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AARP Fraud Prevention 2011
Sponsored by the AARP Foundation and the Investor
Protection Trust Fund
Thank You for Allowing
Me to Talk With You
Today!

I am here today to provide you with information about four different
types of fraud

  Identity theft
 Charity fraud
 Investment fraud
 Health care fraud

Our mission is to provide you with good tools to avoid scams and
fraud; and to remove the stigma of reporting fraud




                                                                       AARP
Identity Theft


 Identity theft occurs when someone uses your personal information without
 your permission to commit fraud or other crimes.

 Criminal Identify Theft. When someone steals your identity and presumes to be
 you in order to commit a crime.

 Medical Identity Theft. When someone steals your identity to receive medical
 care.

 Employment Identity Theft. When someone steals your identity to be able to
 work in the United States.

 Financial Identity Theft. When someone steals your identity for financial gain.


                                                                            AARP
Who Is Most At Risk
for ID Theft?




                      AARP
Overview of Reporting Fraud




                              AARP
Safeguarding Your
Identity
Request a credit report regularly

 Check your bills and statements upon arrival and report any
 suspicious activity
 Password protect your accounts if possible
 Photocopy everything in your wallet and keep in a safe place
 Do not carry your social security card in your wallet




                                                            AARP
Safeguard Your
Identity!
At Home

     Place personal documents in a secure place out of plain view of
     servicemen, sales persons, visitors

     Place outgoing mail in an official mailbox

     Arrange for mail pickup if you are away more than one day

     Opt out of pre-approved offers (www.optoutprescreen.com)




                                                                       AARP
Safeguard Your
Identity!
When You Travel
 Use a credit card or traveler’s checks where possible
 Be aware of your surroundings when providing information to
 someone on the phone, i.e., someone may overhear

On Your Computer
 Use virus, anti-spyware and firewall protection
 Don’t be a victim of “phishing”
 Don’t click on pop-ups. They can re-direct you to a site that is
 not secure



                                                              AARP
Safeguard Your
Identity!
On the phone

 Sign up for the NO CALL List to limit incoming sales
 calls

 Do not give out personal information – legitimate
 companies will not ask for it

 Be aware of Caller ID (spoofing) scams


                                                     AARP
Warning Signs of A
Crime:
Newly opened accounts on your credit report

Increased mortgage or insurance rates as a result of a lower credit score

Failure to receive excepted mail

Unsolicited change of address notice

Receiving credit cards you didn’t apply for

Being denied credit or being denied less favorable credit terms

Being contacted by businesses or debt collectors about merchandise or
services you didn’t buy.


                                                                            AARP
What To Do Next

File a Police Report

Request your Credit Report

Place a Fraud Alert on your accounts

Contact the Identity Theft Hotline




                                       AARP
Resources

FREE Credit Report - Call (877) 322-8228 or online at
www.annualcreditreport.com

NO CALL Program
    Call (888) 382-1222
    Online www.donotcall.gov

Opt Out of credit card offers
    Call (888) 567-8688 or online at www.optoutprescreen.com

Office of the Attorney General Consumer Protection
     Chicago 1-800-386-5438
     Springfield 1-800-243-0618
     Carbondale 1-800-243-0607
     Online http://www.illinoisattorneygeneral.gov/consumers/index.html



                                                                          AARP
What is charity fraud?

 Misleading solicitations

 Sham charities

 Enrichment of individuals
  (excessive compensation)



                             AARP
What are the signs of
solicitation fraud?
   Look-Alike names ( e.g., Cancer Society of America)

   Written materials that are to be returned to a P.O. Box

   Refusal to provide written material

   Refusal to provide percentage of donation that will go to the
   charity

   Vague description about the use of the donations

   “Badge Charities” e.g., police, firefighters, veterans
                                                               AARP
How do you protect
yourself?

 Again Sign up for the NO-Call List

 Get a phone equipped with caller ID

 Always ask for information in writing




                                         AARP 15
What Information Is
Available?
• Go to the Attorney General’s Website, Building Better Charities
• http://www.illinoisattorneygeneral.gov/charities/index.html


• Illinois Attorney General’s Registered Charities
• Plethora of information on this website.




                                                                AARP
Guidestar
Comprehensive information, including IRS filings

http://www.guidestar.org/

Need a subscription




                                                   AARP
BBB (Better Business Bureau)

 BBB website:
 http://www.bbb.org/us/charity/

 Consumer tips as well as charity information

 Accepts on-line complaints




                                                AARP
Investment Fraud
I am not a financial planner or an investment broker

 The Illinois Secretary of State Securities Department
 oversees/investigates investment fraud in Illinois
 http://www.cyberdriveillinois.com/departments/securities/home.
 html


Top 3 problems include:
 Fraud
 Unsuitable recommendations
 Unauthorized activity

                                                           AARP
Real Life Examples of
Investment Fraud
                 Ponzi Scheme: The Bernard Madoff Case

 Madoff until 12/09 was a New York broker and fund manager

 His funds attracted investors with the promise of consistently high returns
 and low fees.

 Through his ponzi scheme, he caused financial destruction across the world.

 Investors were primarily members of the wealthy community in New York,
 Florida and up and down the east coast of the US

 On turning himself in to authorities on December 11, Mr. Madoff estimated
 the losses at $50 billion. That figure now stands at more than $65 billion.

                                                                         AARP
Real Life Examples

> Affinity Fraud: Donna Vogt Case

        Fox Valley
        Targeted young retirees (early 50’s) at phone co.
        They heard about her by word of mouth from other
        employees
        Unsuitable recommendations
        Employing broker has paid over $10 million to investors so
        far.




                                                             AARP
A word about Life or
Viatical Settlements . .
.
Product: When someone sells off their life insurance policy for a cash
  payout. Usually bought up by holding companies called Life
  Settlement broker agencies. These holding companies sell them
  back to the public as individual policies or in bundles – like a mutual
  fund. You collect the “dividend” upon the sellers death.

                               Be Careful!

  For more information, contact the Illinois Department of Insurance’s
   Consumer Services Section at (312) 814-2427 or 1-877-527-9431.



                                                                     AARP
What We Need To
Watch Out For:

    Phone Sales
    Door to Door Sales
    Direct Mail Sales
    Offers that are too good to be true – because they
    usually are!
    One time offers
    Offers “Just for You”
    Offers by anyone who isn’t a licensed financial
    professional!

                                                         AARP
Who Can Help You
Invest Safely?
Trained/Licensed Professionals:

       Financial Planners
       Investment Advisors
       Brokers
       But remember, it is your responsibility to
       understand and review what they have
       recommended


                                                    AARP
Do Your Homework!

Check out the person AND the product OR to report a scam
by calling the Illinois Secretary of State Securities
Department
   1-800-628-7937
   Chicago (312) 793-3384
   Springfield (217) 782-2256
   http://www.cyberdriveillinois.com/departments/securities/home.html




                                                                AARP
Health Care Fraud and How it
Happens

  “Up-coding”

  Undelivered services

  Paying kickbacks

  Stealing identities

  Mistreating patients
                               AARP 26
What You Can Do

 Read your Medicare, Medicaid, and/or Insurance
 statements

 Contact the provider—it might be an innocent
 mistake

 Report to authorities—it might not!


                                                  AARP 27
Multi-Million Fraud Scheme
ATTORNEY GENERAL CUOMO ANNOUNCES ARRESTS IN
MULTI-MILLION DOLLAR MEDICAID FRAUD SCHEME RUN
MULTI-
OUT OF THREE NEW YORK CITY DENTAL CLINICS
Defendants Allegedly Stole $5.7 Million From Medicaid Fund
NEW YORK, N.Y. (June 2, 2010)
The xxxx and xxxx paid recruiters, known as “flyer boys”, to bring Medicaid
recipients to the clinics, and paid the recipients to get treatment, whether medically
necessary or not. The Medicaid recipients were sometimes brought to the clinics from
homeless shelters, and were paid cash as well as gifts such as CD players and
McDonald’s gift certificates. In terms of the “flyer boys,” the more Medicaid
recipients they brought in, the higher the pay.

The operation employed dozens of dentists who were often required to pay two thirds
                                                                         high-
of their Medicaid billings to the defendants. It is alleged that xxxx, a high-billing
dentist in the clinics, actively exhorted the flyer-boys “to go out and get more
                                              flyer-
patients.”
                                                                                  AARP 28
Tips to Avoid Fraud


 Keep your personal medical information from the
wrong hands

   Only carry your Medicare card when you are going
to a doctor’s appointment, a hospital or clinic, or
pharmacy

  Never sign blank insurance claim forms

  Be alert to “free” medical services
                                                   AARP 29
Fraud Enforcement

 HEAT - Health Care Fraud Prevention and
Enforcement Action Team

 Double size of Senior Medicare Patrol

 More inter-agency cooperation


                                           AARP 30
Where to Report
    Medicare                       Senior Health Insurance
Call: 1-800-MEDICARE (1-800-         Program (SHIP)
 633-4227)                         (800) 548-9034
Report fraud to the Inspector      Your Insurance Company’s
 General                             Fraud Division
    • email:                       Phone number on EOB
       HHSTips@oig.hhs.gov         State Attorney General-
    • Call: 1-800-HHS-TIPS / (1-     Health Care Hotline
       800-447-8477)               (877) 305-5145
    • ww.stopmedicarefraud.gov     State Insurance Department
                                   (800) 548-9034



               31
Remove the Word Victim
from Your Vocabulary!


Scammers are ruthless, their sole mission is to part you and your
                    money or your identity!



    If you are hit by fraud, don’t be a victim – be an activist!




                                                                   AARP
Thank You!




Life long learning begins anytime you
             want it to . . .

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2011 Fraud Fighter Presentation Illinois

  • 1. AARP Fraud Prevention 2011 Sponsored by the AARP Foundation and the Investor Protection Trust Fund
  • 2. Thank You for Allowing Me to Talk With You Today! I am here today to provide you with information about four different types of fraud Identity theft Charity fraud Investment fraud Health care fraud Our mission is to provide you with good tools to avoid scams and fraud; and to remove the stigma of reporting fraud AARP
  • 3. Identity Theft Identity theft occurs when someone uses your personal information without your permission to commit fraud or other crimes. Criminal Identify Theft. When someone steals your identity and presumes to be you in order to commit a crime. Medical Identity Theft. When someone steals your identity to receive medical care. Employment Identity Theft. When someone steals your identity to be able to work in the United States. Financial Identity Theft. When someone steals your identity for financial gain. AARP
  • 4. Who Is Most At Risk for ID Theft? AARP
  • 6. Safeguarding Your Identity Request a credit report regularly Check your bills and statements upon arrival and report any suspicious activity Password protect your accounts if possible Photocopy everything in your wallet and keep in a safe place Do not carry your social security card in your wallet AARP
  • 7. Safeguard Your Identity! At Home Place personal documents in a secure place out of plain view of servicemen, sales persons, visitors Place outgoing mail in an official mailbox Arrange for mail pickup if you are away more than one day Opt out of pre-approved offers (www.optoutprescreen.com) AARP
  • 8. Safeguard Your Identity! When You Travel Use a credit card or traveler’s checks where possible Be aware of your surroundings when providing information to someone on the phone, i.e., someone may overhear On Your Computer Use virus, anti-spyware and firewall protection Don’t be a victim of “phishing” Don’t click on pop-ups. They can re-direct you to a site that is not secure AARP
  • 9. Safeguard Your Identity! On the phone Sign up for the NO CALL List to limit incoming sales calls Do not give out personal information – legitimate companies will not ask for it Be aware of Caller ID (spoofing) scams AARP
  • 10. Warning Signs of A Crime: Newly opened accounts on your credit report Increased mortgage or insurance rates as a result of a lower credit score Failure to receive excepted mail Unsolicited change of address notice Receiving credit cards you didn’t apply for Being denied credit or being denied less favorable credit terms Being contacted by businesses or debt collectors about merchandise or services you didn’t buy. AARP
  • 11. What To Do Next File a Police Report Request your Credit Report Place a Fraud Alert on your accounts Contact the Identity Theft Hotline AARP
  • 12. Resources FREE Credit Report - Call (877) 322-8228 or online at www.annualcreditreport.com NO CALL Program Call (888) 382-1222 Online www.donotcall.gov Opt Out of credit card offers Call (888) 567-8688 or online at www.optoutprescreen.com Office of the Attorney General Consumer Protection Chicago 1-800-386-5438 Springfield 1-800-243-0618 Carbondale 1-800-243-0607 Online http://www.illinoisattorneygeneral.gov/consumers/index.html AARP
  • 13. What is charity fraud? Misleading solicitations Sham charities Enrichment of individuals (excessive compensation) AARP
  • 14. What are the signs of solicitation fraud? Look-Alike names ( e.g., Cancer Society of America) Written materials that are to be returned to a P.O. Box Refusal to provide written material Refusal to provide percentage of donation that will go to the charity Vague description about the use of the donations “Badge Charities” e.g., police, firefighters, veterans AARP
  • 15. How do you protect yourself? Again Sign up for the NO-Call List Get a phone equipped with caller ID Always ask for information in writing AARP 15
  • 16. What Information Is Available? • Go to the Attorney General’s Website, Building Better Charities • http://www.illinoisattorneygeneral.gov/charities/index.html • Illinois Attorney General’s Registered Charities • Plethora of information on this website. AARP
  • 17. Guidestar Comprehensive information, including IRS filings http://www.guidestar.org/ Need a subscription AARP
  • 18. BBB (Better Business Bureau) BBB website: http://www.bbb.org/us/charity/ Consumer tips as well as charity information Accepts on-line complaints AARP
  • 19. Investment Fraud I am not a financial planner or an investment broker The Illinois Secretary of State Securities Department oversees/investigates investment fraud in Illinois http://www.cyberdriveillinois.com/departments/securities/home. html Top 3 problems include: Fraud Unsuitable recommendations Unauthorized activity AARP
  • 20. Real Life Examples of Investment Fraud Ponzi Scheme: The Bernard Madoff Case Madoff until 12/09 was a New York broker and fund manager His funds attracted investors with the promise of consistently high returns and low fees. Through his ponzi scheme, he caused financial destruction across the world. Investors were primarily members of the wealthy community in New York, Florida and up and down the east coast of the US On turning himself in to authorities on December 11, Mr. Madoff estimated the losses at $50 billion. That figure now stands at more than $65 billion. AARP
  • 21. Real Life Examples > Affinity Fraud: Donna Vogt Case Fox Valley Targeted young retirees (early 50’s) at phone co. They heard about her by word of mouth from other employees Unsuitable recommendations Employing broker has paid over $10 million to investors so far. AARP
  • 22. A word about Life or Viatical Settlements . . . Product: When someone sells off their life insurance policy for a cash payout. Usually bought up by holding companies called Life Settlement broker agencies. These holding companies sell them back to the public as individual policies or in bundles – like a mutual fund. You collect the “dividend” upon the sellers death. Be Careful! For more information, contact the Illinois Department of Insurance’s Consumer Services Section at (312) 814-2427 or 1-877-527-9431. AARP
  • 23. What We Need To Watch Out For: Phone Sales Door to Door Sales Direct Mail Sales Offers that are too good to be true – because they usually are! One time offers Offers “Just for You” Offers by anyone who isn’t a licensed financial professional! AARP
  • 24. Who Can Help You Invest Safely? Trained/Licensed Professionals: Financial Planners Investment Advisors Brokers But remember, it is your responsibility to understand and review what they have recommended AARP
  • 25. Do Your Homework! Check out the person AND the product OR to report a scam by calling the Illinois Secretary of State Securities Department 1-800-628-7937 Chicago (312) 793-3384 Springfield (217) 782-2256 http://www.cyberdriveillinois.com/departments/securities/home.html AARP
  • 26. Health Care Fraud and How it Happens “Up-coding” Undelivered services Paying kickbacks Stealing identities Mistreating patients AARP 26
  • 27. What You Can Do Read your Medicare, Medicaid, and/or Insurance statements Contact the provider—it might be an innocent mistake Report to authorities—it might not! AARP 27
  • 28. Multi-Million Fraud Scheme ATTORNEY GENERAL CUOMO ANNOUNCES ARRESTS IN MULTI-MILLION DOLLAR MEDICAID FRAUD SCHEME RUN MULTI- OUT OF THREE NEW YORK CITY DENTAL CLINICS Defendants Allegedly Stole $5.7 Million From Medicaid Fund NEW YORK, N.Y. (June 2, 2010) The xxxx and xxxx paid recruiters, known as “flyer boys”, to bring Medicaid recipients to the clinics, and paid the recipients to get treatment, whether medically necessary or not. The Medicaid recipients were sometimes brought to the clinics from homeless shelters, and were paid cash as well as gifts such as CD players and McDonald’s gift certificates. In terms of the “flyer boys,” the more Medicaid recipients they brought in, the higher the pay. The operation employed dozens of dentists who were often required to pay two thirds high- of their Medicaid billings to the defendants. It is alleged that xxxx, a high-billing dentist in the clinics, actively exhorted the flyer-boys “to go out and get more flyer- patients.” AARP 28
  • 29. Tips to Avoid Fraud Keep your personal medical information from the wrong hands Only carry your Medicare card when you are going to a doctor’s appointment, a hospital or clinic, or pharmacy Never sign blank insurance claim forms Be alert to “free” medical services AARP 29
  • 30. Fraud Enforcement HEAT - Health Care Fraud Prevention and Enforcement Action Team Double size of Senior Medicare Patrol More inter-agency cooperation AARP 30
  • 31. Where to Report Medicare Senior Health Insurance Call: 1-800-MEDICARE (1-800- Program (SHIP) 633-4227) (800) 548-9034 Report fraud to the Inspector Your Insurance Company’s General Fraud Division • email: Phone number on EOB HHSTips@oig.hhs.gov State Attorney General- • Call: 1-800-HHS-TIPS / (1- Health Care Hotline 800-447-8477) (877) 305-5145 • ww.stopmedicarefraud.gov State Insurance Department (800) 548-9034 31
  • 32. Remove the Word Victim from Your Vocabulary! Scammers are ruthless, their sole mission is to part you and your money or your identity! If you are hit by fraud, don’t be a victim – be an activist! AARP
  • 33. Thank You! Life long learning begins anytime you want it to . . .