Fraudulent Oakland County marriage license leads to jail sentence

In February 2007, Blue Cross Blue Shield of Michigan received information on its Anti-Fraud Hotline that a subscriber submitted a false marriage license to his employer. This allowed the employee to add his girlfriend to his insurance plan in January 2004.

An investigation uncovered irregularities including a marriage license dated in 2002, but a marriage certificate dated in 2001. Marriage certificates are not issued until after a marriage license has been issued.

Additionally, the typed lines on the marriage license were slanted, indicating it had been altered. The marriage license was examined by the Oakland County Clerk's office who confirmed the license was false.

A review of the couple's medical claims from 2004 through 2007 showed the Blues paid $29,974.04 as a result of the scheme.

The case was presented to the Oakland County prosecutor who issued charges against both individuals for health care fraud and conspiracy to commit health care fraud.

The employee is currently a fugitive, while his former girlfriend was arrested and pleaded guilty in Oakland County Circuit Court. She was sentenced to 183 days in jail and ordered to pay back the full amount.

Members who suspect health care fraud are urged to call our Anti-Fraud Hotline at 1-800-482-3787, or report fraud through our website.

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