T18CFR371 Selective Law Enforcement

U.S.Attorneys allow Federal Hospital Insurance Fraud in Michigan & Ohio

Selective Law Enforcement - Federal Beneficiaries in Michigan and Ohio have been denied civil and criminal rights for due process of law by U.S.Attorneys and Other Law Enforcement Officials regarding the SAME issues/crimes that DOJ wrote about at the web site below:

RE: http://www.usdoj.gov/opa/pr/2003/June/03_civ_386.htm

LARGEST HEALTH CARE FRAUD CASE IN U.S. HISTORY SETTLED

HCA INVESTIGATION NETS RECORD TOTAL OF $1.7 BILLION

This settlement marks the conclusion of the most comprehensive health care fraud investigation ever undertaken by the Justice Department, working with the Departments of Health and Human Services and Defense, the Office of Personnel Management and the states. The settlement announced today resolves HCA's [ HCA Inc. formerly known as Columbia/HCA ] civil liability for false claims resulting from a variety of allegedly unlawful practices, including cost report fraud and the payment of kickbacks to physicians.

---------Enclosed: evidence showing Law Enforcement Officials ( as noted above ) allowing and concealing IDENTICAL Fraudulent Insurance Acts against American Citizens in Michigan and Ohio by Federal HMO Hospital Insurance Service Contract Provider - Health Alliance Plan Detroit Michigan - Region V CMS.

Retired OPM FEHBP ' Federal Beneficiaries ' have been paying for 'Hospital Extended Care Benefits'/Services, that has NOT been available to them [ consumer fraud ] since the ' 1998 DHHS OIG Health Care Fraud & Abuse CONTROL/Volentary Disclousure Program ', was created to defraud them of that benefit [ T42CFR409.33 Federal Hospital Insurance Benefits ] by criminal enactment of DHHS T42CFR417 anti-dumping violation/automatic denial of Federal ( HMO ) Hospital Insurance Benefts ' grievance procedures/misprison of T18CFR24Crimes, to force illegal HCFA State Medicaid kickback conversion - eligibility / Poor.

Criminal Resource Manual 983 Guidelines for Implementation of the Health Care Fraud and Abuse Control Program -- Part Three <<http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00983.htm>>

983 Guidelines for Implementation of the Health Care Fraud and Abuse Control Program

1998 -- The Health Care Fraud and Abuse Control Account would be established as an expenditure account within the Federal Hospital Insurance (HI) Trust Fund.

TITLE 42--PUBLIC HEALTH CHAPTER IV -[ HCFA ]-HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF [ DHHS ] HEALTH AND HUMAN SERVICES PART 409--HOSPITAL INSURANCE BENEFITS--Table of Contents Subpart D-[ Federal ]-Requirements for Coverage of Posthospital SNF Care Sec. 409.33 Examples of skilled nursing and rehabilitation services.

The Health Care Financing Administration ( HCFA ) administers the Medicaid

program. Authorized under Title XIX of the Social Security Act.

The Anti-Dumping Statute [ Hospital Insurance Fraud DHHS T42CFR417 anti-dumping violation for illegal HCFA Medicaid kickback conversions ] is Enforced Jointly by the Health Care Financing Administration [ HCFA ] and the Office of Inspector General [ OIG ] of the [ DHHS ] U.S. Department of Health and Human Services (HHS).

DATED: November 24, 1998

_______/s/______________________

[ DHHS ] Inspector General

DATED: November 24, 1998

_______/s/_______________________

Nancy-Ann Min DeParle

[ HCFA ] Administrator, Health Care Financing Administration

1. Separate and apart from the anti-dumping statute, in accordance with sections 1857(g), 1876(i)(6), 1903(m)(5) and 1932(e) of the Social Security Act, the OIG (acting on behalf of the Secretary) has the authority to impose intermediate sanctions against Medicare and Medicaid contracting managed care plans that fail to provide [ DHHS & Federal HMO T42CFR417 criminal denial of covered Hospital Insurance Benefits/Services ] medically necessary services, including emergency services, to enrollees where the failure adversely affects (or has a substantial likelihood of adversely affecting) the enrollee. Medicare and Medicaid managed care plans that fail to comply with the above provision are subject to civil money penalties of up to $25,000 for each denial of medically necessary services.

Health Care Fraud Victims: Department of Justice prosecutors ( U.S.Attorneys ) and investigators ( Office of Inspector Generals/FBI etal ) shall ensure that 'victims rights' and services under federal statutes and administrative guidelines will be enforced for the benefit of victims of health care fraud, including provisions concerning notice to victims about case and offender status, appropriate consultation with victims, advocacy of restitution for victims, and enforcement of restitution awards for victims by the government.

CITE- 18 USC Sec. 1518 01/02/01-EXPCITE- TITLE 18 - CRIMES AND CRIMINAL PROCEDURE PART I - CRIMES CHAPTER 73 - OBSTRUCTION OF JUSTICE-HEAD- Sec. 1518. Obstruction of criminal investigations of health care offenses -STATUTE

1998 -- HEALTH CARE FRAUD AND ABUSE CONTROL PROGRAM [ subject to prosecution ], under the Joint Direction [ T18CFR371-illegal agreement to induce forfiture of existing federal Hospital Insurance Benefits DHHS T42CFR417 Anti-dumping violation ] of the ATTORNEY GENERAL and the Secretary of [ DHHS ] the Department of Health and Human Services (HHS)(1), acting through the Department's [ OIG ] Inspector General (HHS/OIG), Designed [ HMO Grievance Procedure T42CFR417 criminal denial of covered Hospital Insurance claims to force illegal HCFA Medicaid kickback conversions/Volentary Disclousure/SELF-Audit Program T18CFR4Crime ] to coordinate Federal, State and Local Law Enforcement activities [ misprison of a felony / defrauding federal health insurance programs OPM FEHBP CITE: 5CFR890.105 ] With Respect to ( Claims ) Health Care Fraud and Abuse. Misprison of a felony T18CFR24CRIME.

The Federal HMO Programs affected by DHHS T42CFR417/T18CFR286 Hospital Insurance - Fraud by Fright / White Collar Crime - resulting in death by criminal denial of covered T42sec409.33/posthospital extended care Claims - are:

TRICARE (including coverage provided by the Uniformed Services Family Health Plan)

The criminal liability of individuals [ Law Enforcement Officials ] through whom the entity [ Federal [ OPM FEHBP etal ] HMO Contractors & thier affiliates ] committed its acts [ Hospital Insurance Fraud T42CFR417 Anti-dumping Violation ] should be investigated and should be resolved separately from the entity's liability. Public Official Criminal Misconduct/Consumer fraud/etal.

The Region V HCFA [ Chicago ] office had a record high 940 new MSP cases filed in 1998. Contributing to this were PARTNERSHIP Arrangements with [ Federal HMO T42CFR417 Hospital Dumping ] Contractors and U.S. Attorneys [ T18CFR1518 - T18CFR286 - T18CFR371 ] in Michigan and Ohio........

1999 OPM FEHBP - Federal HMO Hospital Service Contract Provider - Health Alliance Plan Detroit [ Region V HCFA ] MI HAP PROVIDERS offers 2,596 personal care physicians (PCP) and 4,901 specialists. HAP�s delivery system includes 45 hospitals [ inducing forfiture: T42sec417 w/DHHS Federal HMO Service: discharge procedures: Grievance Procedure/denial of Existing OPM Insurance -administrative Fraud by Fright - dumping ] in southeast Michigan and the Flint area, including 23 major hospital networks [ robbing the Elderly of 401k's and savings accounts to Force Medicaid kickback Conversions -eligibility/Poor ], 65 urgent care centers and 765 ancillary providers: Hospital Affiliate Nursing Homes [ Criminally Billing OPM FEHB for criminally Denied ( T42CFR409.33 Posthospital Care ) 'COVERED' Claims CITE: 5CFR890.105, for HCFA Medicaid kickback conversions ],mental health facilities, optical providers, laboratories, durable medical equipment providers,ambulance services and Pharmacy Chains

Illegal Agreement to induce forfiture: Michigan Law Requires YOU [ Federally Entitled Hospitalized Individual ] to complete an internal review with your health plan [ DHHS T42CFR417 Anti-dumping/Anti-kickback Violation - Federal Hospital Insurance Fraud & Abuse - & OPM 5CFR890.105 Illegal agreement to induce forfiture T18CFR371 for illegal State Medicaid kickback conversions/'grievance procedure' - misprison of a felony T18CFR286 ] prior to using the external review. The health plan will give you a final decision within 45 days and will provide an Office of Financial and Insurance Services ( OFIS ) Health Care Request for external review form. If your health plan does not provide a decision within the required time frame, you may [ be dead - by criminal denial and termination of posthospital extended care services/benefits, misprison of a felony T42CFR417 grievance procedure/actual commission of a felony - used to Force illegal HCFA medicaid kickback conversions ] file for External Review without the notice of final adverse determination.

According to the Detroit News, Between 1999 & 2001 Michigan's Medicaid clientele ballooned [ DHHS T42sec417 induced forfiture of existing federal hospital insurance benefits for illegal Mediciad kickback conversions ] to 1.25 million from 1 million, at a cost of approximately $6,000 on each Medicaid Reciepent.

The Detroit News stated according to Paul Rienhart " a Medicaid Expert " in

The State Budget Office of Michigan, says

[ OFIS ] Medicaid consumed 8% of Michigan's General Funds in 1998.

[ OFIS ] Medicaid will consume 32 % of the General Fund budget by 2004.

Title 18 US Code section 286 Conspiracy to defraud the Government With RESPECT to CLAIMS - WHOEVER enters into any agreement, combination, or conspiracy to defraud the United States, or any department or agency thereof, by obtaining or aiding to obtain the payment or ALLOWANCE of any false, fictitious or fraudulent claim, shall be fined under this title or imprisoned not more than 10 years, or BOTH.

Violation Of Civil and Criminal Rights - illegal denial of covered claims to force illegal kickback conversions:

DHHS OIG News Release 21 October 1998

Volentary Disclousure of Health Care Fraud <~ T18CFR371 illegal aggreement ( SELF-Audit )

For Immediate Release Contact: ��Judy Holtz (202) 619-0893

Wednesday, October 21,1998 ��.Ben St.John (202) 619-1028

The ( DHHS OIG ) Department of Health and Human Services�s Office of Inspector General ( OIG ) today unveiled an expanded and simplified Program For [ Federal HMO Hospital Insurance Contract ] Health Care Providers to 'volentarily report' [ misprison of a felony / T42CFR417 ] Fraudulent Conduct ( Hospital Insurance Fraud DHHS T42sec417 CRIME ) Affecting Medicare, Medicaid and other [ OPM FEHBP et al ] Federal health care programs.

Unlike the piolet program,which was only available to �certain� ( Federal ) health care providers in a few STATES and had strict eligibility requirements, the New Program is OPEN TO ALL ( Federal ) providers NATIONWIDE under signaficantly Relaxed Requirements ( misprison of felony/T42CFR417 ) for ( Health Care fraud ) participation.

NOW ALL ( Federal ) health care Providers Doing Business with Medicare, Medicaid,or Other Federal health care programs [ OPM FEHBP / TRICARE / CHAMPVA / etal ] that � Want to � disclose Violations of Law [ Title18CFR24Crime ] are eligible for acceptance into The [ National - Health Care Fraud & Abuse -illegal agreement to induce forfiture T42CFR417 Control ] Program. The [ Federal ( OPM FEHBP ) HMO Contractor ] Provider will have the option of doing 'SELF-audit' [ DHHS T42CFR417 Anti-dumping violation ] in conformance 'with OIG' [ defrauding federal health insurance programs with respect to claims: OPM FEHBP 5CFR890.105: criminal denial of COVERED Claims T18CFR371 to FORCE illegal HCFA State Medicaid kickback conversions ]

http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00923.htm

Government/Grievance/Inquiry Unit -T42sec417 commission/misprison of a felony - Hospital Insurance Fraud resulting in death as threatened

DHHS HMO Hospital Insurance Fraud resulting in death ( 2 weeks ) as threatened by DHHS Employee Below:

Name : MARLA KAY RUHANA

Address : Saint Clair Shores, MI 480813719 United States

Profession and License/Registration Information

Profession : Social Workers Type : Certified Social Worker

Permanent ID # Status Issue Date Expiration Date

6801067035 Active 05/14/1993 04/30/2004

Complaint(s) Open Formal Complaints None - T42CFR417 Hospital Insurance Fraud resulting in death as threatened/murder of OPM FEHBP beneficiary for refusing to defraud HCFA Medicaid for services allready COVERED T42CFR409.33 under a Federal Health Care Program.

Disciplinary Action(s) Disciplinary Action Date of Action None / ABOVE THE LAW

1999 RULES & REGULATIONS Part IV DHHS OIG 42 CFR Part 1001 . Federal Health care Programs: ( OPM FEHBP ) . Fraud & Abuse Anti Kickback Statutes Sect 1128B(b) of the Social Security Act provides criminal penalties for individuals [ DHHS employees ] or entities [ Federal HMO employees ] that knowingly & willfully [ DHHS & Federal HMO T42CFR417 Anti-dumping Violation ] offer [ illegal medicaid application ], pay, solicit [ illegal medicaid application ], or recieve renumeration to induce [ DHHS inducing forfiture Existing OPM FEHBP Hospital Insurance T42CFR417 for criminal HCFA Medicaid kickback conversions ] the referral of business reimbursable under a Federal Health Care Program ( including Medicare & HCFA Medicaid ). Section 2 of the Medicare and Medicaid Patient & Program Protection Act of 1987 ( MMPPPA )

[ OFIS ] Michigan Insurance Bureau

Criminal Complaint # 31302-001

Cindy Mielock , Kristie Tabor - Federal HMO defrauding the Government with Respect to Claims.

Federal HMO Employee

Jeanette H. Girty, Manager

Government/Grievance/Inquiry Unit -T42sec417 commission/misprison of a felony

Member Services Department

Health Alliance Plan - Federal HMO - Region V HCFA Michigan

2850 West Grand Blvd

Detroit Michigan 48202

[CITE: 42CFR438.704] Federal OPM FEHB beneficiaries are Not 'Entitled' to STATE Medicaid for Services ALLready Covered T42sec409.33 under a Federal Health Care Program - dumping/Kickback Fraud - Felony

To - State of Michigan Insurance Bureau - Public Employee: Kristie Tabor:

Federal HMO Employee - Jeanette H. Girty Quote --- " Prior To ( OPM FEHBP ) Mrs.Ruperts discharge ( Hospital Transfer ) the Social Worker ( DHHS Employee - Marla Ruhana ) Department at Bon Secours Hospital was also Consulted for Discharge Planning ( criminal enactment of T42sec417 DHHS Federal HMO service: Grievance Procedures: automatic Denial of Existing Federal HMO Hospital Insurance Services - conspiracy to defraud the government - HCFA Medicaid and OPM FEHB Programs - With Respect to Claims - OFIS T18CFR286Crime. ) from the Hospital.

Ms.Rupert's [ OPM FEHBP ] spouce Was Provided With Instructions regarding the [ DENIED Covered CLAIM T5CFR890.105 misrepresentation/denial of existing Hospital Extended Care Benefit/Services T42CFR409.33 ] Extended Care and also information in regards to Applying for MEDICAID for his wife. [ Medicaid False Claims Act - $50,000 Felony to apply for services allready covered T42sec409.33 under a federal health care program - DHHS & HMO Employees - criminal termination of the Federal OPM HMO Policy - in 2 weeks ]. Marla Ruhana, the ( DHHS Employee ) Social Worker did advise ( Threats and Intimidations ) Mr.Rupert that HAP ( Federal HMO ) does Not Cover 'LONG TERM CARE' ( Retired OPM FEHBP Hospital Dumping Victim is Terminally Ill ) at an Extended Care Facility. " ......" After a two week stay ( in a Medicaid Bed Ward ),the ( Covered OPM FEHBP ) Husband STILL refused to apply for ( HCFA kickback ) Medicaid ".

The Retired Hospitalized, terminally ill, OPM FEHBP [ 'Long Term Care' ] Dumping Victim, was killed as threatened/murder T42sec417 ( 2 weeks ) for refusing to defraud State HCFA Medicaid - No Law Enforcement to Date.

Subj: Alexandra Rupert - Retired OPM FEHB - DHHS & HMO Hospital Dumping Victim

Date: 9/6/00 2:45:32 PM Eastern Daylight Time

From: IETHOMAS@opm.gov (Thomas, Imogene E)

To: SpiritDancerMita@aol.com

CC: kstbylite1@aol.com

I received a response from Jeanette Girty at ( Federal HMO Michigan ) Health Alliance Plan regarding your mother Alexandra Rupert's Denied ( T42CFR417 ) CLAIM. Ms. Girty informed me that They ( Federal HMO ) resolved this case ( DHHS OIG -1998 federal contractor 'volentary disclousure/SELF-Audit Program' T18CFR371 ) long ago. HAP paid the additonal days and sent the approval letter to you in Marysville, MI on May 21, 1999. You also sent in a complaint letter to the [ OFIS Insurance Bureau 'criminal complaint' #31302-001 March 2000 Cindy Mielock , Kristie Tabor et al ] Michigan Insurance Bureau in March of this year regarding [ DHHS Hospital Insurance Fraud -Dumping of Elderly for illegal HCFA Medicaid Kickback Conversions ] the same thing as well as some alleged Quality Issues [ OPM FEHBP killed during the commission of a felony T42CFR417 Hospital Insurance Fraud ]. They also investigated [ T18CFR371 misprison of a felony T42CFR417 fraud by fright/white collar crime ] the QA issues and responded to you. Ms. Girty said HAP [ OPM FEHBP Hospital Insurance Service Contract Provider ] had Not received an itemized bill for the additional three days so they sent you another letter reminding you of the approval and Asked YOU to FORWARD the itemized BILL to them. [ Criminally billing covered individuals/Felony,to force Medicaid eligibility/poor - kickbacks ] As of today, they have not received this information. HAP need the information (the itemized bill) [ to conceal Hospital Insurance Fraud resulting in death of Retired FEHB ] for proof of payment. HAP [ Federal HMO T42sec417 SELF-Audit with OIG T18CFR371 ] considers this case [ murder ] resolved and closed. Any questions let me know.

Health Benefits Contracts Specialist - CITE: 5CFR890.105 misprison of a felony

Office of Insurance Programs

Insurance Contracts Division III, Branch II

Read the October 2006 Health and Human Services (HHS) Office of Inspector General report on [ HCFA ] Medicaid payments for [ MI OFIS kickbacks ] deceased beneficiaries

18 USC Sec. 24 01/02/01-EXPCITE- TITLE 18 - CRIMES AND CRIMINAL PROCEDURE PART I - CRIMES CHAPTER 1 - GENERAL PROVISIONS-HEAD- Sec. 24. Definitions relating to Federal health care offense-STATUTE-

THE MEDICAID FALSE CLAIM ACT (EXCERPT)Act 72 of 1977

400.603 Application for, or Determining Rights to, medicaid benefits; false statement or false representation of material facts; concealing or failing to disclose certain events; felony; penalty. [M.S.A. 16.614(3) ] ............. CITE: DHHS T42CFR417 Anti-dumping violation and OPM T5CFR890.105 - Criminal DENIAL of COVERED Claims to Force illegal HCFA Medicaid Kickback Conversions - misprison of a felony ' grievance procedures '.

The Federal Bureau of Investigation has been directed to furnish both the Fraud Section of the Criminal Division and the Commercial Litigation Branch of the Civil Division with copies of all reports in all Matters Involving Fraud Against the Government [ DHHS T42CFR417 Hospital Anti-dumping Violation/T18Felony and OPM 5CFR890.105 criminal Denial of Covered Claims/T18Felony- to Force criminal State HCFA/CMS Medicaid Kickback Conversions. 1998 DHHS OIG Volentary Disclousure / Self-Audit Program T18CFR371Crime ], or bribery or conflict of interest INVOLVING a PUBLIC EMPLOYEE. Other federal investigative agencies are required to forward similar reports of investigation to the Branch Director or appropriate United States Attorney.

Date: 12/21/2002 7:21:46 AM Eastern Standard Time

From: sioc fbi.gov (FBI Internet Tips)

To: KstbyLite1 aol.com

Thank you for your submission to the FBI Internet Tip Line regarding the [ OPM Federal Hospital Insurance ( fraud ) Service Provider ] Health Alliance. After evaluating your information it is our determination that your situation IS one in which the FBI investigates, however your situation cannot be handled by the FBIHQ Internet Team.

Subj: question regarding making a police report - State Police - MI Homeland Security

Date: 12/28/2002 10:36:05 AM Eastern Standard Time

To: devlinb1@michigan.gov

I went to the Michigan State Police Post in Richmond Michigan in January 2002 to file a complaint against State of Michigan Employees allowing Hospital Insurance Fraud ( T18CFR286Crime ) being committed by Health Alliance Plan Detroit.

The Richmond Post refused to allow me to make a police report or submitt my evidence.

Date: 2/5/2003 3:19:49 AM Eastern Standard Time

From: sioc@fbi.gov (FBI Internet Tips) Reply-to: sioc@fbi.gov <mailto:sioc@fbi.gov> To: Kstbylite1@aol.com

Thank you for taking the time to submit your information to the FBI via the FBI.Gov Web site. It is being evaluated at this time by one of my Agents, and will be forwarded to the appropriate FBI component, as appropriate. If they are not responding to your emails try calling Detroit FBI at 313-965-2323.

David N. Rushing/rwh

Supervisory Special Agent

The OIG has jurisdiction over all [ criminal ] complaints of misconduct against Department of Justice Employees [ T18CFR371 Misprison of a felony ], including the Federal Bureau of Investigation; Drug Enforcement Administration; Federal Bureau of Prisons; U.S. Marshals Service; Bureau of Alcohol, Tobacco, Firearms, and Explosives; United States Attorneys Offices; and employees who work in other Divisions or Offices in the Department of Justice. ( The one exception is that allegations of misconduct involving Department ATTORNEYS that arise from their AUTHORITY TO INVESTIGATE, litigate, or provide legal advice are the responsibility of the Department's Office of Professional Responsibility.)

Subj: RE: HHS OIG Hotline Web Submission - 1998 AG & OIG Volentary Disclousure /SELF-Audit Program - misprison of a felony/ T18CFR371 /1999 beneficiary outreach program.

Date: 2/13/2003 10:29:22 AM Eastern Standard Time

From: hhstips@oig.hhs.gov (Tips, HHS)

To: Kstbylite1@aol.com

This is in response to your email of February 5, 2003, regarding the [ Denied DHHS T42CFR417 ] health care coverage [ Federal HMO Region V HCFA ] for your deceased [ OPM FEHBP ] mother.

Although WE ACKNOWLEDGE that you have SERIOUS CONCERNS [ Hospital DHHS Workers conducting HMO Hospital Insurance Fraud - T42CFR417 Anti-dumping and Anti-kickback violations Against Retired FEHBP to Force criminal HCFA Medicaid kickback conversions/DHHS OIG Volentary Disclousure Program ], it is our judgment that the issues do Not fall under the Jurisdiction of the Office of Inspector General.

Since your mother was a [ Retired ] Federal Employee [ Covered Individual ], her FEHB would have been administered by the the Office of Personnel Management (OPM). If you contend that her FEHB [ Federal HMO Contractor ] insurer failed to [ Supply -DHHS T42CFR417 Federal HMO Service - DENIAL of Existing OPM FEHBP Hospital Insurance Benefits ] pay for contracted services, OPM would be the proper agency to handle ( SELF-audit CITE: 5CFR890.105 criminal denial of COVERED Claims ) your ( Criminal ) complaint.

Inspector General's Hotline - [ OIG illegal agreement to induce forfiture 'Volentary Disclousure Program', of Existing OPM FEHBP federal insurance for criminal HCFA Medicaid kickback conversions T18CFR371Crime ].

CALL THE HEALTH CARE FRAUD HOTLINE

The United States Office of Personnel Management

Office of the Inspector General Fraud Hotline

1900 E Street, NW, Room 6400

Washington, DC 20415

OPM FEHBP [CITE: 5CFR185.104] PROGRAM FRAUD Sec. 185.104 Investigation. (d) Nothing in this section modifies any Responsibility of an Investigating Official ( OIG ) to Report Violations of Criminal Law [ DHHS Anti-dumping & Anti-Kickback Violations T42CFR417 Against Retired 'Entitled' Federal Beneficiaries w/OPM FEHBP employees CITE: 5CFR890.105 ( criminal denial of covered claims ) forcing criminal HCFA Medicaid kickback conversions ] to the U.S.Attorney General.

Office of Inspector General - Misprison of a felony T42sec417 Hospital Insurance Fraud

Office of Personnel Management - CITE: 5CFR890.105 criminal Denial of Covered Claims

Joseph Frech Investigator - T18CFR371 illegal agreement w/U.S.Attorney General to defraud Federal Programs T18CFR286 allowing felony HMO Hospital Dumping

" Your only recorse is to file suite against the Office of Personnel Management in Federal Court. "

Department of Attorney General - T18CFR371 w/DHHS OIG & U.S.Attorneys

This is to acknowledge your e-mail of April 15,2003, reguarding your ( Criminal ) complaint against ( OFIS T18CFR286Crime ) Health Alliance. [ DHHS Anti-dumping and Anti-Kickback violations against Federal HMO Beneficiaries, to force criminal Medicaid kickback conversions - Felony ]

The Office of Financial and Insurance Services ( OFIS ) is the State Agency Responsible for regulating insurance companies doing business in the State of Michigan and investigating matters involving insurance companies and policy holders. I am, therefore, sending your letter to OFIS [ OFIS employees are being reported for Aiding and Abetting felony HMO Fraud against Retired OPM FEHBP Covered Individuals - federal racketeering ] so they can investigate the matter, and I am requesting them to contact you directly regarding thier findings.

Thank you for bringing this matter [ Public Corruption ] to my attention.

c: Consumer Services

Office of Financial and Insurance Services

Subj: MI Civil Rights Dept. 285032 - T18CFR371 illegal agreement/Medicaid Kickback Conversions

Date: 12/2/2003 10:42:57 AM Eastern Standard Time

From: BlairJ michigan.gov To: manifestdreams aol.com

Sent from the Internet (Details)

Thank you for your e-mail correspondence on November 18, 2003.

As you were notified in April and August 2002, this department is unable to assist you ( T18CFR371Crime ) with your concern ( Hospital Insurance Fraud targeting Retired Federal Employee HMO Health Beneficiaries ). If you have not already done so, I encourage you to contact the Michigan Insurance Bureau (OFIS/T18CFR371Crime/misprison of federal Hospital Insurance fraud ).

Joan Blair, Reconsideration Team Manager 313/456-3827

Subj: RE: Request for Complaint Referral

Date: 3/18/2004 1:41:40 PM Eastern Standard Time

From: referrals@usccr.gov

To: SpiritDancerMita@aol.com

Sent from the Internet (Details)

The United States Commission on Civil Rights recently received your correspondence.

We assist the many people who write to us alleging discrimination on the basis of race, sex, age, disability, national origin or religion by forwarding their complaints to the appropriate civil rights enforcement agency.

After carefully reviewing your correspondence, we find that it does not contain allegations that may be forwarded to an enforcement agency.

We are therefore returning your correspondence and regret that we cannot assist you [ 1998 U.S. Attorney General and Office of Inspector General illegal agreement to induce forfiture ' Health care fraud and Abuse Control/Volentary Disclousure Program'- Consumer Fraud / criminal denial of existing federal insurance for illegal kickback conversions into other federal programs ] further.

Assistant Staff Director

of Civil Rights Evaluation

Subject: FBI Response

Date: 5/26/2004 10:26:33 AM Eastern Daylight Time

From: tips11@fbi.gov

To: LawISAmootIssue@aol.com

Sent from the Internet (Details)

THIS IS NOT AN AUTOMATED RESPONSE

Thank you for your submission to the FBI Internet

Tip Line. After a careful evaluation of your

information, it is our determination that your

complaint should be reported to your Local Law

Enforcement authorities or District Attorney's

office. If you wish pursue legal matters against

the hospital you should contact an attorney.

LOCAL LAW ENFORCEMENT: Government/Grievance/Inquiry Unit -T42sec417 illegal agreement Misprison of a felony / Federal Hospital Insurance fraud

Michigan Attorney General - health care fraud division # 2002-04-0925 - Mike Cox / Jennifer Granholm <~ Former U.S.Attorney / Current Governor

Health Care Fraud Division # 99-05-1034 January 2000 Linda Damer

Insurance Bureau [ OFIS ] #31302-001 March 2000 Cindy Mielock , Kristie Tabor

Liscensing Division #68-99-3073-00 april 1999 Cynthia Samuel - victim still living

Bureau of Health Systems #990759 april 1999 Mary Duncan - victim still living

ACE Eastern District Ellen Christensen USAO refused to investigate 2001 - T18CFR286/T18CFR371.

Subj: Re: Health Alliance ( Hospital ) Insurance Fraud - DHHS T42CFR417

Date: 2/21/2003 5:07:41 PM Eastern Standard Time

From: senator@stabenow.senate.gov (Senator Debbie Stabenow)

To: kstbylite1@aol.com

. . for contacting me about ( OPM FEHBP ) insurance & Medicaid ( kickback ) fraud committed by ( Federal HMO ) Health Alliance Plan. I appreciate that you have taken the time to communicate your views and concerns with me. ( T18CFR1518 Obstruction of justice ). I understand your concern about this issue. Should related legislation ( medicare drug plan November 2003 ) come before the U.S. Senate for a vote, I will keep your views in mind,

and share your thoughts on this issue with my colleagues who serve on the

Health, Education, Labor and Pensions Committee.

Thank you again for contacting me. Please feel free to contact me

whenever I can be of assistance to you or your family.

United States Senator

Criminal Resource Manual 923 18 U.S.C. 371 -- Conspiracy to Defraud the U.S.

http://www.usdoj.gov/usao/eousa/foia_reading_room/usam/title9/crm00923.htm

White Collar Crime, /Section 371. Both offenses require the traditional elements of Section 371 conspiracy, including an illegal agreement, criminal intent, and proof of an overt act.

The OIG is an 'Independent Entity Within' [ white collar criminals ] the Department of Justice that reports to both the Attorney General and Congress on issues that affect the Department's personnel or operations.

Department of Justice Mission Statement

To enforce the law and defend the interests of the United States according to the law; to ensure public safety against threats foreign and domestic; to provide Federal leadership in preventing and controlling crime; to seek just punishment for those guilty of unlawful behavior; to administer and enforce the Nation's immigration laws fairly and effectively; and to ensure fair and impartial administration of justice for All Americans.

IAIP redacted 8Jun04.indd S.C. Section 552, as amended. Preface The Department of Homeland Security (DHS) Office of Inspector General (OIG) was established by the Homeland Security Act of 2002 (Public Law 107-296) by amendment to the Inspector General Act of 1978.

Section 1001 of the USA Patriot Act, signed into law by the President on October 26, 2001, directs the Inspector General [ misprison of felony federal health care offences ] to review information and receive complaints alleging abuses of Civil Rights and civil liberties BY Department of Justice employees.

Subj: RE: abuse of civil rights by justice employees

Date: 12/13/2002 8:54:30 AM Eastern Standard Time

From: Inspector.General@usdoj.gov (General, Inspector)

To: Kstbylite1@aol.com ('Kstbylite1@aol.com')

The purpose of this letter is to acknowledge receipt of your Internet submission dated October 31, 2002. The matters that you raised have been reviewed by the staff of the Investigations Division, Office of the Inspector General.

The primary investigative responsibilities of this office are:

� Allegations of criminal, as well as non-criminal, misconduct committed by U.S. Department of Justice Employees and Contractors; and

� Waste and abuse by high ranking Department officials, or that affects major programs and operations.

This Office does not have jurisdiction in the matter you described.

Section 1001 of the USA Patriot Act, signed into law by President Bush on October 26, 2001

OPM FEHBP - TITLE 5 [CITE: 5CFR185.104] PROGRAM FRAUD Sec. 185.104 Investigation. (d) Nothing in this section modifies any Responsibility of an Investigating Official to Report Violations of Criminal Law [ Anti-dumping & Anti-Kickback Violation Against Retired 'Entitled' Federal Beneficiaries CITE: 5CFR890.105 ] to the U.S.Attorney General.

Therefore, your complaint has been forwarded to:

Office of Personnel Management

Office of the Inspector General

Washington, D.C. 20415

Office of Inspector General - Misprison of a felony - T42CFR417 ' grievance service ' Hospital Insurance Fraud

Office of Personnel Management - CITE: 5CFR890.105 criminal denial of Covered Claims

Joseph Frech investigator - illegal agreement w/U.S.Attorney General & HCFA/DHHS OIG Volentary Disclousure / Self-Audit / misprison of a felony - Program