Integrity Matters

Fenyx Health Insurance Company

We commit to operating lawfully, compliantly and ethically. Meeting our regulatory obligations is critical to the success of our business. But, we operate honestly and ethically because we believe it’s a fundamental philosophy much bigger than just regulatory requirements – it’s a reflection of who we are.

Integrity Matters

Fenyx Health Insurance Company

We commit to operating lawfully, compliantly and ethically. Meeting our regulatory obligations is critical to the success of our business. But, we operate honestly and ethically because we believe it’s a fundamental philosophy much bigger than just regulatory requirements – it’s a reflection of who we are.

Reporting Compliance Violations

Actual or Suspected Compliance Violations

All Fenyx Health employees and employees of our contracted partners, providers and members are required to report any actual, potential or suspected violation of law, regulation, requirement, contractual obligation, Code or policy.

When you report in good faith, meaning you report truthfully and as accurately as possible without malice or ill-intent, you are protected from intimidation and retaliation. This good faith protection extends to asking questions/seeking guidance and advice, and participating in investigations, audits, self-evaluations and remedial actions.

All reports will be reviewed. Those meeting certain requirements will be investigated further. Any reports ultimately confirmed as an actual violation will result in consequences including disciplinary action.

You have multiple channels for asking questions, seeking guidance and reporting violations.

  1. Speak with your immediate supervisor, if you are a Fenyx Health employee or employee of one of our partners. If you are not comfortable doing so, you can speak with another supervisor or department leader you feel comfortable speaking to.
  2. Website: Available 24 hours a day, 365 days a year via the form below
  3. Email: Available 24 hours a day, 365 days a year at compliance@fenyxhealth.com
  4. Phone Message: Leave a message 24 hours a day, 365 days a year at (800) 350-6626. As this is not a live interaction, there will be no case number provided at the time you leave a message. If you provide a phone number, email or mail address in your message, we will send you the case number.
  5. Mail: Fenyx Health, Attention: Compliance, PO Box 135, Winfield, PA 17889

Be prepared to provide any documents or evidence that supports your report and describe as much of the situation as possible including:

  • When and where the violation occurred,
  • Who was present and/or involved in the violation and
  • How you know about the violation.

You have the option reporting anonymously, where allowed by law. Fenyx Health will protect your identity in further steps as much as possible if you choose to identify yourself to make the report but prefer your name not be revealed further.

All reports will be assigned a case number, reviewed and triaged according to severity. Reports meeting certain thresholds will be investigated. As each report may be unique, so will the timing to complete each review and/or investigation. You are welcome to check on the status of your report at any time; we will share with you as much information as possible, but some information may be subject to various confidentiality requirements and not shared.

If you are asked to participate in an internal investigation, you are required to cooperate.

Fenyx Health strictly prohibits intimidation and/or retaliation against anyone for reporting a potential compliance, ethics, FWA or legal concern in good faith. Also prohibited is intimidating and/or retaliating against anyone cooperating in an investigation. Anyone found intimidating and/or retaliating under these circumstances will be disciplined up to and including termination of employment/contract/policy, legal action and/or referral to law enforcement.

Report a Compliance Violation

Please submit as much information as possible to assist in our review and research.

Your name

Your relationship to Fenyx Health

Your address

Your phone

Your email address

Please provide detailed information about the actual or suspected violation. Include date(s), name(s) and location(s) of anyone involved, plus all details. The more details you provide, the better detailed our review can be.

Include any attachments you feel are helpful to support your case (max 10MB)

Click or drag a file to this area to upload.

Thank you. All reports are assigned a case number, reviewed and triaged according to severity. Reports meeting certain thresholds will be investigated. As each report may be unique, so will the timing to complete each review and/or investigation. You are welcome to check on the status of your report at any time; we will share with you as much information as possible, but some information may be subject to various confidentiality requirements and not shared.

Report a Compliance Violation

Please submit as much information as possible to assist in our review and research.

Your name

Your relationship to Fenyx Health

Your address

Your phone

Your email address

Please provide detailed information about the actual or suspected violation. Include date(s), name(s) and location(s) of anyone involved, plus all details. The more details you provide, the better detailed our review can be.

Include any attachments you feel are helpful to support your case (max 10MB)

Click or drag a file to this area to upload.

Thank you. All reports are assigned a case number, reviewed and triaged according to severity. Reports meeting certain thresholds will be investigated. As each report may be unique, so will the timing to complete each review and/or investigation. You are welcome to check on the status of your report at any time; we will share with you as much information as possible, but some information may be subject to various confidentiality requirements and not shared.