DOJ Charges 10 Ex-NFL Players With Defrauding Health Care Program

Ten former NFL players were charged in a multimillion-dollar scheme to defraud the league’s health care benefit program by submitting false claims for medical equipment, including devices used on horses, the Justice Department said Thursday.

The players were charged in two separate indictments filed in federal court in Kentucky, accusing them of conspiracy, wire fraud and healthcare fraud. Prosecutors allege they submitted nearly $4 million in phony claims, leading to payouts of about $3.4 million between June 2017 and December 2018.

Those charged include five former players on the Washington Redskins, including Clinton Portis and Carlos Rogers.

Prosecutors allege the players targeted the Gene Upshaw NFL Player Health Reimbursement Account Plan, which was established as part of a collective bargaining agreement in 2006.

It provides tax-free reimbursement of out-of-pocket medical care expenses that were not covered by insurance and that were incurred by former players, their spouses and dependents.

The players claimed to have purchased hyperbaric oxygen chambers, ultrasound machines and electromagnetic therapy devices that were designed to be used on horses, he said.

Prosecutors say the group’s alleged ringleaders, Robert McCune and Cornell Buckhalter, who they allege broke off to create his own similar ring, would recruit former players by offering to submit fake claims to the health care plan. The ringleaders would then demand thousands of dollars in kickbacks for each fake claim, prosecutors allege.

The suspects are accused of fabricating letters from health care providers about using the medical equipment, fabricating prescriptions that were purportedly signed by healthcare providers and creating fake invoices from medical equipment companies in an effort to prove the equipment was purchased, according to court documents.

In reality, they had never purchased or received the medical equipment, prosecutors said.

Investigators believe the defendants had forged the prescriptions and authorization letters and uncovered no evidence that any doctors were complicit in the scheme, Benczkowski said.

After the phony claims were submitted, the former players would receive reimbursement checks and pay a kickback to the ringleaders and recruiters, the indictments charge.

Prosecutors moved to bring charges, in part because the scheme put the health care plan’s tax-exempt status at risk, which could’ve forced other former players using the plan legitimately to pay more, Benczkowski said.

Four of the suspects were arrested Thursday morning by the FBI.

Six others had agreed to surrender to authorities, the Justice Department said.

The Justice Department has also filed court papers in Kentucky noting that it plans to file charges against two other players as well, including Joe Horn, a four-time Pro Bowl wide receiver for the New Orleans Saints, and Donald “Reche” Caldwell.

The investigation was continuing, but because the plan involves only former players prosecutors do not expect any current NFL players to face charges, Benczkowski said.

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