Source: US FBI
PHILADELPHIA – United States Attorney David Metcalf announced the unsealing today of a superseding indictment (“the indictment”) charging four businessmen and two companies with conspiracy and wire fraud offenses in connection with their execution of a nationwide telemarketing fraud scheme. The corporate defendants, Bene Market LLC and Seguro Medico LLC, doing business as Quick Health, Q Health, Benefits Now, Express Benefits, and YourBenefits4U (collectively, the “Bene Market Group”), operated a boiler room call center near Reading, Pennsylvania, which peddled discount health and dental plans to consumers through a series of false, misleading, and deceptive sales practices.
The businesses were controlled and managed by the principal architect of the alleged fraud scheme, defendant Alan Redmond, 42, of Wyomissing, Pa., who was supported by senior executives Arthur Walsh, 65, of West Lawn, Pa., and Jesus Barrera, 32, of Dillsburg, Pa., and head sales agent and manager Albert Groff, 44, of Wernersville, Pa.
The 44-page indictment returned by the federal grand jury alleges that, from at least January 2018 through December 2022, the defendants collected tens of millions of dollars in commissions by regularly and systematically deceiving and misleading consumers seeking health insurance through bait-and-switch sales tactics, which included tricking consumers into buying limited benefit plans that provided little or no coverage by falsely representing that the plans provided comprehensive health insurance coverage, also known as “major medical insurance,” or provided coverage equivalent to major medical insurance, when they did not.
As alleged in the indictment, the Bene Market Group paid lead generators for the transfer of live calls with consumers looking to purchase healthcare insurance. Once transferred over, the Bene Market Group employees falsely told consumers that the company was “the national enrollment center for health insurance” and worked as a third-party broker to search and compare health insurance products across the entire marketplace to find the best coverage at the lowest rate. The Bene Market Group also falsely claimed to “work with over 30 of the top A-rated insurance companies” and to sell comprehensive health insurance policies from well-known, blue-chip insurers. In reality, the Bene Market Group did not search the marketplace, did not work with the touted A-rated carriers, and did not even sell major medical insurance. Instead, the Bene Market Group peddled a limited set of discount plans that had lower and more restricted benefits than major medical insurance. In some instances, the limited benefit plans sold by the defendants were not even insurance.
The indictment charges further that, as a result of the defendants’ bait-and-switch scheme, tens of thousands of purchasing consumers were left without insurance coverage for the majority of their medical, dental, and prescription costs. For some consumers with serious health care needs, the lack of coverage from the limited benefit plans sold by the defendants caused financial hardship and left them in significant medical debt in the tens and hundreds of thousands of dollars.
According to the indictment, in order to keep the fraud scheme going, Redmond and the manager defendants used unlicensed sales employees to sell the limited benefit plans; bundled products together to mimic major medical insurance; trained the sales employees with misleading scripts and sales pitches to use on the phones; used a variety of trade names and aliases when selling plans; engaged in “churning” and “policy-flipping” by reselling and upselling existing consumers; omitted and downplayed material restrictions about the limited plans sold; overbilled and double-billed consumers; told consumers to ignore or disregard the verification disclaimers or disclosures; altered recorded sales calls after the fact to deceive regulators; withheld information about the limited benefit plans from sales employees; ignored complaints from consumers, carriers, and regulators; and refused or delayed refunds to consumers.
The indictment charges further that Redmond obscured his control of defendant Seguro Medico by using nominees, including his spouse, and used funds fraudulently obtained from victim purchasers to buy personal properties, commercial properties, jewelry, airline tickets, event tickets, private school tuition, and limousine services. The other manager defendants also received significant payments or distributions, as a result of the fraud scheme.
The indictment further alleges that, between 2019 and 2022, Redmond caused Bene Market and Seguro Medico to withhold over $1.2 million in trust fund taxes from the wages and paychecks of employees, but Redmond did not pay over these withheld amounts to the IRS on behalf of the employees, as required.
If convicted of the conspiracy, wire fraud, and tax offenses, defendant Alan Redmond faces a maximum possible sentence of 635 years’ imprisonment, a five-year period of supervised release, and a $6,750,000 fine, along with restitution and forfeiture of various properties and money. Defendants Arthur Walsh, Jesus Barrera, and Albert Groff each face 600 years’ imprisonment, a five-year period of supervised release, and a $5,000,000 fine, along with restitution and forfeiture.
The case was investigated by the FBI and IRS Criminal Investigation, with assistance from the Pennsylvania Attorney General’s Office, and is being prosecuted by Assistant United States Attorneys Samuel S. Dalke and Mary E. Crawley.
The charges and allegations contained in the indictment are merely accusations. Every defendant is presumed to be innocent unless and until proven guilty in court.
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