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Violation Tracker Individual Record

Company: HealthSun Health Plans Inc.
Current Parent Company: Elevance Health
Parent at the Time of the Penalty Announcement:  subscribe to see this data field
Penalty: $53,170,114
Year: 2023
Date: October 25, 2023
Offense Group: government-contracting-related offenses
Primary Offense: False Claims Act and related
Secondary Offense: fraud
Mega-Scandal: Healthcare Billing Abuses
Violation Description: The Justice Department declined prosecution of HealthSun for false and fraudulent Medicare claims based on the company's cooperation with the investigation. HealthSun agreed to refund $52 million in overpayments.
Level of Government: federal
Action Type: agency action
Agency: Justice Department Criminal Division
Civil or Criminal Case: civil
Prosecution Agreement: declination
HQ Country of Current Parent: USA
HQ State of Current Parent: Indiana
Ownership Structure of Current Parent: publicly traded
Major Industry of Current Parent: healthcare services
Specific Industry of Current Parent: insurance; managed care
Source of Data: (click here)
Archived Source: (click here)
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.