AUDIT OF RTC MORTGAGE TRUST 1995-SN1

September 6, 2000Audit Report No. 00-040FDIC Health Benefits ProgramAdministered by Aetna U.S. Healthcare Federal Deposit Insurance Corporation Office of Audits Washington, D.C. 20434 Office of Inspector GeneralDATE: September 6, 2000MEMORANDUM TO: Arleas Upton Kea, DirectorDivision of AdministrationFROM: David H. LoewensteinAssistant Inspector GeneralSUBJECT: FDIC Health Benefits Program Administered by Aetna U.S.Healthcare(Report No. 00-040)This report presents the results of an audit of the Federal Deposit Insurance Corporation’s(FDIC) contract with Aetna U.S. Healthcare (Aetna). Aetna provided services to FDIC as athird-party health plan administrator from March 1994 through March 2000. The OIGpreviously completed a similar audit of Aetna for the period March 1994 through June 1995(Audit Report Number 96-111, dated October 8, 1996). As was the case with the prior Aetnaaudit, the OIG contracted with the firm QBA Consulting Corporation of Richardson, Texas, toconduct the audit under the OIG’s direction.The audit covered health claims processed for the period January 1997 through February 1999and Aetna monthly administrative invoices for the period January 1997 through March 2000.During the respective audit periods, Aetna processed $61 million in health claims and FDIC paidAetna $6.6 million in administrative fees.The objectives of the audit were to determine whether Aetna (1) complied with contractprovisions and amendments for ...