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Pamela S. Priddy, Healthcare Fraud, Ohio 2012

Newton Falls Woman Indicted for Stealing $377,000 from Healthcare Plans

A Newton Falls resident has been accused of stealing over $375,000 from healthcare plans she administered, using the money to pay for personal and business expenses, according to the U.S. Attorney for the Northern District of Ohio.

Pamela S. Priddy, 58, was charged with 22 counts of bank fraud and four counts of theft from a health benefit program. Priddy is the President, founder, and majority owner of Health Plan Administrators LLC, a company that administered healthcare plans for several companies in the area.

Between January 1, 2012, and November 13, 2013, Priddy allegedly diverted and used approximately $377,091.74 of HPA clients’ money as general assets of HPA and for her personal benefit. She did so through company account misappropriations and health care service provider refunds misappropriations.

According to the indictment, Priddy obtained approximately $151,568.66 in funds from clients’ accounts without disclosing the material fact that there were substantial remaining funds in the company’s client claim accounts. She also misappropriated approximately $225,523.08 of health care service provider refunds, which were intended for clients but instead were used for HPA business expenses and Priddy’s personal benefit.

Priddy’s case is being prosecuted by Assistant U.S. Attorney Matthew B. Kall following an investigation by the U.S. Department of Labor, Office of Inspector General, and Employee Benefits Security Administration, and the Federal Bureau of Investigation.

Priddy faces up to 20 years in prison and a fine of up to $250,000 if convicted.

Priddy is currently free on bond pending trial. Her sentencing date has not been set.

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