Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor

Life Health > Health Insurance

Iowa Warns Agents Against Fraudulent Health Plans

X
Your article was successfully shared with the contacts you provided.

NU Online News Service, Sept. 10, 10:02 a.m. – Iowa Insurance Division has placed on its Web site a warning to health insurance agents to beware fraudulent small business health plans.

A number of states have recently reported encounters with entities claiming to be exempt from state insurance laws, the division says.

These plans, which claim to be exempt from state law under Employee Retirement Income Security Act, in fact meet the definition of Multiple Employer Welfare Arrangements under the employee retirement act which makes them subject to state insurance regulation, the division says.

Such plans often use insurance agents to market the coverage, the division says. Initially, claims are paid, but only for a short period of time, the division says.

The consumer is left with responsibility for payment of claims, and the agent can lose her license and face criminal prosecution, the division says.

Legitimate employee retirement act plans and union plans can be exempt from state insurance regulation, the division says. People selling fraudulent health plans try to fool agents and consumers by claiming their plan is exempt as well. However, legitimate plans of this nature are established by unions for their own members or by an employer for her own employees. In most cases, insurance agents do not sell them, the division says.


NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.