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Latest post 05-09-2008 11:26 AM by Anonymous Citizen. 3 replies.
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  • 01-01-2001 12:00 AM

    2006 House Bill 6238 (Increase insurance fraud penalties )

    Introduced in the House on June 21, 2006, to double the penalty for insurance fraud, from four years in prison and a $50,000 fine to eight years and a $100,000 fine

    The vote was 100 in favor, 5 opposed and 2 not voting

    (House Roll Call 953 at House Journal 79)

    Click here to view bill details.
  • 06-29-2006 10:13 PM In reply to

    Insurance Companies

    What about making insurance companies pay fines for slow processing of paperwork and not making timely payments! Look at what Allstate got away with during the Katrina crisis. They use loopholes and fine print to abscond on payment.
  • 09-13-2006 11:20 AM In reply to

    Rep. Hood's "no vote explanation"

    Rep. Hood, having reserved the right to explain his protest against the passage of the bill, made the following statement: "Mr. Speaker and members of the House: I voted no on final passage of HB6238 because in Michigan a insurance company can not be held liable for any improper acts to the consumer. If we increase the penalties for consumers who act improperly, why shouldn't we have penalties for insurance companies that act improper. My amendment to do this was stripped from this bill."
  • 05-09-2008 11:26 AM In reply to

    HMO Fraud in Michigan Allowed

    Michigan Misconduct in Office . General Information: . About Crime Victim Rights in Michigan In 1985 the Crime Victims Rights Act created comprehensive rights of notification and participation in all stages of the criminal justice process for felony crime [ T18CFR24CRIMES ] victims in Michigan. . The Region 5 HCFA [ Chicago ] Office had a record high 940 new MSP cases filed in 1998. Contributing to this were PARTNERSHIP Arrangements with [ Federal HMO T42CFR417.1 ] Contractors and U.S. Attorneys in Michigan and Ohio........ . Federal HMO - Health Alliance Plan - Detroit, has been ALLOWED to conduct Federal Hospital Insurance ( dumping ) and HCFA State OFIS Medicaid ( kickback ) Fraud AGAINST the Citizens of Michigan, since 1999 - still pending T18CFR24CRIMES - 2008. . Federal Hospital Insurance Fraud . Michigan law requires you [ Federally Entitled Hospitalized Individual ] to complete an internal review with your health plan [ T42CFR417.1 Adverse Determination, grievance procedure: denial of COVERED CLaims: Anti-dumping /Anti-kickback Violation - Illegal agreement with Region 5 CMS to induce forfiture T18CFR371CRIME to force, fraud by fright, illegal HCFA State OFIS Medicaid kickback conversions - misprison of a felony T18CFR286CRIME ] prior to using the external review. The health plan will give you a final decision within 45 days and will provide an Office of Financial and Insurance Services ( OFIS ) Health Care Request for external review form. If your health plan does not provide a decision within the required time frame, you may file for External Review Without the Notice of Final [ T42CFR417.1 anti-dumping violation $25,000 Felony each denial ] Adverse Determination. T18CFR371Crime. . According to the Detroit News, Between 1999 & 2001 Michigan's Medicaid clientele ballooned [ DHHS T42sec417.1 induced forfiture of existing T42CFR409.33 federal hospital insurance benefits, to force illegal HCFA Medicaid kickback conversions ] to 1.25 million from 1 million, at a cost of approximately $6,000 on each Medicaid Reciepent. The Detroit News stated according to Paul Rienhart " a Medicaid Expert " in The State Budget Office of Michigan, says [ OFIS illegal agreement HCFA Region 5 CMS ] Medicaid consumed 8% of Michigan's General Funds in 1998. [ OFIS illegal agreement HCFA Region 5 CMS ] Medicaid will consume 32 % of the General Fund budget by 2004. . Government officials and employees are accountable to the citizens of the State of Michigan for the proper handling of public funds and are responsible for managing State resources effectively, efficiently, and economically. . Subj: MI Civil Rights Dept. 285032 Date: 12/2/2003 10:42:57 AM Eastern Standard Time From: BlairJ michigan.gov To: manifestdreams aol.com Sent from the Internet (Details) Dear Ms. Kimball, Thank you for your e-mail correspondence on November 18, 2003. As you were notified in April and August 2002, this department is unable to assist you with your concern. If you have not already done so, I encourage you to contact the Michigan Insurance Bureau. [ OFIS ] Sincerely, Joan Blair, Reconsideration Team Manager 313/456-3827 . State of Michigan Department of Attorney General P.O.Box 30212 Lansing, MI 48909 Mike Cox - R-MI Attorney General June 10, 2003 Dear Mrs. Kimball: This is to acknowledge your e-mail of April 15,2003, regarding your ( Criminal ) complaint against [ OFIS T18CFR286Crime and ] Health Alliance. [ State Liscensed DHHS employees enacting T42CFR417.1 adverse determination: Anti-dumping and Anti-Kickback violations against Federal HMO Beneficiaries, to force illegal HCFA State OFIS Medicaid kickback conversions - Felony ] The Office of Financial and Insurance Services ( OFIS ) is the State Agency Responsible for regulating insurance companies doing business in the State of Michigan and investigating matters involving insurance companies and policy holders. I am, therefore, sending your letter to OFIS [ OFIS employees are being reported for Aiding and Abetting felony HMO Fraud against Retired OPM FEHBP Covered Individuals - federal racketeering ] so they can [ T18CFR4Crime ] investigate the matter, and I am requesting them to contact you directly regarding their findings. Thank you for bringing this matter [ Public Corruption ] to my attention. Sincerely yours, Mike Cox Attorney General c: Consumer Services - T42CFR417.1 Public Fraud: T18CFR4Crime Intent to Harm Office of Financial and Insurance Services - T18CFR286Crime/T18CFR24CRIMES P.O.Box 30220 Lansing, MI 48909 ( 517) 373-0220 . 18 USC Sec. 24 01/02/01-EXPCITE- TITLE 18 - CRIMES AND CRIMINAL PROCEDURE PART I - CRIMES CHAPTER 1 - GENERAL PROVISIONS-HEAD- Sec. 24. Definitions relating to Federal health care offense-STATUTE . Sincerely, All ENTITLED Federal Employee Health Beneficiaries & the General Public who are being criminally denied DHHS T42CFR417.1 Existing Federal HMO Health Insurance Coverage, illegally billed for HMO denied covered claims and forced into HCFA State Medicaid Programs for the POOR. Title18CFR1001Crime. .
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