National Partnership of Insurance Brokers and its Former Subsidiary

The companies agreed to pay over 35 million to resolve the allegations. The settlement includes both civil damages and penalties. As part of the resolution, the companies also agreed to implement enhanced compliance measures and monitoring to prevent future violations of ACA enrollment rules.

Summary

The National Partnership of Insurance Brokers and its former subsidiary agreed to pay over 35 million to resolve allegations of an Affordable Care Act enrollment fraud scheme. The settlement addresses claims that the companies submitted false information to enroll individuals in ACA health plans to receive higher commissions.

Violation Details

The companies were accused of engaging in a scheme to fraudulently enroll individuals in ACA marketplace plans by submitting false information about applicants' incomes, residences, and other eligibility criteria. This allowed them to receive higher commissions from the government while potentially leaving consumers with inappropriate coverage or unexpected costs. The fraud violated the False Claims Act and other federal statutes governing ACA enrollment.

Outcome

The companies agreed to pay over 35 million to resolve the allegations. The settlement includes both civil damages and penalties. As part of the resolution, the companies also agreed to implement enhanced compliance measures and monitoring to prevent future violations of ACA enrollment rules.