To: * (Aetna Insurance, Designated Hit-Woman)
Date: 09/02/11
Subject: LETTER of APPEAL to request that Aetna & AAFES cease and desist in their systemic attempt to murder *. Such appeal is submitted as required by the illegal, idiotic, illogical, asinine Aetna Appeal Process, designed to provide cover to Aetna’s illegal, immoral, corrupt, murderous actions.
Ms. *:
Per the suggestion of the idiot woman who spoke with me this morning ( Ms. *) regarding the illegal and immoral acts of Aetna and it’s designated employees, this communication is the basis of the asinine “appeal” that I have been forced to participate in.
Let me be blunt, since Aetna refuses to reveal the content, conversation, participants, dates and days of the “consultations” that take place regarding Aetna’s legally obligated pension payout to me, it is impossible for me to complete an accurate, supporting appeal letter by which I would “appeal” a decision that I have not been privy to, or involved with making on any level.
It is kind of hard to appeal what I don’t know, so if the dip****s at your company want to get together and inform me of what new great “medical evidence” they have that has cured my genetic epilepsy, my brain-damage, my Complex-Post Traumatic Stress Disorder, Clinical Depression, uncontrollable blood-pressure, memory damage, the psychological ramifications of my illnesses and the flip of my car off the 200 foot cliff,…I’d love to respond and “appeal”.
So, as soon as your company grows a pair of ethical gonads, and wishes to reveal the content of those illegal conversations, I’ll be better prepared to write another stupid appeal letter,…that you Satanist Thieves may be forced to accept.
I also need to inform all of you that I’ve charged yourself, Ms. Wilson and all unknown Aetna & AAFES persons found to have participated in conversations, communications or activities related to Aetna’s efforts to prematurely kill me, all of you have been accused of Attempted Murder by myself… and, to the best of my knowledge, investigations and “consultations” regarding the charges are ongoing.
As I communicated in the attached appeal letter and media release, I have filed charges in El-Dorado County, California and the EDC Sherriff’s Department is working the issue. (We shall see) And I have also filed charges through the FBI regarding the violations of the Federal RICO statutes, by Aetna & AAFES personnel. It is my understanding that based upon my communications with Senator Barbara Boxer’s office; the government is remarkably interested in this type of immoral behavior by companies such as Aetna on a national basis… as well as a potential preliminary FBI inquiry getting underway. (FYI, KCRA-Television in Sacramento is also investigating Aetna’s illegal activities)
Send me something to appeal, and I shall do so.
RJO
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To: KCRA Television / Call for Action
Subject: Information Packet/Aetna-AAFES/Pension Issue-APPEAL DOCUMENT
Date: 09/02/11
Phone:
Claimant Name/Address:
Ms. XXXXX:
Thank you so much for the compassionate, ethical reaction to my plea for assistance. I can understand that my story may seem overly-dramatic…however, when you suffer from seizures which can cause you to simply blink out of known existence, and which put you into an oppressive position of “second-by-second” distress over financial, mental or medical status, well, it is not a soap-opera to me. In fact, everything described in this document is of life-threatening consequences to me and millions of other disabled people as well.
The fact that I could (at any second) stroke out, seize out, or suffer a heart attack from this corporate / government abuse is almost unbearable. Aetna thinks that in spite of having access to both my medical records, and the medical advice from their own Doctors, Aetna thinks they can simply call me up every few months and claim to be able to cancel my pension and steal my financial security? I find this to be both an illegal and immoral act. And, in my opinion, both Aetna and AAFES commit an aggressive act of attempted-murder each time they do so.
Additionally, based upon admitting that Aetna & AAFES meet regularly via phone or “in consultation”
(always without I or my representative allowed to be present), and
by refusing to reveal what was discussed regarding my disability case, Aetna representative, Jackie Barley, has openly admitted to potential violations of federal RICO statutes by herself, her chain-of command, and any other AAFES executive participating in these collusive meetings.
It is a proven fact that I am permanently disabled. It has been proven beyond any doubt that my disability is documented, and that my condition is incurable, both from the long-term damage inflicted by the corrupt AAFES work environment, the brain-damaging auto accident, and the incurable genetic epilepsy which leads to uncontrollable, documented seizures (see attached video).
It is a fact that my condition will never change to the degree that I can again be allowed to drive, operate machinery, be dependable and/ or be responsible for myself or another, ever again.
It is a fact that I will never be “whole” or “able-bodied” ever again.
Aetna & AAFES are aware of this fact, yet continue to behave in a manner illogical to their stated goals of “re-qualifying me”. How could I have become “disqualified” once Aetna and SS “qualified me” and documented the permanent nature of my disability?
Aetna & AAFES know that based upon my condition, once I was documented as disabled, I will never be whole again…therefore every meeting they hold or conduct… is a meeting that involves discussing how to violate the law, and illegally reduce my pension and earned benefits.
Aetna & AAFES executives are aware of my condition when they
“enter into consultations”. In fact, they
are violating Federal RICO Laws by convening such a meeting. Aetna & AAFES are aware that my medically documented status will never change to an “abled-bodied” status, and therefore they are individually aware that under the Federal Settlement Agreement, as well as my contractual relationship with Aetna, that I am entitled to the pension owed to me by my disabled condition. They know they owe me the pension either way, so all actions that spring forth from these “consultations” are nothing but the execution of the two company’s illegal plan to defraud myself and millions of others.
However, non-physician executives from Aetna continue to claim every few months that I no longer qualify for the disability pension, in spite of all the medical evidence, documentation and logic…which leaves only one motivation for them to continue such behavior.
Aetna & AAFES are aware of the medical result of such ongoing tension and stress. Aetna is perfectly aware that if they call and harass a certain percentage of claimants who are truly disabled, that eventually that stress and distress will lead to an early death. So essentially, Aetna and AAFES collude in meetings to reduce my benefit, take my pension, and stress me to the point of death, stroke or heart attack, which on an actuarial basis, lowers Aetna & AAFES’s costs, thus improving their profits and the material gain derived from getting a certain % of their clientele to drop dead.
It is my understanding that after making this charge to the El-Dorado County Sherriff’s Office, the detectives are taking my claims seriously and are bringing my case before the Prosecuting Attorney for review or action.
Details-
- I am a fifty-one year old, retired government executive. I am retired under a federal settlement of an ADA violation, as well as under a federal settlement involving my actions as a federally protected whistle blower. The agency I am “retired from” is the Army and Air Force Exchange Service. AAFES is the ten billion dollar a year retailer for the Pentagon, and runs the BX/PX system on Army and Air Force installations around the world.
- Under the Whistle Blower Protection Act, I was certified has having suffered from official reprisal early on in my career with AAFES, and was subjected to an ongoing campaign of abuse throughout my twenty+ years career. AAFES maintains a huge headquarters building on Walton-Walker Blvd. in Dallas Texas, and are headed by a two-year assigned, rotating Army or Air Force Two-Star General. (AAFES Phone # - 214-312-2011)
- I am retired due to having been diagnosed as being genetically epileptic at the age of 49.
- I have also been diagnosed as suffering from Complex-PTSD, Clinical Depression and several other emotional / mental issues brought about due to the abuse I endured as a federal whistleblower, and as a result of my childhood / upbringing.
- (I have written a memoir under the name of * titled Webster Groves-The Life of an Insane Family, which explains the source of my C-PTSD from my childhood)
- As part of my federal retirement agreement, (which is considered in effect when I have been qualified for disability) Social Security is responsible for approximately one-half of my monthly pension, with the second half coming from the AAFES retirement fund, managed by Aetna.
- The medical documentation concerning my situation is beyond question, and has been the basis for continued payment of my pension by both Aetna, and Social Security. The medical documentation in their possession clearly documents my incurable, genetic epilepsy, which causes horrific tonic-clonic seizures (every 3-6 weeks), look-away seizures (daily) and profound memory and cognitive disabilities that will never be fixed, cured or repaired. Everyone involved has those records, the documentation and current access to my medical records, including the fact that I am still on my seizure medications (as proscribed) and am currently under the care of medical providers and a psychologist
- Additionally, AAFES and Aetna are aware of the fact that during a post-seizure fugue state on March 27, 2010, I unintentionally drove a car and rocketed off a two-hundred foot cliff at 70mph,…flipping eight times and being thrown from the car about fifty-feet.
- I endured life-threatening, life-impacting injuries from the auto-accident, including breaking my back in 4-5 spots, breaking my neck in 4-5 spots, breaking my tailbone and 4-5 ribs…and after being ripped out my buckled seat-belt, and sucked out the closed back passenger window,…I suffered a 19 staple gash in my head/brain, which has slowed me down just a bit.
- AAFES & Aetna have had access to my medical records for over twenty-five years. Aetna, which manages the AAFES retirement fund (5-8 Billion dollars), was also my health-insurance provider for over twenty-years…yet Aetna claims they “do have enough documentation”,…and/ or they change their claim to “medical information has changed, that indicates I’m no longer disabled”.
- Huh..? What has changed? I’m still genetically epileptic, and I’m still suffering from seizures? Is there some new form of medication, treatment or miracle that will fix my brain? Have the Aetna managers discovered some new pill, probe or plan to make it so a potential future employer will trust me with their cars, plants, people or equipment?
- Is there some form of pill I can take that will make it safe again for me to drive a car…ever?
- Despite my overwhelming terror at having driven 7 miles with no memory and then flying off a cliff, has Aetna or AAFES illegally devised some medical treatment plan that I’m required to participate in… and that fixes the permanently damaged part of my brain, my body and my psyche? Aetna knows that I live in terror of making that “fugue-state” error again and killing someone other than me.
- I am forced to live in an environment each moment of the day, not knowing if my reality is current, is already changed, will unknowingly change…or may kill me, (or someone else) through my bizarre, uncontrollable, unaware fugue-state behavior.
- But Aetna & AAFES contend “they do not have enough documentation” of my disability, and/or that my “medical information has changed”…which cannot be true, since to the best of my knowledge, I’ve not been cured as of yet?
- And since I never knowingly gave Aetna/AAFES permission to act as my Physician… or to violate my HIPPA rights, I consider every attempt to direct my healthcare as acts designed to defraud, and to reduce my financial security in an aggressive act of assault with intent to kill.
- Other than pay my disability pension, Aetna & AAFES have no legitimate role to play in my life, my personal business or my medical treatment plan. In fact, how can an “insurance provider”, as represented through Ms. Barley, Ms. Wilson or the other criminals participating in this act of criminal malice… and with no documented medical education, experience or certification … (or permission from myself)… again, how can an unqualified administrator of documents, processes and financially incentivized behavior (Ms. Barley & Ms. Wilson),…how can that person also claim the be qualified to demand certain types of medical care for myself? Or, to claim to have the authority to cease paying their legally obligated debt to me?
- If not a Doctor, (and certainly not one I engaged or contracted with)…if not a certified, licensed physician, how can Jackie Barley or Ms. Wilson, or any of the criminals at these collusive Aetna & AAFES “consultations”...how can they consult about my medical condition when they are not qualified? Is that not illegal already? Practicing medicine without a license?
- How is it that Aetna/AAFES and other corporate gangs are allowed to break laws that ordinary citizens would be arrested over, and yet no one stops these corporate thieves and hacks? Do they not know that someday, someone will take it upon themselves to “stop” these people? Why are the courts, government and legislators allowing this to keep happening?
- In fact, Aetna refuses to release transcripts of the illegal “consultations” depriving me of my life-blood (pension) and attacking my stress level as though stabbing a man’s kidney,…or slicing through a lover’s throat,…directly and immediately damaging my health and well-being as though you’d just as surely murdered me in some ghetto alley.
- Based upon their certification of me as being permanently disabled, Social Security continues to pay their portion of my due-pension. However, Aetna continues to think they can keep me in some fugue-state of non-certification?
- Aetna is aware that keeping myself and millions of others in this “status”, is as much of a silent-killer as though I’d been rat-poisoned by a spouse at dinner.
- Aetna keeps telling me what type of medical care I’m required to consume, yet I’ve never contracted with Aetna to guide my Health care, and they should have no “demand” or “input” into the type of medical care I elect to accept or pursue. I contracted with Aetna, through AAFES… to “insure” me against disability, not manage my medical treatment.
- Aetna & AAFES have no right to require me to seek any form of medical care and they are not an invited, included member of my Medical Treatment Team. Aetna & AAFES have no legal right or role in the determination of my treatments. Aetna & AAFES, in the post-federal settlement environment of our agreement have only one role, “document my disability status”, which, on a permanent basis has already been done countless times… and then pay me my pension.
- As my contractual relationship is between myself & AAFES, with Aetna managing the AAFES Retirement Fund, I presume the illegal actions of Aetna are a reflection of the continued harassment suffered by myself in my role as a federally protected whistle blower, and that executives at AAFES are still intent on punishing me for being honest, just as they did throughout my government career.
- Aetna & AAFES can play all the “word” or “contract” games they wish, but neither of these strategies will allow Aetna to deny my disability claim. My disability has been established; proven and documented…there is no legitimate open question about my health, my disability, or Aetna/AAFES’s legal responsibility to pay my disability pension.
- The disability has been documented and determined to be a life-long affliction, immune to any known treatment or cure, which will never allow me to be made “whole” or “able-bodied” again. Aetna & AAFES are aware of this condition, therefore any activity, meeting or action taken to reduce, remove or minimize my legally-due pension, is an act of fraud, with the intent to murder, or eliminate the legal recipients of the Aetna managed, but AAFES owned retirement fund.
- My federal settlement agreement with AAFES requires the payment of my pension based upon being qualified as being disabled, that federal settlement agreement is the “controlling legal document” with regard to my pension and retirement from AAFES.
- I have been “certified as being disabled”, both by the Social Security Administration, and by the rotating liars and thieves from Aetna who have paid on my claim in the past… but now claim to have been wrong (?) …even though they have all the necessary documentation to prove my disability permanent.
- The use of such mercurial phrases as “temporary, permanently disabled”… (?)…by Aetna & AAFES show that they are using word-games to defraud their clients, and are using physically dangerous harassment tactics in an effort to kill-off potential money-absorbing clients who are due their earned pension in an environment free of murderous calls, claims and behavior.
- When asked how it is possible to be considered “disabled” by the government, meaning having been certified by the Social Security Administration as being permanently disabled…how could Aetna claim differently? The Aetna representative stated, “They (SS) have different rules, we have different rules, we don’t care about Social Security.”
- By continuing to keep me in some form of “temporary, permanently disabled” status, as Aetna claims to have done, the managing partner of the AAFES retirement fund engages in illegal, unethical acts of aggression.
- By continuing to call me every three months, threatening to cut off my pension, Aetna executives (Jackie Barley) know that on a statistical basis, the more long-term disabled clients that are hassled and abused regarding Aetna’s legally obligated payout, the sooner their blood pressure will spike, the sooner folks like me will simply die. All of this silent, cost-benefit management… courtesy of the incessant pressure and stress of fighting the criminal acts of collusion between these two criminal gangs, Aetna & AAFES.
- In order to document my integrity, I am attaching photographs of my injuries related to the auto accident, as well as (revealing/embarrassing) video of my Tonic-Clonic (Grande-mall) seizures which render me mindless for about ten days after such an event. These seizures also damage my short and long-term memory, and scare me to death every time I am almost killed by one. Why Aetna thinks they can just keep trying to openly kill me, I do not know?
- One would think an ethical company would simply be interested in living up to their obligation, and not harass disabled, retired clients to death? Unless that is their goal and objective all along? In any matter, I have medical documentation available if it is necessary to further document my circumstances, and, if not suffering from a post-seizure fugue, I am a fairly articulate interview. Part of my job with US DoD was public communications, teaching communications and transactional analysis, etc. So I would not mind sitting down with a camera and interview,…I’d love to find out how many other millions of “insured folks” are being treated this way, and why it is not charged consistently as criminal behavior, either as “attempted murder”, or at a minimum, intent to harm with… “Depraved indifference”?...........(end of doc.)
