Compliance and fraud, waste and abuse

G.E.H.A expects that all of its employees and business partners (including contractors, vendors and providers) will conduct business on behalf of G.E.H.A and its subsidiaries in an ethical manner, with the highest level of integrity, and in compliance with all laws, regulations, and contract/legal requirements.

G.E.H.A’s Compliance Program is designed to detect and prevent illegal or unethical conduct, promote integrity in the workplace, and align the actions of all G.E.H.A employees and business partners with G.E.H.A’s Vision, Corporate Values and Compliance Commitment.

• Our Vision: We inspire positive outcomes by delivering integrated health and well-being solutions at the best value.
• Our Corporate Values: Care for Our Members and Each Other; Work as One Team; Own It and Achieve Excellence; Commitment to Growth and Improvement; and Embrace Diversity and Inclusion.
• Our Compliance Commitment: Promote an organizational culture that encourages ethical conduct and a commitment to compliance with the law.

The Corporate Compliance Program is based on seven principles intended to ensure the effectiveness of the program:

1. Implementation of written policies and procedures
2. Providing compliance leadership and culture
3. Providing effective compliance education and training programs
4. Ensuring effective lines of communication for compliance efforts
5. Monitoring and auditing compliance
6. Enforcing the corporate compliance program
7. Responding promptly to noncompliance and taking remedial action

Code of Ethical Business Conduct

G.E.H.A requires all of its business partners to review, and be familiar with, the G.E.H.A Code Of Ethical Business Conduct.

Obligation to report compliance/ethics and fraud, waste and abuse concerns

G.E.H.A takes great pride in its reputation for ethical conduct and recognizes that it only takes one misguided or inappropriate action to put that valuable reputation at risk. G.E.H.A, accordingly as an essential part of its Compliance Program, requires that all of its employees and business partners (including contractors, vendors, and providers) report any potential unethical, illegal, improper, or wrongful conduct or activity to G.E.H.A. This obligation includes assisting G.E.H.A to fight against medical and dental health care fraud, waste and abuse.

Reports pertaining to any compliance/ethics issues or fraud, waste or abuse may be made by calling 1-800-356-5803.

For more information, visit reporting health care fraud, waste and abuse.