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After state audit, Framingham State changes student health plan enrollment procedures

Posted by Jaclyn Reiss  December 21, 2012 12:21 PM

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State Auditor Suzanne Bump praised Framingham State University officials for quick action to correct problems with the oversight of the university's student health plan after an audit of the plan.

The audit of health plan enrollment procedures was conducted after university officials reported to the state in May 2011 that two former students were enrolled in the plan, even though they had not been students there for over eight years. The audit covered tthe period from July 1, 2010 to Sept. 30, 2011.

In a press release this week, Bump said that, following the audit, Framingham State has revised its policies and procedures to include a check each semester to verify that all students enrolled in its health plan are eligible fulltime students.

“I applaud Framingham State University for its quick response to the situation and willingness to improve its operations,” Bump said in a statement.

In the May 2011 report university officialls said that the daughter and son-in-law of a Framingham State employee were enrolled in the student health plan, despite not being students for over eight years, according to the audit report. The university employee inappropriately enrolled the two by abusing her access to university databases.

The audit report notes that the former students were able to be added to the health plan because the university maintains all student accounts indefinitely with no restrictive access to inactive accounts.

Upon identifying the two inappropriate enrollments, Framingham State fired the employee, and notified the health plan administrators and insurance providers, who retroactively terminated the two policies.

The university also forwarded information on the incident to Massachusetts State Police.

Audit tests revealed no other occurrences of fraud or abuse regarding ineligible enrollment in Framingham State's health plan.

The audit report also recommends that university officials should review its controls over inactive student accounts to determine if additional procedures are needed to prevent unauthorized access and use.

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Jaclyn Reiss can be reached at jaclyn.reiss@globe.com

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