Protect Yourself and Report the Latest Frauds, Scams, Spams, Fakes, Identify Theft Hacks and Hoaxes
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Every since the Affordable HealthCare Act (a.k.a, Obamacare) took effect and premiums and deductibles skyrocketed, consumers, especially the self-employed looked for ways to cut the health insurance costs. One popular way was to use one of the exemptions in the law, for "Christian Health Sharing Plans. At first, it sounded like a great idea and at least 1 million people nationally have signed up. But now that a few years have gone by, more and more horror stories are coming out. We have our own direct experience with one company, one which we are certain will be determined to be a scam when legal actions and investigations currently underway conclude: Trinity Health, aka, Alieracare.
First, none of these Christian Health Sharing Plans or companies are regulated. At all. You are own your own. And good luck getting them to p[ay a claim, which they call a "share".
Even if you follow every one of their rules, pay your premiums ("Members monthly share") on time, they can still refuse to pay a claim for no reason at all. Understand this: whether they pay anything is completely up to them and you have no recourse.
Just like insurance companies, they look for any excuse not to pay a claim. There are reports that some call your church to see if you are a member and attend every week, and if you don't, they refuse to pay your claims.
Atlanta WSB-Channel 2
other states –
like New Hampshire and Georgia – have issued warnings about
Aliera or other bad actors that may use the façade of a HCSM to
skirt state regulation.
Missouri: Lawsuit: Christian health care ministry was deceptive
- A Christian health care sharing ministry sold “inherently
unfair and deceptive health plans” to Missouri residents and
failed to provide them with coverage, a class action lawsuit
alleges. The federal lawsuit against Aliera Companies and
Trinity Healthshare comes as millions of people who are unable
to afford private insurance are attracted to the low prices
offered by health care sharing ministries, KCUR-FM reports.
Trinity's founder Timothy Moses headed International BioChemical
Industries Inc., which filed for bankruptcy in 2004 after Moses
was charged with securities fraud and perjury. A jury convicted
Moses and he was sentenced to more than six years in prison and
ordered to pay restitution of $1.65 million.
New Hampshire - Better Business Bureau reports: On May 14, 2019, The State of New Hampshire's Insurance Department issued a consumer alert as a result of a Georgia court order advising consumers that Aliera may be operating illegally in New Hampshire. To view the State of New Hampshire's alert, visit:https://www.nh.gov/insurance/media/pr/2019/documents/press-release-aliera-health-care-sharing-ministry-unlicensed-5-14-19.pdf
Trinity sham sharing-ministry - Washington insurance officials this week said the firm doesn't meet the definition of a sharing ministry and described Aliera's products as a "sham" aimed at misleading consumers. Other states, including Texas and New Hampshire, are poised to take similar action. Insurance Commissioner Mike Kreidler on Monday ordered Aliera, which operates Trinity Healthshare Inc., both of Delaware, to halt operations in Washington, alleging the firm was selling health insurance illegally and engaging in deceptive business practices. Aliera falsely represented itself as a sharing ministry, which would be exempt from insurance regulations, an investigation found. Though he wouldn't name them, Kreidler said he's investigating two additional firms over similar concerns.
Washington State Bans Trinity
State of Washington Office of the Insurance Commissioner
Investigations Unit Final
Investigative Report
July 11: The state filed a first amended petition. The
amended petition also sought a temporary restraining order and
temporary injunction against Aliera, its successors, affiliates,
agents, and assigns.
July 12: Aliera and the state
participated in a hearing on the temporary restraining order in
Travis County District Court. Following the hearing, the judge
found that there is evidence of irreparable injury, loss, and/or
damage if the court did not issue a temporary restraining order.
The judge’s order prohibited Aliera, its successors, affiliates,
agents, and assigns, from accepting any new customers in Texas.
July 18: Aliera signed an agreement to:
Not accept or write
new business in Texas until the case is resolved.
Not
transfer, expend, or disburse any funds outside the ordinary
course of business without approval from the court until the
case is resolved.
Corridon, who had never before
experienced symptoms, was blindsided."I was shocked. I
couldn't believe it," he said. "I had never entertained the
possibility that the company would not cover the expenses of the
operation." Corridon had been laid off from his job as a
review appraiser the year before his surgery. In a frantic
search for new health coverage, he took the advice of an
insurance agent and signed up for what appeared to be a low-cost
option. He thought it was an insurance plan.
See this excerpt from the law firm who are taking on Trinity:
Sirianni Youtz Spoonemore Hamburger has launched class action lawsuits against Aliera and Trinity Healthshare for issuing health plans that fail to comply with state and federal law. The lawsuits allege that Aliera and Trinity have been refusing to pay claims for health benefits that would otherwise be covered under state and/or federal law, have violated Consumer Protection Acts, and have issued illegal policies and plans that fail to include certain required benefits.
If you have concerns about your health plan with Aliera, Trinity or Ensurian, then we would be happy to speak with you to see if you are covered by one of our lawsuits. You can leave a message here.
There are presently four pending actions against Aliera and Trinity: (1) Jackson, Mellom v. Aliera, Trinity is pending in federal court in Washington State; (2) Larson v. Aliera, Trinity is pending in federal court in Colorado; (3) Kelly v. Aliera, Trinity in pending in federal court in Missouri; and (4) Duncan v. Aliera, Trinity is pending in federal court in California .
Aliera Healthcare, Inc. (Aliera)
Trinity Healthshare, Inc. (Trinity),