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November 1, 2004    DOL > EBSA > Focus On Health Care Fraud   

Focus On Health Care Fraud

How To Protect Your Employees When Purchasing Health Insurance - A fact sheet with tips employers can use when comparing benefits and costs of multiple insurance products.

What To Do If Your Health Coverage Can No Longer Pay Benefits - This fact sheet provides basic information regarding options consumers may have if health coverage can no longer pay benefits because of insolvency or fraud, causing the plan to file for bankruptcy or to go out of business.

Multiple Employer Welfare Arrangements Under ERISA (MEWA) - A booklet addressing many questions concerning the effect of ERISA on federal and state regulation of MEWAs.

MEWA Enforcement - The Labor Department has devoted significant resources to investigating and litigating issues connected with abusive MEWAs who sell the promise of inexpensive health benefit insurance, but default on their obligations.  Particular emphasis has been put on identifying ongoing abusive and fradulent MEWAs and working to shut down such operations.

Assistant Secretary Ann L. Combs Testifies Before the Senate Finance Committee - Focusing on insurance scams, and the effect they have on workers and their families, and on business owners who wish to provide health benefits.

Procedures for Administrative Hearings Regarding Plans Established or Maintained Pursuant to Collective Bargaining Agreements Under Section 3(40)(A) of ERISA - These regulations are intended to assist labor organizations, plan sponsors and state insurance departments in determining whether a plan is a ``multiple employer welfare arrangement'' within the meaning of section 3(40) of ERISA.

The Form M-1 Online Filing System is an electronic filing system for the Form M-1 annual report for multiple employer welfare arrangements.  The system allows filers to complete the form and submit it at no cost.  This system is an example of an E-Government initiative which uses improved technology to make it easier for citizens and businesses to interact with the government.

The ERISA Public Disclosure System is an internet-based application designed to facilitate the search and retrieval of Form M-1 filings. The Form M-1 is filed annually by MEWAs (Multiple Employer Welfare Arrangements) and ECEs (Entities Claiming Exception). Users can search by plan name, sponsor name, employer identification number (EIN), or the state of the MEWA headquarters or where coverage is offered by entering data in one or more fields. The search is most effective when data is entered into several fields. For more information and instructions on how to use the ERISA Public Disclosure System for the Form M-1 filings, at the bottom of the Form M-1 Search page, select EPDS User Manual. Copies of the Form M-1 filings are also available from EBSA’s Public Disclosure Room at 200 Constitution Avenue, NW, Room N-1513, Washington, DC 20210, or by calling 202.693.8673.

National Association of Insurance Commissioners - The NAIC Web site will help you find out information about the regulation of health insurance providers in your state.

Press Releases

  • Labor Department Sues Fiduciaries of Tulsa Health Arrangement Over Excessive Fees and Misrepresentations [03/01/04]

  • Labor Department Sues Executives of Indiana Marketing Firm for Failure to Prudently Manage Health Plan [10/30/03]

  • Nevada Court Enters $7.3 Million Judgment Against Principals of Employers Mutual [10/14/03]

  • Labor Department Obtains Decision Replacing Officials of New York Union Plan - Affects Workers in Pennsylvania and New Jersey [10/08/03]

  • New York Corporation and Owner Ordered to Restore $1.7 Million to Health and Welfare Plan [10/07/03]

  • Labor Department Sues Principals Of Florida-Based Health Plan Service Provider [06/24/03]

  • Labor Department Obtains Final Settlement of Lawsuit Against U.S. Alliance Fiduciaries [05/21/03]

  • Labor Department Settles Part of Its Lawsuit With U.S. Alliance Health Care Officials [10/25/02]

  • Labor Department Obtains Court Order Freezing Assets of Florida Health Plan [10/11/02]

  • Labor Department Secures Temporary Restraining Order Against Georgia Health Plan Operators [06/18/02]

  • Independent Fiduciary Appointed To Operate New York Health and Welfare Plan In Consent Order Obtained By Labor Department [05/17/02]

  • Nevada Court Freezes Assets of Health Associations And Principals of Employers Mutual [02/08/02]

  • SAI MED Health Plan Officials Barred From Serving ERISA Plans [01/04/02]

  • Labor Department Sues Trustee and Others for Diverting More Than $2.2 Million of New York Health and Welfare Plan [12/18/01]

  • Labor Department Sues Nevada Associations and Principals for Misusing Over $6 Million in Health Assets [12/13/01]

  • Labor Department Sues Alabama Association And Plan Official For $4.15 Million In Fees, Commissions And Loans [10/04/01]

  • Labor Department Obtains Court Order Freezing Assets of Several New York Health Providers [07/12/01]

  • Labor Department Seeks to Recover Over $1 Million from Defunct Maryland Health Provider [02/06/01]

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