堪萨斯州医疗公司Medova被没收约2300万美元:约7000名缴保费者获赔,未付医疗索赔达3200万美元

美国司法部堪萨斯区联邦检察官办公室10月28日宣布,该办公室资产没收部门已取得针对堪萨斯州医疗公司Medova Healthcare Financial Group及其负责人的资产没收令,追回约2300万美元,用于赔偿约7000名受害者,相关款项已于10月23日发放。受害者均为向Medova缴纳了保费的人。
据检察官办公室公布,Medova对外自称第三方管理公司,为企业及其员工提供一种名为level-funded的团体健康计划。该公司不仅没有支付投保人的医疗索赔,还把收到的保费挪作他用,包括供公司负责人个人使用。由于Medova拒付索赔,投保人反过来收到医疗服务机构的催款通知,没有能力支付的人陷入财务困境,部分人的账户被送交催收机构。
美国劳工部此前已对Medova、其子公司及负责人提起民事诉讼,法院指定了一名独立受托人接管医疗索赔的管理工作。该受托人的最终报告显示,Medova未支付的索赔与费用合计达3200万美元。本次民事没收案件在堪萨斯区联邦地区法院审理,案号为21-1092,没收所得款项即来自被没收的资产。
本案由美国劳工部雇员福利安全管理局负责调查,由堪萨斯区助理联邦检察官Annette Gurney代表美国政府承办诉讼。
Kansas Health Care Company Medova Forfeits About $23 Million as Roughly 7,000 Premium Payers Receive Compensation
The U.S. Attorney's Office for the District of Kansas announced on October 28 that its Asset Forfeiture Division has obtained an order against Kansas-based Medova Healthcare Financial Group and its principals, forfeiting millions of dollars in assets, and that approximately $23 million was recovered for about 7,000 victims. Payments derived from the forfeited assets were distributed on October 23, 2026. The victims are people who paid their premiums to Medova.
According to the U.S. Attorney's Office, Medova marketed itself as a third-party administrator and offered a level-funded group health plan for companies and their employees. Medova not only failed to pay health care claims but also diverted premium money elsewhere, including for the principals' own personal use. Because Medova failed to pay the claims, customers received payment demands from health care providers, causing financial strain for those without funds, and some customers had accounts sent to collections.
The Department of Labor previously filed a civil action against Medova, its subsidiaries and its principals, and the court appointed an independent fiduciary to take over administration of the health care claims. The fiduciary's final report indicated unpaid claims and expenses totaling $32 million. The civil forfeiture case, No. 21-1092, was filed in the U.S. District Court for the District of Kansas.
The case was investigated by the Department of Labor's Employee Benefits Security Administration and litigated by Assistant U.S. Attorney Annette Gurney of the District of Kansas.
来源:GSM·美国(原文链接)
图片来源:图:位于华盛顿特区的美国劳工部总部Frances Perkins Building(资料图)。本案由劳工部雇员福利安全管理局调查。图片来源:美国劳工部官方照片,CC BY 2.0,经Wikimedia Commons。 / Photo: The Frances Perkins Building, headquarters of the U.S. Department of Labor, in Washington, D.C. (file photo). The case was investigated by the Department of Labor's Employee Benefits Security Administration. Photo: U.S. Department of Labor, CC BY 2.0, via Wikimedia Commons.

