Benefits Fraud: Who Really Pays?
BenefitsBenefits fraud is often viewed as a victimless crime, one that affects large insurance companies rather than individuals. However, this is not the case when you consider that an increase in benefit plan claims will result in an increase in your benefit rates. Also, if the claims usage is causing premium rates to increase, an employer may look at limiting or reducing the paramedical coverage (i.e., chiropractor, massage therapy, acupuncture, physiotherapy etc.) to help with cost containment. Benefits fraud can be as simple as a plan member submitting a claim for a massage they did not receive or increasing the dollar amount of the massage. It can also...