Fraud and fiduciary liability.
All employee benefit plans are potential targets of fraudulent schemes. Smaller plans are targeted by unscrupulous brokers and promoters selling fraudulent policies; plans large enough to be self-insured face greater risks of fraud by providers and participants misrepresenting claims. Plan trustees, administrators and consultants should be alert to the many ways fraudulent schemes manifest themselves and to the legal remedies available; establish investigative programs to detect and discourage fraud; and promote education and plan incentives for participants to report fraud.
Hodge
Brian Ray
BR
Lacquer, Urban, Clifford and Hodge, LLP, Pasadena, California, USA.
D003416:Criminal Law; D019461:Employee Retirement Income Security Act; D005249:Fees and Charges; D005375:Financial Audit / Q000592:standards*; D005607:Fraud / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D006264:Health Benefit Plans, Employee / Q000191:economics* / Q000331:legislation & jurisprudence; D006777:Hospitals, Proprietary / Q000191:economics / Q000331:legislation & jurisprudence; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence; D016365:Liability, Legal; D040541:Marketing; D012456:Salaries and Fringe Benefits; D014481:United States