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You are at: Home nav1 Consumer fraud nav1 Medical Insurance Scams

Medical Insurance Scams

Phony insurers take the money and run when the biggest medical fees are due



A warning is going out about an insurance scam so widespread it's leaving hundreds of thousands of unsuspecting Americans with hundreds of millions of dollars in unpaid bills.

Most of us have never heard of this scam, but it can potentially leave you bankrupt. What is happening has become one of the largest insurance scams out there: Unlicensed companies posing as real insurers. They take your premiums and pay one or two small bills, and then disappear when the big claims arrive.

The policies themselves are counterfeit, they look like and sound like an ordinary insurance contract, but alas they are fake. The names sound real, too: Employers Mutual, TRG Marketing. These companies are two of the largest fake insurance companies that states are going after. The incidence of phony insurance policies is on the rise yearly.

In fact, the most recent government investigation finds more than 200,000 consumers were left with $252 million in unpaid claims over just a two year period. State governments have thousands investigations and are working to shut them down and prosecute those responsible.


How to protect yourself from phony medical insurers

"The best cure is a large dose of prevention," said James Quiggle, Coalition Against Insurance Fraud. People need be skeptical of any policy that is really inexpensive or offers easy sign-up despite a pre-existing condition. And watch out for companies that refer to coverage as "stop-loss insurance."

"Consumers will have to be very careful when they're offered a deal that seems too good to be true," said James Quiggle, Coalition Against Insurance Fraud.


And the number one thing to do that few of us have done: Call your state insurance Commission to confirm the policy is legitimate.

Officials warn these fake insurance companies generally will start off by actually paying a small claim here and there to throw members off. Then, they continue to pocket premiums until they get nabbed for not paying larger claims.





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