Keeping An Eye Out For Health Insurance Fraud In Texas

Insurance fraud. It happens daily. There are atheir level best to avoid such circumstances, it can
number of bogus health insurance companies andstill happen. Worst of all, you could be on the hook
agents in Dallas, Houston or anywhere else infor a wide range of costs and expenses that you
Texas who will take your money and run. So,thought your insurance was covering.
before you purchase health insurance for yourThe typical health insurance scam moves pretty
employees or your business, make sure thefast. Scam agents flood the market to help
insurance company you're dealing with isgenerate as many quick sales as possible. Often,
legitimate. Start by checking your insurancepayments will be requested up front to help
agent's credentials to be sure he or she is licensedensure they get as much money as possible
to sell insurance in Texas.before they disappear. After the fake agents
An insurance scam artist may act without ahave reached their goal, they simply sit back and
license or use fictitious documents to appearwatch the monthly payments roll in. Then, just as
legitimate. The following information will providequickly as they appeared, they are gone, only to
what you need to make the right decision whenre-appear later under a new name and a new
purchasing health insurance for your business orscam. The individual or company may never know
individual employees. The scammers are out therethey've been duped until, after thousands of
just waiting for you to take the wrong step.dollars in premiums have been paid, they then try
Make sure you know what's waiting for youand file a claim.
before you get scammed out of a lot of money.It's important to know what to look for. Here are
In the last couple of years, the Texassome of the most common signs that an
Department of Insurance (TDI) has shut down 51insurance company may be a scammer:
agents and 10 companies for selling unauthorizedThey claim extremely low rates, or offer minimal
insurance. There are currently 376 openor no underwriting.
investigations against suspected unauthorizedThe health plan will accept almost anyone, including
insurance scams in Texas.those with pre-existing or serious illnesses.
The first thing is to check to see if a potentialThe plan claims to be federal, not state regulated.
company is authorized to sell insurance. Then(ERISA or union plans, for example)
check to see if your insurance agent or agency isSales pitches that avoid the word "insurance" or
licensed. If you fail to find your company orthe use of certain insurance terminology even
insurance agency, don't assume it's unauthorized.though it operates like insurance. For instance, it
Check with your agent for more information. Orpays "consultant fees" instead of commissions, or
verify by calling TDI's toll-free Consumer Helplinerefers to premiums as "contributions."
weekdays between 8 a.m. and 5 p.m. atThe product claims to be "fully funded," "fully
1-800-252-3439. Insurance company data isinsured," or "reinsured" but agents are not told the
usually updated at 7 a.m. each business day.name of the carrier insuring or underwriting the
Businesses, school districts and individuals areproduct.
bilked out of thousands of dollars each year bySometimes the path may seem clear and the
scam artists who misrepresent themselves aschoice easy, but in an effort to save money,
insurance agents. So, while the search forthere may be some things that aren't clearly
affordable health insurance can be a daunting task,visible at first glance. So how can you avoid the
don't blindly follow an agent. But did you know youscammers? Check out each insurance company
run the risk of purchasing a phony policy even ifand agent you deal with. It only takes a little
you work with a legitimate agent? At times, evenextra time, but the effort could possibly save you
experienced agents can unknowingly sell illegalheadache, heartache, and thousands of dollars
insurance products. Though honest agents will dodown the road.