An insurance company did not follow applicable rules when setting rates, It also
failed to coordinate FEHBP benefits with those provided to Medicare eligible
annuitants and submitted statements to the Office of Personnel Management (OPM)
that failed to fully disclose rate adjustments due to FEHBP.
insurance company did not follow applicable rules when setting rates, it
charged for healthcare benefits under its Federal Employees health Benefits
Program (FEHBP) contracts, and failed to give the healthcare program the same
discounted rates it gave similarly situated commercial customers. It also
failed to coordinate FEHBP benefits with those provided to Medicare eligible
annuitants and submitted statements to the Office of Personnel Management (OPM)
that failed to fully disclose rate adjustments due to FEHBP.
Fraud
Waste
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