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Health Plan Embezzlement & Fraud: Prevention, Detection & Response Strategies for Plan Sponsors and Fiduciaries

ABA JOINT COMMITTEE ON EMPLOYEE BENEFITS  • DATE: April 5, 2011
SPONSORS: The Sections of Business Law; Health Law; Labor and Employment Law; Real Property, Trust and Estate Law; Taxation; Tort Trial and Insurance Practice; and the American College of Employee Benefits Counsel

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Untitled Document

A 90-minute TeleConference
TUESDAY, APRIL 5, 2011

1:00-2:30 pm ET / 12:00-1:30 pm CT / 11:00 am-12:30 pm MT / 10:00 am-11:30 am PT

Moderator:
Joni L. Andrioff, Deloitte Tax LLP, Chicago, IL

Panelists:
Paul T. Harger, Criminal Coordinator, U.S. Department of Labor, EBSA, Dallas, TX
Bruce Ruud, Bruce Ruud & Associates, LLC, Dallas, TX
Cynthia Marcotte Stamer, Cynthia Marcotte Stamer, PC, Addison, TX

Recent criminal fraud indictments against health care plan service providers highlight the need for plan sponsors and fiduciaries to develop a strategy for combating health care plan fraud. Plan sponsors and fiduciaries - and their legal counsel - must determine “best practices” for credentialing and monitoring service providers, and responding to potential health care fraud or other misconduct by a plan sponsor, fiduciary, service provider and their employees. This program will discuss:

  • Identifying the potential for embezzlement and plan asset misuse, fraudulent multiple employer health plan products, and other selected fiduciary and service provider misconduct;
  • Ensuring ERISA bonding and other fiduciary responsibility requirements essential in preventing, detecting and addressing health care fraud by plan sponsors, fiduciaries, service providers and their employees;
  • Contracting, credentialing, monitoring, auditing and other risk management practices that minimize these exposures;
  • Communicating and working with the Departments of Labor and Justice in investigations and redress of health care fraud.


   
Health Plan Embezzelment & Fraud
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