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<classification authority="sudocs">GA 1.13:GAO-04-512T</classification>
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 <reportNumber>GAO-04-512T</reportNumber>
 <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: Unauthorized or Bogus Entities Have Exploited Employers and Individuals Seeking Affordable Coverage</title>
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<abstract>As health insurance premiums have risen at double-digit rates in
recent years, employers and individuals who have sought to	 
purchase more affordable coverage have fallen prey to certain	 
entities that may offer attractively priced premiums but do not  
fulfill the expectations of those buying health insurance. These 
unauthorized entities--also known as bogus entities or scams--may
not meet the financial and benefit requirements typically	 
associated with health insurance products or other arrangements  
that are authorized, licensed, and regulated by the states. This 
testimony is based on GAO&apos;s recent report Private Health	 
Insurance: Employers and Individuals Are Vulnerable to		 
Unauthorized or Bogus Entities Selling Coverage, GAO-04-312 (Feb.
27, 2004). In this testimony, GAO was asked to identify the	 
number of entities that operated from 2000 through 2002 and the  
number of employers and policyholders affected, approaches and	 
characteristics of these entities&apos; operations, and the actions	 
federal and state governments took against these entities. GAO	 
analyzed information obtained from the Department of Labor (DOL) 
and from a survey of insurance departments in the states;	 
interviewed officials at DOL and at insurance departments in	 
Colorado, Florida, Georgia, and Texas; and examined the 	 
operations of one of the largest entities--Employers Mutual, LLC</abstract>
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<identifier type="preferred citation">GAO-04-512T</identifier>
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<note>Testimony</note>
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<subject>
 <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 88 Page 829</partNumber>
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 <identifier type="Statute citation">88 Stat. 829</identifier>
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