Insurance Frauds Forum

412i,419, lawsuits, IRS audits
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April 24, 2012 By Lance Wallach, CLU, CHFC
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419, 412i, plans are being audited by the IRS. Lawsuits are the result.
Dolan Media Newswires 01/22/
Small Business Retirement Plans Fuel Litigation

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?"

I'm taking a fraud class at college an for 10 points on my grade I need to write about committing the perfect insurance fraud. The teacher gave one clue and that is to go to another country where you can order up a dead body. I forgot the name of the country.

1) Is this fraud that when a service provider encourage clients to use insurance because they (the client) will has no out of pocket cost? The service provider is in NJ

2) Their published rate is $1,800 per week, which come out to be $360 per day, that's before any multiple weeks discount. However, they billed insurance company $850 per day and received $595 or 70%.

$595 is over 65% market over cash rate.

Is both fraud?

This is a MetLife policy through my daughters work place, Great Clips. She has health, dental and vision insurance through my work place as she is 24 years old and is covered until the age of 26. She told the agent this information. She also told the agent that she wanted NO insurance, everything the same as the year before. The agent had her sign the paper to waive the insurance (same as the years prior) and THEN the agent filled it out the paper work later and signed her up for disability, dental and vision.

I’m just fed up with telemarketer insurance brokers. Trust me I just survived a stroke because of these nasty people. They just screwed us up!! A few months back, about 7-8...I don’t remember clearly, my husband and I were looking for some health insurance plan on the internet.

After few days of the initial registration with a vendor, we were flooded with unwanted telemarketing calls but there was a lady who sounded legit and so we signed up with HPA insurance company and they just paid less than $100 when we wanted it the most after paying 12 times more than that.

My wife suffered personal injury (broken ribs, compressed vertebrae) as a result of an auto accident when another car pulled out of a parking lot into the road and we ran into it. My wife's condition did not improve after a year but got worse, and one of our doctors noted that she had a permanent injury and would never be able to lift heavy objects, walk long distances, etc. Despite this, the insurance company ordered an IME (independent medical evaluation).

This company is a scam. I bought storage rental insurance from them, paid my premiums and all. My storage unit got broken into by robbers cutting the lock off. They denied my claim because there was no sign of forced entry (as if cutting a lock isn't forced) We got in touch with them and I asked the claims manager straight up "so basically, you're a fraud insurance company. You make people pay their premiums just so you can deny them" and the guy said to me "haha yeah I guess so". I will never be doing business with them again and I suggest that nobody else does either.

My husband had a life insurance through his company. He left his job in September with his doctors advice after paying for the insurance for 20 years. He filled out papers in October to switch his policy to a single policy no longer under the company. Sadly two months later his was in a coma and died. While he was in the coma, i received a rejection notice from the life insurance policy. He could not do anything about this because he was in a coma. It seems that his company did not send some papers that they were suppose to send to enable us to get the new

See prior posts on Senior Healthcare Consultants (SHC) including mine.
This Federal and State Government Regulator investigation is in regards to
suspected violations of Consumer Protection Laws for Seniors and suspected violations of the Federal Fair Labor Standard's & Overtime Pay Acts as applies to employees including 1099 employees ie. Insurance Agents/Counselors. Also, in regard to loss commissions, inflated costs for charge-backs & leads, under payment of commissions, business expenses, skimming of commissions, breach of employment agreements, etc...