UNITED STATES ATTORNEY JOYCE WHITE VANCE NORTHERN DISTRICT OF ALABAMA
	FOR IMMEDIATE RELEASE			CONTACT: PEGGY SANFORD
	AUGUST 28, 2009			PHONE: (205) 244-2020
	www.usdoj.gov/usao/aln			FAX: (205) 244-2171

TWO AGREE TO PLEAD GUILTY TO HEALTH CARE FRAUD, HIPAA VIOLATIONS,
AND AGGRAVATED IDENTIFY THEFT CHARGES

            BIRMINGHAM - United States Attorney Joyce White Vance today announced that  ISAAC EARL SMITH, 38, and ANNETRA POOLE-MOORE, 37, have agreed to plead guilty to federal crimes involving Health Care Fraud, disclosures prohibited by the Health Insurance Portability and Accountability Act (HIPAA), and aggravated identify theft.

             The United States Postal Inspection Service, the Food and Drug Administration, the United States Secret Service, the federal Office of Personnel Management, and the Montevallo Police Department investigated the case and joined Vance in making the announcement.

            Between about September 2008 and April 2009, Smith, of Pleasant Grove, and Moore, of Midfield, engaged in a criminal conspiracy to commit health care fraud, according to separate plea agreements filed today in U.S. District Court. During that time period, Moore was employed by UnitedHealthcare Inc. (“UHC”) as a claims representative associate.  In that position,  Moore had access to the personal information, including the means of identification, of certain persons enrolled in Flexible Spending Accounts administered by UHC.  Without authorization or approval from UHC, Smith and Moore gained access to the company’s electronic database  and obtained names and dates of birth of certain persons who had Flexible Spending Accounts and were also covered by a prescription drug plan sponsored by the Federal Employees Health Benefit Plan (“FEHBP”).

            The defendants and others used this information to create counterfeit and unauthorized prescriptions.  These counterfeit prescriptions were then presented to pharmacies for the purpose of illegally obtaining controlled substances.  The drugs were then illegally sold to third parties.  By using the stolen identities on the prescriptions, the defendants caused FEHBP’s prescription drug plan to pay for the controlled substances, resulting in a loss to FEHBP of $72,746.

            Smith’s plea agreement reflects he intends to plead guilty to one count of conspiracy to commit health care fraud, one count of criminally violating the HIPAA disclosure laws, and five counts of aggravated identity theft. 

            Moore’s plea agreement reflects she intends to plead guilty to one count of conspiracy to commit health care fraud, one count of criminally violating the HIPAA disclosure laws, and two counts of aggravated identity theft. 

            Smith and Moore have also agreed to pay $72,746  in restitution to FEHBP and to criminally forfeit the same amount.

            In addition to the forfeiture, the defendants each face maximum sentences of 10 years in prison and fines of up to $250,000.  The aggravated identity theft charges carry two-year minimum prison sentences.

            Assistant United States Attorney Lloyd Peeples is prosecuting the matter on behalf of the U.S. Government.