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US Department of Labor sues Puerto Rico-based service providers, executives to stop excessive fees, self-dealing; recover health plans’ funds [ http://www.dol.gov/newsroom/releases/ebsa/ebsa20241106 ] 11/06/2024 07:00 AM EST
Date of action:           November 5, 2024Type of action:          Complaint filingDefendants:               Suffolk Administrative Services LLC, San Juan, Puerto RicoProvidence Insurance Co., San Juan, Puerto RicoAlexander Renfro, William Bryan and Arjan ZiegerBackground: The U.S. Department of Labor filed the complaint after investigators with its Employee Benefits Security Administration found that since at least 2016, the companies and their current and former executives - Alexander Renfro, William Bryan and Arjan Zieger - have marketed, sold and serviced employer-sponsored health benefit plans while collecting and diverting significant fees for themselves in violation of the Employee Retirement Income Security Act. The department alleges Suffolk Administrative Services and its current and former executives unilaterally approved millions in unreasonable and unnecessary fees to Suffolk Administrative Services, its sister company Providence Insurance Co., and other service providers. EBSA determined more than half the money paid by the plans are directed to administrative costs with the remainder used to pay health claims. The complaint does not address plans established by “limited partnerships,” which are the subject of separate litigation in the ongoing case, Data Marketing Partnership LP v. U.S. Department of Labor, 4:19-cv-00800 (N.D. Tex.).Quote: “The U.S. Department of Labor acted to stop this excessive fee arrangement and recover as much as $40 million in unjust profits on behalf of plan participants,” explained EBSA Regional Director Klaus Placke in San Francisco. “We want to ensure these plans are administered properly and that their participants have access to affordable healthcare benefits.” Court:  U.S. District Court of Puerto RicoDocket Number: 3:24-cv-01512Learn more about EBSA. body { font-size: 1em; font-family: Arial, Verdana, sans-serif; font-weight: normal; font-style: normal; color: #333333; }
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