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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Highmark Inc.

7 instances of misconduct since 1995 | $59.3M in penalties

Pittsburgh, Pa.-based Highmark is one of the largest health insurers in the United States. Highmark serves about 34.4 million people across the country through health, dental, vision, and customized supplemental health products and services. Highmark also helps federal and state agencies administer their public health programs, including Medicare. Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield).

Correspondence Date
Letter to Highmark 3/16/2013
FY Rank Contract Awards
2015 N/A $226.2M
2014 N/A $164.3M
2013 N/A $162.5M
2012 N/A $395.7M
2011 #93 $692.5M

7 Instances of Misconduct since 1995

1 additional instance of misconduct pending resolution.

Date Instance Penalty
Total  
1/5/2012 Violation of Pennsylvania Nonprofit Law
Highmark Inc.
Pending
12/2/2010 Royal Mile Company, et al. v. UPMC, et al. (Conspiracy to Monopolize Health Ins. Market)
Highmark Inc.
$4,800,000
10/19/2007 Love, et al. v. Blue Cross and Blue Shield Assoc., et al. (RICO)
Highmark Inc.
$9,958,968
9/19/2006 Turpin v. Highmark (EOB Form Noncompliance With ERISA)
Highmark Inc.
$0
6/19/2006 U.S. ex rel. Drescher v. Highmark (Medicare Program False Claims)
Highmark Inc.
$4,547,954
4/21/2004 Veritus Medicare Services False Claims
Highmark Inc.
$1,500,000
8/17/1998 Medicare Program False Claims
Highmark Inc.
$38,500,000
7/1/1998 U.S. v. Krafsig-Kearney (False Statements)
Highmark Inc.
$0

Federal Contractor Misconduct Database

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