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<classification authority="sudocs">GA 1.13:GAO-04-312</classification>
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 <subject>Consumer protection</subject>
 <subject>Federal/state relations</subject>
 <subject>Fraud</subject>
 <subject>Health insurance</subject>
 <subject>Insurance companies</subject>
 <subject>Insurance regulation</subject>
 <subject>Medical expense claims</subject>
 <subject>Colorado</subject>
 <subject>Florida</subject>
 <subject>Georgia</subject>
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<titleInfo>
 <title>Private Health Insurance: Employers and Individuals Are Vulnerable to Unauthorized or Bogus Entities Selling Coverage</title>
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<abstract>Health insurance premiums have increased at double-digit rates
over the past few years. While searching for affordable options, 
some employers and individuals have purchased coverage from	 
certain entities that are not authorized by state insurance	 
departments to sell this coverage. Such unauthorized		 
entities--also sometimes referred to as bogus entities or	 
scams--may collect premiums and not pay some or all of the	 
legitimate medical claims filed by policyholders. GAO was asked  
to identify the number of these entities that operated from 2000 
through 2002, the number of employers and policyholders covered, 
the amount of unpaid claims, and the methods state and federal	 
governments employed to identify such entities and to stop and	 
prevent them from operating. GAO analyzed information on these	 
entities obtained from the Department of Labor (DOL) and from a  
survey of the 50 states and the District of Columbia. GAO also	 
interviewed officials at DOL headquarters, at three regional	 
offices, and at state insurance departments responsible for	 
investigating these entities in four states--Colorado, Florida,  
Georgia, and Texas.</abstract>
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 <topic>Consumer protection</topic>
 <topic>Federal/state relations</topic>
 <topic>Fraud</topic>
 <topic>Health insurance</topic>
 <topic>Insurance companies</topic>
 <topic>Insurance regulation</topic>
 <topic>Medical expense claims</topic>
 <topic>Colorado</topic>
 <topic>Florida</topic>
 <topic>Georgia</topic>
 <topic>Texas</topic>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 59 Page 33</partNumber>
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 <identifier type="Statute citation">59 Stat. 33</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 88 Page 829</partNumber>
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 <identifier type="Statute citation">88 Stat. 829</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 96 Page 2605</partNumber>
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 <identifier type="Statute citation">96 Stat. 2605</identifier>
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