Woman arrested for using former spouse's insurance after divorce
Sally thought it really didn’t matter if her ex-husband left her on his insurance contract after they were divorced. She couldn’t afford to purchase her own insurance, but Sally didn’t realize the high cost of that kind of thinking.
An anonymous caller contacted the Blue Cross Blue Shield of Michigan anti-fraud hotline and Corporate & Financial Investigations conducted an investigation. It revealed that Sally had used the member ID card after the divorce. We turned the matter over to law enforcement and they issued a warrant for Sally’s arrest.
The case later went to trial and Sally was convicted of insurance fraud, which is a four-year felony. The court also ordered her to pay about $6,000 in restitution.
Our anti-fraud hotline has gotten many calls over the years alerting us of subscribers who get divorced but fail to remove their former spouse from their contract. Blue Cross Blue Shield of Michigan subscribers must remember that following a divorce their former spouse isn't eligible for benefits under the subscriber’s contract. Ineligible dependents must be removed from the contract, too.
Subscribers, members, and even anonymous callers who suspect health care fraud should call our Anti-Fraud Hotline at 1-800-482-3787, or report fraud through our website.