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Federal Contractor Misconduct Database (FCMD)
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 |
|---|---|---|
| 2020 | N/A | $431.1M |
| 2019 | N/A | $400.4M |
| 2018 | N/A | $387.6M |
| 2017 | N/A | $157.5M |
| 2016 | N/A | $0 |
| 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 |
