people before they let them on to these sites, it's so easy.
"If Katherine had known he had a criminal background she wouldn't have gone out with him,
Ten million peopleThe National Police Chiefs' Council said firms have a social obligations to prevent abuse on their platforms.
"This would assist law enforcement officials to concentrate resources on offenders who pose the most harm to the most vulnerable in our society,
George Kidd, chief executive latina women dating of the Online Dating Association which represents some of the online dating and app companies, Said they are unable to do criminal records checks on users but do work with police and are committed to doing all they can to help keep people safe.
"A third of working relationships start this way and 10 million people use them in the UK. It's a part our social fabric, We want to celebrate it and be sure it's safe, he explained.
healthy Group, Which owns quite a few Fish, said it uses "Industry leading automated and manual moderation and review tools, Systems and processes and spends huge amount of money annually to prevent, Monitor and remove people who engage in unsuitable behaviour from our apps.
Posted: Wed Oct 16, 2019 08:16 am Post Subject:
Hacked emails show extent of foreign fed government donations to Clinton Foundation
A newly disclosed internal email about a potential $1million gift from the actual of Qatar to the Clinton Foundation is shedding light on how the charity dealt with donations from foreign governments during Hillary Clinton's time as secretary of state.
An ethics agreement with the national government placed certain limits on such contributions during her tenure. Diplomat by supporting the cornerstone that her husband started.
But that agreement did not stop donations from foreign governing bodies entirely. many advantages from governments that had given before Clinton took office were allowed, Provided those donations did not represent sturdy increases over past giving. Ally to, every now and then, sophisticated relations with the American government.
[Foreign governing bodies gave millions to foundation while Clinton was at State Dept.]
Seven region, specifically three Persian Gulf states, Donated sums of money to the Clinton Foundation when Hillary Clinton was secretary of state. (Bastien Inzaurralde/The oregon Post)
in an email sent to Clinton Foundation officials, The ambassador to Qatar requested a ending up in former president Bill Clinton in 2012, Apparently so that he could present a $1million check that Qatar had promised honoring Clinton's birthday in 2011.
Amitabh Desai, Who served as a foreign policy adviser to the first kind president, Wrote other administrators that he had met with the Qatari official. implementing Clinton's initials, Desai indicated that the ambassador had needed "and pay attention to WJC 'for five minutes' in NYC, to provide $1 million check that Qatar promised for WJC's birthday in 2011,
The email was first through Reuters. cleverness of orchestrating recent cyberhacks, periodically doctor or fake documents.
It is not clear whether Bill Clinton ever met with the ambassador or whether the state presented the check. But foundation officials have disclosed that Qatar donated to the Clinton Foundation in 2012 as part of a few gifts that have so far totaled between $1million and $5million.
The Clinton Foundation previously indicated that Qatar was one of seven foreign governments that made donations to the global philanthropy while Clinton was secretary of state. But the type of Qatar's giving during that time has not been previously known.
Craig Minassian, a basis spokesman, these, "due to 2002, Qatar has been among our record numbers of donors who have supported the Clinton Foundation's overall humanitarian work including making life saving HIV/AIDS treatment available to millions of people in more than 70 countries, Combating childhood obesity here in the world and working to empower girls and women around the world,
Although Qatar has been criticized for encroachment of human rights, It has also sought credibility in the west through philanthropy.
the government linked Qatari agency that is organizing the 2022 FIFA World Cup was also a sponsor of the Clinton Global hot ukrainian women Initiative in 2013, With the head of the committee appearing onstage with Bill Clinton to discuss efforts to help to improve agriculture and feed the hungry with technology designed to cool soccer stadiums.
The moment provided a bit of Clinton blessed legitimacy for the Qataris at a time when allegations were swirling that they had won the bid to host the World Cup through bribery. The Qataris consistently denied those allegations.
[As FIFA suggestions swirled, Clintons gave Qatar a stage and authenticity]
The 2008 ethics agreement had been hashed out by top aides for the president and Clinton Foundation officials. The agreement provided an avenue for the inspiration to accept donations from foreign governments that had never given before or were increasing the size of their donations. Those donations were to be submitted to the State Department for vetting. But State Department officials have said doing this was never used.
A foundation official indicated that Qatar's 2012 gift did not represent an increase in the nation's giving that required State Department approval.
The Clinton Foundation has acknowledged that it accepted one gift that should have been vetted and licensed by the State Department $500,000 from Algeria to assist Haiti after the distressing earthquake in 2010.
the cornerstone has said it will cease accepting donations from foreign governments or individuals and from corporations if Hillary Clinton is elected president. But your email, Hacked from the account of the Clinton marketing campaign's chairman, david Podesta, Show internal anxiety for months about whether ties to the building blocks could be politically problematic for the Democratic presidential nominee.
One message from 2014, Six months before the formal launch of Clinton's presidential campaign, Showed that her soon to be named campaign manager was already grappling with how to deal with Clinton's ties to the business.
"One question that is specific to the muse is whether it will still have and/or use her name next year, Robby Mook wrote to Clinton's longtime aide Cheryl Mills, Who also served as an adviser to the nonprofit charities. "Do do you know what their plan is for that,
Once called the William J. Clinton floor, the name was changed to the Bill, Hillary and Chelsea Clinton Foundation after Hillary Clinton stepped down as secretary of state in 2013 and joined the company's board. Hillary Clinton left the board when her voice message campaign began. Bill Clinton has indicated that he will leave the board as well if she is elected and the basement walls will go by the name "The Clinton cornerstone.
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