APPENDIX
EXHIBIT ADECLARATION OF SEAN J. HELLEIN
IN SUPPORT OF PETITION FOR QUO WARRANTO.
1, SEAN J. HELLEIN, declare as follows:
1, My name is Sean J. Hellein, Iam over 21 years of age and suffer from no
mental or physical disabilities. { make this Declaration based on my personal knowledge
of the facts set forth herein.
2. Tam a citizen of the State of Florida and have lived here all my life,
although | am temporarily on a sojourn out of the State for safety concems and as a result
‘of an employment opportunity. | intend to return to Florida as my place of domicile as
safety, work and finances permit. I own my home in Florida, I hold 2 Florida State ID and
a Florida Voter ID, and I use an area code (813) Tampa cell phone number.
3. was employed by WellCare Health Plans, Inc. (“WellCare”) in various
positions from November 2002 through October 2007, including as a Senior Financial
Analyst. Because of my position, I frequently spoke with, attended meetings with and had
interactions with the top management at WellCare.
4, Daring all relevant times hereto, I was disgusted with Wellcare’s fraud
and had reported it to the FBI and the -U.S. Atiomey’s Office. At such times, ] was
cooperatinig. as an insider, confidential informant for the FBI, the Office of the Inspector
General of the Department of Health and Human Services and the U.S. Attorney’s Office.
In that role, and during all relevant times hereto, | wore audio and video surveillance
equipment almost daily to assist in the criminal and civil investigations of WellCare by
the Federal Government, all which were triggered by my filing of the original complaintin the False Claims Act case referenced in the Original Quo Warranto Petition filed with
this Court.
5. In June 2006, special concems arose at WellCare regarding possible
significant obligations to repay Medicaid overpayments relating to past behavioral health
encounters. WellCare had traditionally relied on providing false records to conceal these
overpayments. However, at a point in time, the regulators at AHCA began asking for
more detailed information and WellCare’s overpayment liability was becoming greater
‘each year.
6 This concem was the result of the Florida law requiring that 80% of
monies advanced for behavioral encounters had to be spent on the patient or treatment for
the patient (“80/20 Law”). Around this time, Peter Clay, WellCare’s Vice President of
Medical Economics, feared a one-year liability could now exceed $10M.
7. Asa result of these internal discussions, in the summer of 2006, Greg
West, another Senior Financial Analyst, prepared a spreadsheet report showing actual
expenses versus the fiaudulently reported expenses. The conclusion of this report was
that, based on the Florida 80/20 Law requirement and considering WellCare’s actual
expenses, WellCare was currently liable to the State of Floride for approximately $23M
in Medicaid overpayments.
8. The extent of this potential liability created a panic among top
management who feared that discovery or disclosure of the $23M in liability would
trigger increased serutiny and discovery by the Government of WellCare’s improper and
fraudulent financial practices, as well as a severe drop in the value of WellCare’s publicly
traded stock. Management’s primary concer was always creating and maintaining the