Criminal Enforcement

:: Failure To Remit Health Insurance Premiums Punishable Under 18 U.S.C. 664

Failure to remit withheld wages for health insurance premiums can lead to several serious consequences for the plan fiduciaries.    The  criminal prosecution of this conduct typically occurs under 18 U.S.C. 664. The elements of a Section 664 embezzlement claim include: (1) the unauthorized; (2) taking or appropriation; (3) of union benefit plan funds; (4) …

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:: Resource On False Claims Act & Qui Tam Claims

There are a number of federal criminal, civil and administrative enforcement provisions set forth in the Medicare statutes which are aimed at preventing fraudulent conduct, including hospice fraud, and which help maintain program integrity and compliance. Some of the more prominent enforcement provisions of the Medicare statutes include the following: 42 U.S.C. § 1320a-7b (Criminal …

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