Former Humana employees sentenced for role in $4M kickback scheme

Two former Humana employees have been sentenced to prison and ordered to pay $100,000 each in restitution and forfeit $900,000 each for their roles in a racketeering and bribery scheme, according to the Department of Justice.

Glen Allan Fine, a former regional sales director for Humana, and James E. Wenger, who previously worked as a sales manager for the health insurer, will each serve one year and one day in prison for their involvement in the scheme.

In 2013, the two defendants each pleaded guilty to taking kickbacks totaling more than $4 million while employed as part of Humana's sales and marketing division, according to the DOJ.

Mr. Fine admitted that he and Mr. Wenger agreed to send insurance agents, who wanted to sell Humana Medicare Advantage and Prescription Drug Plan products, to managing general agencies in exchange for payment. Both Mr. Fine and Mr. Wenger received approximately $2 million each for their participation in the scheme, according to the DOJ.

"These individuals used their positions at a Medicare contractor to demand kickbacks from insurance agents who wanted to market Medicare plans," said Derrick L. Jackson, special agent in charge of HHS' Office of Inspector General in Atlanta. "This type of crime harms the integrity of the program and will not be tolerated."

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5 recent False Claims Act, Anti-Kickback Statute and Stark Law settlements
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