County sues coverage broker above “key” $250,000 commission


County sues insurance broker over "secret" $250,000 commission

Morris County, NJ has submitted a lawsuit against its former wellness insurance broker, saying that the broker experienced acknowledged an beneath-the-desk deal with the wellbeing provider it experienced recommended to county personnel.

The county’s grievance alleged broker Frenkel Advantages recognized a $254,000 kickback for referring the community office to a big insurance company. The criticism named Frenkel Advantages president Craig Hasday and two other business principals as defendants, even though the firm by itself was accused of civil conspiracy, common legislation fraud, customer fraud, unjust enrichment and breaches of contract and fiduciary responsibility.

Morristown Each day Document described that neither Hasday nor a representative of Frenkel has responded to requests for remark.

In March 2015, five of seven freeholders had voted to hire Frenkel to serve as the county’s insurance plan broker and consultant. Awarded a $125,000 contract, Frenkel was renewed two much more instances before the freeholders before this 12 months rehired its past broker, Brown & Brown.

Officials claimed that whilst Frenkel was serving as the county’s broker, Morris County workers abruptly experienced to switch healthcare vendors and negotiate new protection with Cigna. The lawsuit additional alleged that in 2016, Frenkel received a $235,000 fee from Cigna for enrolling the county’s health insurance coverage coverage with it.

Morris County also claimed that Frenkel obtained another $19,206 in commissions in 2017.

The lawsuit, which seeks financial and punitive damages, also said that Hasday had unsuccessful to notify the county of any commissions Frenkel gained, irrespective of publishing certification that promised transparency. The broker also unsuccessful to notify Cigna if the county had authorized the protection system.

“The defendants established a plan and artifice to defraud the county by inducing it to improve its employee wellbeing care coverage to Cigna so that the defendants would receive commissions of $235,000 for the period of time of Jan. 1, 2016 to Dec. 31, 2016, and $19,206 for the interval of Jan. 1, 2017 to Dec. 31, 2017,” the lawsuit claimed.

On major of the fraud rates, Morris County argued in its lawsuit that Frenkel failed to disclose other economical elements of the Cigna protection that expose the county to liability. By not disclosing the exposures, Frenkel could acquire “a monetary windfall,” officers mentioned.

 

Related stories:
Three indicted for decades-lengthy workers’ comp scam
Texas guy frauds TRICARE for extra than $50 million

 


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