In a case that all other parts the company, especially the higher managers, have ignored the truth more than once, an intelligent whistleblower should immediately inform the government about the issue. If the brave one is too stubborn and wants to handle the matter internally, then what happens to Eileen Foster will repeat itself, the wise way is to solve the problem as quickly as possible, whether by internal approach or outside enforcement. Without irritating the leaders, an outside intervention can help before the issue explodes on itself, costs BofA and Countrywide at least $915.5 million to settle all cases. If Eileen Foster had handed in the suspicious activity report to the U.S. Treasury secretly instead of accuse ER for not conforming to ethical conduct, she can save her job for obvious reasons, fines from the government can be lower than $915.5 million as well, underlying logic is that the fraud problem is probably not as bad during earlier times, therefore the leaders will have the chance to make a better deal with the…
Insurance company reimbursement rates are seldom available to the public. Most patients are privy to these reimbursement rates only after their claim is processed. After reviewing the charge rates and reimbursement rates of Sutter Health, a system of not-for-profit hospitals and physician groups, disparities between hospital charges and disparities between insurance reimbursements were identified. The results revealed that a hospital charges different rates for the same procedures.…
Rosalyn Schwartz lost medical coverage she had previously held through her husband job after she divorced him. She had a pre-existing condition an ulcer. She tried to buy coverage but companies offered her unaffordable policies that excluded treatment for ulcers. Later on, she developed breast cancer. However, since she had no coverage she postponed its excision.…
The Human Resource’s Director as an T.B.Butler Publishing Company’s agent did not act legitimately within the scope of her duty but used the corporate power improperly “ conflict of interest-motivation-personal immaterial gain” . See Metcoff V. Lebovics, 123 Conn. App. 512, 521, 2 A 3d. 942, 948 (Conn. App Ct. 2010).…
Employers choose to self-insure because it allows them to save the profit margin that an insurance company adds to its premium for a fully-insured plan. Ideally Aetna would want everyone to be on fully-insured plans to maximize its profits. In fully-insured plans Aetna bears the actuarial/financial risk. In self-insured plans, employer pays Aetna a fixed administrative fees.…
Geico is one of the largest advertising companies to surface the business world. They are leaders in advertising spending in the U.S. Geico is one of the only companies that spends over one billion dollars on advertising annually. The ever-growing car insurance company built a brand and has set themselves apart from the rest in they way that they adversities. They have numerous television commercials, print,magazine, billboard and radio ad campaigns all going at once. Each featuring their famous slogan “15 minutes and save you 15% or more on car insurance”.…
What's the best age to buy long term care insurance? Answering that question can be difficult. First, we need to understand what is long term care and long term care insurance. Long term care insurance takes care of those individuals who live with disabilities and are in need of long term care.…
9. Laura’s allegations a. Fact: Laura found the shortfall and repayment, she reported to Robert Calloway, the Chair of the Audit Committee. Robert arranged a meeting with Tony and Doug to look in to Laura’s allegations. They lied and denied all the allegation and Robert believed them without investigation.…
Did you have access to Power chart or we just did it together with you? 2.We need to get data on patients insurance since that is the one marker of socioeconomic status we have. We might have to go through all patients so to retrieve that so we need original patient numbers . I hope Pev can get that. If Pev can not get power chart access we will have to do it with him for each site.…
Chip, Attached please find the declaration pages for the applicable insurance coverage pursuant to Plaintiff’s interrogatory #13. Both of the policies are underwritten by Navigators Specialty Insurance Company. The CGL police provides coverage for $2,000,000, and the excess/umbrella policy provides an additional $10,000,000 in coverage.…
Jennifer McNab of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Susan Iversen and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/24/16 I met Ms. Iversen at her home. She is alert and oriented.…
Mr. Harvey Stanton has a bit of a dilemma on his hands. He owns and founded The Stanton Title Insurance Company. He founded the business in 1964 and it has been going strong for some time now. Mr. Harvey has noticed a decline in the workload and work quality seen by five employees. On top of that, a competing firm has just opened a new location and is taking a good bit of Mr. Harvey’s business.…
Fiduciary duty refers to a legal obligation to act purely in the interests of another party. The party that owes the duty is known as the fiduciary, while the party to whom the duty is owed is known as the principal. The fiduciary is not allowed to benefit from this relationship unless the principal expressly consents to it. In addition, the fiduciary should not have any conflict of interest with the principal. Furthermore, in cases where the fiduciary has several principals, the fiduciary should make sure that is there is no conflict of interest between the principals (Cassidy, 2006, pp. 219).…
The task As an assistant manager of an insurance company my task is the prediction of which customers are potentially interested in a caravan insurance policy based on both socio-geographic and personalized data. For model building, data of 4000 customers and 86 variables, including the target variable was available. Also, give an explanation why these customers would buy the caravan insurance company. Make my insights useful and action in order to report it to my boss with no prior knowledge of computational learning technology.…
Case 11.1: Accounting/Finance Ethics Scenarios Main Ethical Issue(s) Financial professionals are often confronted with fiduciary issues which challenge their integrity, honesty, and ability to be transparent with stockholders and customers. They may be pressured to make decisions or participate in accounting practices that are clearly against company policy, financial or accounting rules, regulations, and code of ethics. In all three scenarios, employees are asked to make such decisions. Concepts and Theories Relevant to Case Economics and the bottom line are often the driving force behind decisions that are made within the organization.…