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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…

Humana

22 instances of misconduct since 1995 | $146.0M in penalties

Humana Inc., headquartered in Louisville, Ky., is one of the nation’s largest publicly traded health benefits companies, with approximately 9 million medical members. Humana offers a diversified portfolio of health insurance products and related services – through traditional and consumer-choice plans – to employer groups, government-sponsored plans, and individuals

Correspondence Date
Letter to Humana 10/14/2006
Second Letter to Humana 11/17/2006
Third Letter to Humana 6/3/2008
Response From Humana 5/4/2010
FY Rank Contract Awards
2016 #13 $3,653.1M
2015 #12 $3,607.0M
2014 #13 $3,585.5M
2013 #14 $3,495.2M
2012 #17 $3,472.1M
2011 #19 $3,445.3M

22 Instances of Misconduct since 1995

9 additional instances of misconduct pending resolution.

Date Instance Penalty
Total  
9/6/2016 HIV/AIDS Discrimination Complaints
Humana
Pending
2/16/2016 Failing to Cooperate With HIV/AIDS Discrimination Investigation
Humana
$503,000
2/1/2016 Exact Sciences Corp. v. Humana (Unpaid Colorectal Cancer Screenings)
Humana
Pending
12/29/2015 Medicare Advantage and Prescription Drug Plan Violations
Humana
$3,100,900
1/6/2015 Untrue, Deceptive or Misleading Statements to Policyholders in Missouri
Humana
$161,800
5/29/2014 Discrimination Against Individuals With HIV/AIDS
Humana
Pending
5/14/2014 Graves v. Humana (Medicare Overbilling)
Humana
Pending
4/22/2014 Concentra Potential HPAA Violations
Humana
$1,725,220
2/14/2014 Multistate Market Conduct Investigation
Humana
$4,500,000
1/27/2014 Doyle v. Humana (Obamacare Implementation Unfair Practices)
Humana
Pending
9/10/2013 Sending Misleading Letters to Kentucky Policyholders
Humana
$65,430
1/18/2013 U.S. v. Fine and Wenger (Commercial Bribery)
Humana
$2,000,200
10/11/2012 Baez v. Thompson, et al. (Medicare Overbilling)
Humana
Pending
4/20/2012 Improperly Collecting Refunds From Providers in Missouri
Humana
$608,642
10/27/2011 U.S. ex rel. Poehling v. UnitedHealth Group, et al. (Medicare Advantage False Claims)
Health Net, Inc., Humana, UnitedHealth Group
Pending
8/9/2011 Failing to Promptly Report Medicaid Fraud or Abuse
Humana
$3,360,000
6/2/2011 Colorado Insurance Violations
Humana
$314,000
10/8/2010 Failure to Provide Accurate Beneficiary Information
Humana
$55,880
9/21/2009 Misleading Mailings
Humana
Pending
9/10/2008 Improper Medicare Plan Sales Practices (Wisconsin)
Humana
$750,000
3/18/2008 Conspiracy to Suppress Payments to Physicians
Humana
$3,000,000
1/11/2008 Selling Unauthorized Medicare Prescription Coverage
Humana
$500,000
8/22/2007 Improper Medicare Plan Sales Practices
Humana
$500,000
3/8/2007 Medicare Marketing Practices
Humana
Pending
2/5/2007 Sacred Heart Health System, et al. v. Humana Military Healthcare Services (Breach of Contract, Fraud)
Humana
$0
7/12/2005 Violations of the Fair Labor Standards Act
Humana
$1,013,259
7/8/2005 Unsupported Price Increases
Humana
$0
7/1/2005 Wrongful Death
Humana
$4,190,000
5/5/2005 Conspiracy to Improperly Deny, Delay and/or Reduce Physician Payments
Humana
$3,500,000
11/26/2003 Physician Corporation of America Securities Litigation (False Statements)
Humana
$10,200,000
10/23/2003 Academy of Medicine of Cincinnati v. Humana Health Plan of Ohio Inc. (Antitrust)
Humana
$106,000,000

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