Fraud Prevention Institute for Employee Benefit Plans

Firsthand Tales From a Fraudster

• What was the motivation for the fraud in the first place?
• How was the scheme uncovered?
• How did the fraud impact the organization and the people nearest to the fraud?
• What could have been done to prevent or identify the scheme earlier?

Understanding Your Fiduciary Obligations With Respect to Fraud—U.S.

Fiduciaries of employee benefit plans have a legal duty to act in the best interests of plan participants and beneficiaries. This responsibility includes:

• Preventing fraud
• Detecting fraud
• Responding to fraud
• Legal and legislative updates.

Understanding Your Fiduciary Obligations With Respect to Fraud—Canada

Fiduciaries of employee benefit plans have a legal duty to act in the best interests of plan participants and beneficiaries. This responsibility includes:

• Preventing fraud
• Detecting fraud
• Responding to fraud
• Legal and legislative updates.

Top Threats of 2025

We are all vulnerable to fraud, and the benefits industry is no exception given all the personal and confidential information that is collected. This session will highlight the top schemes in the following areas:

• Health and welfare
• Pension and retirement
• Insider fraud
• Cyber vulnerabilities.

Mitigating Risks

Mitigating the risk of plan fraud requires a multilayered approach, including:

• Strong governance
• Technology
• Internal controls
• Proactive monitoring
• Defining and differentiating key steps
• Audits
• Investigations
• Analyses
• Employee awareness.

Social Engineering: Spot, Stop and Prevent Attacks

Fraudsters don’t always hack systems; they also hack people. This session will explore how social engineering tactics are used to commit fraud and provide actionable steps to prevent them.

• What is social engineering fraud?
• How to spot social engineering fraud
• What controls can be implemented to avoid these methods?

Oversight of Plan Providers: Key Responsibilities and Agreements

Understand the critical distinctions between contracts and service agreements and their role in managing plan providers, including:

• Who is responsible for key obligations
• Best practices for RFP processes
• Duty to oversee plan vendors
• How to establish strong policies and procedures.

Artificial Intelligence: Tools for Fraud Prevention

Artificial intelligence continues to evolve—enhancing fraud schemes and aiding in detection. Learn what tools are currently being used to help detect and mitigate fraud, including:

• AI tools aiding detection
• Role of data analytics
• Defining data analytics
• Common analytic tools, expenses, etc.
• What data can and cannot tell you.

It’s Not Your Grandmother’s Fraud—Or Is It?

Fraud schemes have evolved with technology, but many of the fundamental tactics—mail fraud, wire fraud and identity theft—are still in play. This interactive discussion will uncover the modern and traditional fraud risks facing organizations today and explore practical, cost-effective strategies to mitigate and recover from fraud.

Plan Fraud Insurance: Key Considerations for Protection

Gain insights into the evolving fraud insurance landscape, from understanding coverage options to effectively filing claims and navigating cyber liability.

• Explore what these policies protect against
• Assess coverage levels
• Add-on vs. comprehensive coverage
• Exclusions and hidden risks
• Security and compliance gaps
• Benchmark costs to ensure your organization is well prepared against financial risks?

You Found Cyberfraud, Now What?

• Who do you call first?
• Creating a breach checklist
• Incident response plans
• Protocol guides
• Working with a breach coach
• Recovery strategies
• Addressing victim stigma

Workshop—You Found Cyberfraud, Now What?

You’ve learned the proper actions to take once cyberfraud has been discovered. Now, use your newly acquired skills to work through a case study example.

Fraud Prevention in Employee Benefit Plans: Lessons Learned and Best Practices

Close out the conference by reporting on your case study findings, discussing key takeaways and sharing best practices from the full conference.