Frequently Asked Questions for Simple Health Policyholders

The Receiver plays a critical role in managing and safeguarding assets that are subject to legal disputes, particularly in cases involving fraud and deceptive practices. A Receiver is an officer of the Court and ultimately answers to the Court. In this case, Michael I. Goldberg, Esquire, is the Court-appointed Receiver for Simple Health Plans LLC and its related entities and was appointed by the Court on October 31, 2018 in the matter Federal Trade Commission vs. Simple Health Plans LLC, et al., Case No.: 18-cv-62593-DPG pending before the United States District Court for the Southern District of Florida.
The FTC, or the Federal Trade Commission, is the nation’s consumer protection agency. You can find more information about the FTC on its official government website, https://www.ftc.gov
On October 29, 2018, the FTC filed a complaint in federal court against Simple Health Plans LLC, its CEO Steven J. Dorfman, and five other entities, alleging that the defendants misled people to think they were buying comprehensive health insurance that would cover preexisting medical conditions, prescription drugs, primary and specialty care treatment, inpatient and emergency hospital care, surgical procedures, and medical and laboratory testing. On November 1, 2019, the FTC filed an amended complaint adding Candida Girouard as an additional defendant. In February 2024, in a separate matter brought by the U.S. Attorney's Office for the Southern District of Illinois, a jury convicted Steven J. Dorfman of one count of conspiracy to commit mail and wire fraud, four counts of mail fraud and eight counts of wire fraud in connection with his operation of Simple Health and he is currently serving a 25 year prison sentence. Other defendants in the case have been sentenced as well.
Premier Health Solutions, LLC (“PHS”) is a Third-party administrator (“TPA”) who began taking over your billing services on August 1, 2024. Your previous TPA was Benefytt / MyBenefitsKeeper. PHS provides benefits administration and management services across the United States to various carriers.
According to PHS' records, you are currently enrolled in one or more insurance products you bought from Simple Health. The court ordered that the plan(s) sold to you by Simple Health be canceled unless you choose to continue your enrollment.
In order for you to keep your existing plan(s), you will need to complete the Receiver’s Opt-In Form by visiting the Receiver’s website at https://simplehealthreceivership.com/opt-in/. Once on the site, download and complete the Opt-In Form to choose to continue being enrolled in your plan(s). You must submit your completed Opt-In Form to the Receiver along with a copy of your valid government-issued photo ID no later than March 15, 2025, otherwise your plan(s) will automatically be cancelled on the last day of your billing cycle. Your Opt-In Form and photo ID can be sent by email to simplehealth@akerman.com.
If you don't call 855-333-2492 to cancel your plan(s) or complete and send in your Opt-In Form to the Receiver with a valid photo ID by March 15, 2025, your plan(s) will be canceled automatically. PHS will stop billing you after March 1, 2025, and your coverage will end on the last day of your billing cycle.
You can visit the FTC website at https://www.ftc.gov/legal-library/browse/cases-proceedings/172-3148-simple-health-plans-llc to verify.
You can cancel at any time; however, if you wish to keep your existing plan(s), you must submit your completed Opt-In Form to the Receiver along with a copy of your valid government-issued photo ID no later than March 15, 2025, otherwise your plan(s) will automatically be cancelled on the last day of your billing cycle.
Call 855-333-2492 (Monday – Friday 7AM – 7PM CT) to cancel your plan(s). Your coverage will end on the last day of your billing cycle. If you don't call to cancel your plan(s) or complete and send in your Opt-In Form to the Receiver with a valid photo id by March 15, 2025, your plan(s) will be canceled automatically, and your coverage will end on the last day of your billing cycle. PHS will send cancellation confirmations to members whose coverage has been cancelled.
No, you do not need to reach out to the FTC to cancel your plan(s). The Receiver and PHS are responsible for tracking your cancellation.
You will remain enrolled in the plan(s), product(s), and/or service(s) that you previously purchased, pursuant to the terms of each. You will not receive any refund. You also will continue being billed according to the terms of each plan, product, and/or service. Please remember that what you're paying for is not comprehensive health insurance. If you get sick or have to go to the hospital, you will have to pay almost all of the bills yourself.
No. The products and/or plan or service you purchased have not changed.
You can contact PHS at 855-333-2492 (Monday – Friday 7AM – 7PM CT) who can assist you with your questions, or you can login to your member portal at (mybenefitskeeper.com) to review your policy documents.