DOJ-OGR-00005176.jpg

882 KB

Extraction Summary

5
People
5
Organizations
0
Locations
2
Events
4
Relationships
4
Quotes

Document Information

Type: Legal document
File Size: 882 KB
Summary

This legal document, filed on September 7, 2021, outlines the program integrity and confidentiality rules for a claims resolution program. It details the responsibilities of claimants to provide truthful information, the severe consequences of fraudulent claims including referral to law enforcement, and the strict confidentiality protocols governing how claimant information is handled by the Program Administrator. The document specifies that only very limited information can be shared with 'the Estate' for the purpose of claim evaluation, ensuring claimant privacy is protected.

People (5)

Name Role Context
Claimant Person filing a claim
Mentioned throughout as the individual submitting a claim for physical injuries, sickness, and emotional distress und...
Administrator Program Administrator
Responsible for protecting the integrity of the Program, preventing fraudulent claims, processing and evaluating clai...
Legal Representative Legal counsel for a Claimant
Acts on behalf of the Claimant in filing a claim with the Program.
Administrator's designees Assistant to the Administrator
Individuals designated by the Administrator to use and disclose Claimant information for program purposes.
third-party administrator Administrator
Mentioned in a footnote as the service provider used by all parties to resolve claims of sexual abuse.

Organizations (5)

Name Type Context
The Program Claims resolution program
The entity established to process and pay claims for physical injuries, sickness, and emotional distress. The documen...
federal, state or local law enforcement agencies Government agency
Entities to which potentially fraudulent claims will be forwarded for investigation.
Office of the District Attorney Government agency
An office to which potentially fraudulent claims may be forwarded for investigation and prosecution.
United States Attorney’s Office Government agency
An office to which potentially fraudulent claims may be forwarded for investigation and prosecution.
The Estate Legal entity
An entity against which claims are being made. It receives limited information from the Program and has agreed not to...

Timeline (2 events)

A Claimant files a claim with the Program, agreeing to its confidentiality terms.
Potentially fraudulent claims are forwarded to law enforcement agencies for possible investigation and prosecution.

Relationships (4)

Claimant Procedural Administrator
The Claimant submits a claim and information to the Administrator, who then processes, evaluates, and administers the claim.
Claimant Adversarial / Claims The Estate
The Claimant is making a claim related to the Estate. The document strictly limits the information the Estate can receive about the Claimant's submission to protect the Claimant's confidentiality.
Administrator Informational The Estate
The Administrator provides very limited and specific information (name, date(s), location(s) of abuse) to the Estate for the sole purpose of processing the claim.
Administrator Reporting Law Enforcement Agencies
The Administrator is required to forward information on potentially fraudulent claims to various law enforcement agencies.

Key Quotes (4)

"For the purpose of protecting both the integrity of the Program and financial resources for eligible Claimants, the Administrator will institute all necessary measures to prevent payment of fraudulent claims..."
Source
— The document (Describing the purpose of the Program Integrity section.)
DOJ-OGR-00005176.jpg
Quote #1
"Claims that appear to be potentially fraudulent or to contain information known by the Claimant to be false when made will be forwarded to federal, state or local law enforcement agencies..."
Source
— The document (Outlining the consequences for submitting false or fraudulent claims.)
DOJ-OGR-00005176.jpg
Quote #2
"The Program is confidential."
Source
— The document (Stating the primary rule of the Confidentiality/Privacy section.)
DOJ-OGR-00005176.jpg
Quote #3
"No information provided by Claimants will be provided to the Estate except for the Claimant’s name and the date(s) and location(s) of the alleged abuse, for the sole purpose of processing and evaluating the claim..."
Source
— The document (Detailing the specific and limited information that can be shared with the Estate.)
DOJ-OGR-00005176.jpg
Quote #4

Full Extracted Text

Complete text extracted from the document (3,204 characters)

Case 1:20-cr-00330-PAE Document 336-4 Filed 09/07/21 Page 21 of 22
payments made under the Program shall be for a Claimant’s physical injuries, physical sickness and resulting emotional distress within the meaning of Section 104(a) of the Internal Revenue Code.
C. Program Integrity
For the purpose of protecting both the integrity of the Program and financial resources for eligible Claimants, the Administrator will institute all necessary measures to prevent payment of fraudulent claims, including taking steps to verify claims and analyze submissions for inconsistencies, irregularities or duplication.
Each Claimant who signs the Claim Form at the time of submission certifies that the information provided in the Claim Form is true and accurate to the best of the Claimant’s knowledge, and that the Claimant understands that false statements or claims made in connection with such submission may result in fines, imprisonment and/or any other remedy available by law. Claims that appear to be potentially fraudulent or to contain information known by the Claimant to be false when made will be forwarded to federal, state or local law enforcement agencies and/or the appropriate Office of the District Attorney and/or United States Attorney’s Office for possible investigation and prosecution.
D. Confidentiality/Privacy
The Program is confidential.¹ By filing a claim with the Program, the Claimant or her Legal Representative (where applicable) agrees that information submitted by the Claimant pursuant to the Program will be used and/or disclosed by the Administrator and her designees only for the following purposes:
1) Processing and evaluating the Claimant’s claim;
2) Administering the Program and other Program-related work; and
3) Reports to law enforcement where appropriate, related to potentially fraudulent claims.
When documents or other information maintained or submitted by the Estate become part of a Claimant’s file for purposes of the Program, such materials will be reviewed by the Administrator to assist in processing and evaluating the claim, but will otherwise remain confidential. No information provided by Claimants will be provided to the Estate except for the Claimant’s name and the date(s) and location(s) of the alleged abuse, for the sole purpose of processing and evaluating the claim and, for purposes of the Release, the names of any other individual(s) to whom or by whom the Claimant alleges she was trafficked or sexually abused. The Estate has agreed that no information obtained solely through the Program will be disclosed publicly or used by the Estate in defending itself from any claim, regardless of forum. The Program’s files are not available for inspection, review or copying by the Estate or the Claimant or her representatives during or after the Program, and all pertinent
¹ All parties agree that they are using the services of a third-party administrator to help reach a resolution of individual claims of sexual abuse, and that this Program is entitled to confidentiality, privileges (mediation, settlement and all other pertinent privileges), and protection from disclosure under applicable law.
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DOJ-OGR-00005176

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