This evidentiary record constitutes a formal demand for audit pursuant to California Government Code § 8546.7, which provides that every contract involving expenditure of public funds exceeding $10,000 “shall be subject to the examination and audit of the California State Auditor.” The Legislature specifically intended this provision to apply to the Regents of the University of California. The contracts at issue — including UC’s systemwide agreements with Anthem Blue Cross, Accolade, and Via Benefits (Willis Towers Watson) — each involve public fund expenditures far exceeding this threshold.
The University of California constitutes a “public trust” under California Constitution, Article IX, Section 9. As a self-insured employer, UC is bound by Cal. Code Regs. Title 8, § 15400.2: claim files where future benefits may be payable “shall not” be destroyed.
A prior formal audit request was submitted November 9, 2021, to Chief Compliance & Audit Officer Alexander Bustamante. UC has never responded. This is the second such demand.
On November 11, 2025, Charles A. Harold Jr. (Harold), a former UCLA peace officer with a documented permanent disability rating from a 1996 industrial injury and a 2003 workers’ compensation settlement with health benefits, was diagnosed with cancer, requiring surgery scheduled for February 25, 2026.
Documentary evidence establishes that Via Benefits, UC’s contracted insurance coordinator operated by Willis Towers Watson, had been contacting Harold since at least July 2025 — months before Harold was even thinking about open enrollment. Via Benefits’ July 23, 2025 email thanked Harold for “contacting” them and responding to his “recent question regarding scheduling an appointment.” Harold never contacted them because he has been a Blue Cross member for decades.
Between November 17, 2025 and December 26, 2025, the evidence indicated UC’s systems processed Harold through two contradictory enrollment tracks simultaneously:
TRACK A (UC High Option Track): On November 17, 2025, after Harold had attended UC’s own RASC Monthly Medicare Webinar on May 22, 2025 (Webinar ID: 952 3749 5832, organized by RASC Insurance Liaison Alicia Rivera via UCOP Zoom), during which UC representatives informed attendees that Blue Cross members would be automatically transitioned to UC Medicare PPO administered by Anthem Blue Cross — with no mention of Via Benefits — and after UC’s own published document “Medicare & Your UC Medical Plan” confirmed that Blue Cross members “will transition to the UC Medicare PPO plan, administered by Anthem Blue Cross,” Harold submitted UBEN 123 to enroll in Navitus drug coverage under UC High Option Supplement to Medicare. UC accepted this form. On November 21, 2025, Harold re-submitted updated UBEN 123 forms for himself and his wife to remain in UC High Option. UC accepted these forms.
TRACK B (Via Benefits Track): Simultaneously, Via Benefits continued marketing emails claiming Harold’s “Initial Enrollment Period has started” (factually false — Harold had been taking Social Security benefits since November 2024 and as such had been automatically enrolled in Medicare). On December 9, 11, and 23, Via Benefits agents left voicemails stating “University of California has authorized us to call regarding your upcoming transition.” On December 26, 2025, after a phone call, UC employee Robin sent Harold UBEN 100 and UBEN 101 forms to disenroll from UC High Option and transfer to Via Benefits.
Harold and his wife signed the December 26 forms based on representations made during his November 17 call to UC RASC, during which he was informed that his Arizona residence required him to transfer to Via Benefits. Harold also spent a long time on the phone with Via Benefits on November 21, 2025, attempting to understand what UC had told him. Harold believed at the time he was speaking with UC when in fact it was Via Benefits.
On February 2, 2026 — twenty-three days before Harold’s scheduled cancer surgery — Via Benefits program administrator Joshua Lewis called Harold to process his enrollment. When Harold explained his permanent disability rating, Lewis stated Harold is ineligible for Via Benefits because of that disability rating. Lewis stated he would send written notification to UC that Harold’s application will not be accepted by Via Benefits. Harold specifically directed Lewis not to enroll him because it would seriously jeopardize his quality of healthcare coverage and possibly a favorable medical recovery outcome.
The program UC spent seven months pushing Harold toward was a plan he does not want and the enrollment pipeline UC activated was directed at a person the program itself will not accept.
CRITICAL UPDATE — February 2, 2026:
Via Benefits program administrator Joshua Lewis (Willis Towers Watson) called and spoke with Harold and independently confirmed that Charles Harold is ineligible for the Via Benefits Medicare Coordinator Program due to his disability rating. Lewis stated he will send written notification to UC that Harold’s application will not be accepted. The actions demanded below are now supported by Via Benefits’ own determination.
UC hereby directed to immediately:
Harold and his wife attended a “Monthly Medicare Webinar - Presented by RASC,” conducted by RASC Insurance Liaisons via UCOP Zoom (Webinar ID: 952 3749 5832). The webinar was organized by Alicia Rivera, Insurance Liaison, and hosted on UC Office of the President’s Zoom platform (UCOP.zoom.us). Harold’s Google Calendar entry, created April 9, 2025, confirms his registration. The webinar description stated: “We will be providing an educational webinar on important Medicare topics for UC retirees. After the webinar, there will be ample time for an in-depth Q&A session, where retirees can ask questions about their particular situation.”
During this webinar, UC representatives informed attendees that retirees currently enrolled in the UC Anthem Blue Cross program would be automatically transitioned to the corresponding UC Medicare plan. UC’s own published document, “Medicare & Your UC Medical Plan,” distributed through the UCLA Emeriti/Retirees Relations Center (ERRC), states: “For members covered by these plans, you will transition to the UC Medicare PPO plan, administered by Anthem Blue Cross.” The word is “will” — not “may,” not “can elect to.” Harold and his wife were also informed that they could not elect a different coverage program because their existing UC Blue Cross enrollment determined their Medicare transition path.
This document — published by UC and available on the UCLA ERRC website — contains no mention of Via Benefits, no mention of the Medicare Coordinator Program, and no mention of a $4,000 annual stipend as an alternative to UC group coverage. The automatic transition path described by UC’s own RASC was to UC Medicare PPO, administered by Anthem Blue Cross.
Fifty-seven days later, Via Benefits logged a call from Harold that Harold never made.
Documentary evidence establishes that Via Benefits began contacting Harold in July 2025 — four months before the November 17, 2025 UC RASC call that Harold believed initiated the transfer process. Harold was not thinking about open enrollment in July. Harold did not contact Via Benefits. Yet Via Benefits’ own emails show they logged activity as if Harold had initiated contact.
Via Benefits’ subsequent emails reference a call on this date: “Thank you for calling Via Benefits on 7/18/2025.” Harold has no record of initiating this call. The pipeline had begun.
Email from Via Benefits ([email protected]): “Thank you for contacting Via Benefits Insurance Services. It is important to us that you understand your health care options. In response to your recent question regarding scheduling an appointment, we would like to provide a link to this article…”
Signed by: Raven Green, Email Customer Service Representative, Via Benefits WTW, 38 East Scenic Pointe Drive Suite 200, Draper, UT 84020. Phone provided: 1-866-322-2824 (Willis Towers Watson corporate number — the same number Joshua Lewis would call from on February 2, 2026).
Harold never contacted Via Benefits. Harold never asked about scheduling an appointment because he was happily enrolled in the UC Anthem Blue Cross program.
Via Benefits email: “Your opinion matters to Via Benefits. Tell us what you think today!” Preview: “Thank you for calling Via Benefits on 7/18/2025…”
Via Benefits email ([email protected]): “Dear Valued Participant, Thank you for calling Via Benefits on 7/18/2025. You now have the opportunity to help improve the Via Benefits experience…”
Via Benefits email to “Charles Harold” states: “It’s Via Benefits checking in – have you taken your Pre-Enrollment Assessment yet? If you haven’t, please contact us as soon as possible. Our records show your Initial Enrollment Period has started and you can now enroll in Medicare coverage.”
THIS STATEMENT WAS FACTUALLY FALSE. Harold and his wife took Social Security in November 2024, which automatically enrolled them in Medicare, effective January 1, 2026. Harold’s “Initial Enrollment Period” had passed. Via Benefits’ own records contained false information about Harold’s Medicare status while they were actively pressuring him to enroll.
The email also stated: “University of California provides you with a reimbursement account to help with the cost of eligible expenses, including plan premiums.” This email used phone number 1-855-359-7381 — a different number than the July email’s 1-866-322-2824. The existence of two different Via Benefits phone numbers (one WTW corporate, one UC-contracted) shows both the WTW corporate side and the UC-contracted side were independently targeting Harold.
Via Benefits marketing email: “Cake, coffee, or something else? It’s your party so you decide how you want to celebrate. Let Via Benefits help you with your Medicare coverage – you’ve earned it!”
Harold receives advance cancer diagnosis via an expensive medical PET-CT, requiring surgery. Surgery scheduled at the earliest date available, February 25, 2026.
Via Benefits marketing email: “Your 65th birthday or retirement date will be here soon and that means you can enroll in a Medicare plan right now.” This email arrived the day AFTER Harold’s November 17 call to UC RASC, and the SAME day Harold was preparing updated UBEN 123 forms to STAY in UC High Option.
Phone records document two critical calls in November 2025. The call logs, combined with the UBEN forms Harold submitted, reveal what happened.
| Date/Time | Number | Entity | Direction | Duration |
|---|---|---|---|---|
| Nov 17, 2025 2:24 PM | (800) 888-8267 | UC RASC | OUTGOING | 49m 46s |
| Nov 21, 2025 11:12 AM | 1-855-359-7381 | Via Benefits | OUTGOING | 2h 17m 10s (length could indicate the call did not disconnect properly) |
Harold called UC RASC at (800) 888-8267 — the official UC Retirement Administration Service Center number printed on all UBEN forms. The call lasted 49 minutes and 46 seconds.
Harold’s recollection: At the end of the call, he was informed that because he lives in Arizona, he needs to change his enrollment to Via Benefits and fill out UBEN forms.
However, Harold’s immediate action was NOT to transfer to Via Benefits. On the SAME DAY, Harold signed and faxed UBEN 123 to ENROLL in Navitus drug coverage UNDER UC High Option:
| Field | Entry |
|---|---|
| Form | UBEN 123 (R11/25) — NAVITUS (PDP) ENROLLMENT FORM FOR UC MEDICARE PPO OR UC HIGH OPTION SUPPLEMENT TO MEDICARE |
| Retiree Name | HAROLD, CHARLES A. |
| Retiree Retirement Date | 06/01/2015 |
| Plan Selected | ☑ UC High Option Supplement to Medicare Plan |
| Requested Effective Date | 01/03/2026 |
| Signature Date | 11/17/2025 |
| Fax Cover Message | “Please find my Navitas (PDP) Enrollment Form for UC Medicare UC High Option Supplement to Medicare” |
| Sent To | UC Retirement Admin Services |
UC accepted this form. Harold was enrolled in drug coverage under UC High Option. He received his Navitus cards shortly thereafter.
Four days after the UC RASC call, Harold called Via Benefits at 1-855-359-7381. The call lasted 2 hours, 17 minutes, and 10 seconds according to the phone log (however that could be because the call did not disconnect properly).
Harold was attempting to understand or push back on what UC had told him on November 17. He was unclear if he was enrolled in UC High Option plan (even though to be enrolled in the Navitas drug program, he had to be already enrolled in the UC High Option plan).
On the SAME DAY, to ensure his enrollment in UC High Option, Harold re-faxed UPDATED UBEN 123 forms for BOTH himself and his wife to STAY in UC High Option:
| Field | Entry |
|---|---|
| Form | UBEN 123 (R11/25) — NAVITUS (PDP) ENROLLMENT FORM (Updated) |
| Enrollees | Charles A. Harold AND Harold's wife |
| Plans Selected | ☑ UC Medicare PPO Plan AND ☑ UC High Option Supplement to Medicare Plan (BOTH checked) |
| Effective Date | January 1, 2026 |
| Signature Dates | 11/21/2025 (both) |
| Fax Cover Message | “Attached are the enrollment forms for UC Medicare Enrollment for me and my wife. Hard copies in the mail today. There is a change from the previous form we sent it. Please update to this form choice.” |
| Sent To | UC Medicare Enrollment |
UC accepted these forms. Both Harolds were enrolled in UC High Option coverage as evidenced by Harold’s Medicare account that confirmed his secondary coverage.
On November 17 and November 21, UC’s systems processed Harold’s UBEN 123 forms to ENROLL him and his wife in drug coverage under UC High Option. UC accepted these forms. Harold was an active UC group plan member and received his drug and supplemental plan membership cards.
Simultaneously, Via Benefits continued sending marketing emails treating Harold as a Via Benefits enrollment candidate. Via Benefits’ October 2 email had claimed Harold’s “Initial Enrollment Period has started” (false). Via Benefits’ November 18 email arrived the same day Harold was filing forms to stay in UC coverage.
Two departments within the UC/Via Benefits system were processing Harold through contradictory tracks:
Via Benefits marketing email: “Your birthday or retirement date is coming up fast! It’s the perfect time to think about cake, parties, blowing out candles and… Medicare?”
Via Benefits email preview: “Contact Via Benefits today University of California helps to offset the costs associated with your health…” This email arrived 10 days before Robin sent the UBEN 100/101 forms.
Via Benefits/Willis Towers Watson agents began calling the Harold household, leaving voicemails stating they were calling on behalf of UC:
| Date/Time | For | Message |
|---|---|---|
| Dec 9, 2025 9:27 AM | Harold's wife | Christopher Dilge: “University of California has authorized us to call regarding your upcoming transition to a new health plan.” |
| Dec 11, 2025 12:37 PM | Harold's wife | Kim Jones: “University of California has authorized us to call regarding your upcoming transition to a new health plan.” Includes operating hours. |
| Dec 23, 2025 11:19 AM | Charles Harold | Takia Mobile: “University of California has authorized us to call regarding your upcoming transition to a new health plan.” Call declined. |
All three voicemails used the phrase “University of California has authorized us to call.” Via Benefits was presenting itself as an extension of UC. A reasonable person would believe they were dealing with UC directly. Harold believed this although he suspected something was incorrect.
These calls came AFTER Harold spent time on the phone with Via Benefits on November 21. Via Benefits continued calling despite Harold’s extended engagement with them.
On December 26, 2025, at 4:38 PM, UC employee who identified as “Robin” emailed Harold from a ucop.edu email address ([email protected]) with the subject line “uben 100 uben 101 (CRMCASEID1831281)”:
“Dear Charles: Attached is the uben 100 uben 101 form. Thank you, RASC”
The attached blank forms were: UBEN 100 (R10/21) — RETIREE CONTINUATION, ENROLLMENT OR CHANGE — MEDICAL, DENTAL AND/OR LEGAL PLAN; and UBEN 101 (R10/20) — MEDICARE ADVANTAGE, MEDICARE ADVANTAGE PPO OR PRESCRIPTION DRUG PLAN DISENROLLMENT FORM.
Based on what Robin told Harold during the November 17 UC RASC call — that his Arizona residence required the transfer — Harold signed the forms the same day, believing the transfer was simply a third party administrator such as Navitus with no reduction in the High Option benefits.
UBEN 100 — Via Benefits Enrollment:
| Field | Entry |
|---|---|
| Form | UBEN 100 (R10/21) — RETIREE CONTINUATION, ENROLLMENT OR CHANGE |
| Retiree Name | HAROLD JR, CHARLES A. |
| Family Member | HAROLD, SILVIA Z (Spouse) |
| Action Requested | “SUSPEND” — Medical plan due to other group/individual coverage/Via Benefits (effective date: 01/01/2026) |
| Comments Field | “Enrolling in Via Benefits” |
| Signature Date | 12/26/2025 |
UBEN 101 — UC High Option Disenrollment:
| Field | Entry |
|---|---|
| Form | UBEN 101 (R10/20) — MEDICARE ADVANTAGE, MEDICARE ADVANTAGE PPO OR PRESCRIPTION DRUG PLAN DISENROLLMENT FORM |
| Retiree Name | HAROLD JR, CHARLES A. |
| Request Statement | “I, Charles A. Harold, Jr., request disenrollment in UC High Option” (handwritten “CURRENT MEDICAL PLAN”) |
| Reason for Disenrollment | ☑ Other: “Enrolling in Via Benefits” (Effective date: 01/01/2026) |
| Family Members Listed | Harold Jr., Charles A. (Self) AND Harold, Harold's wife Z (Spouse) |
| Signatures | Both Charles and his wife signed, dated 12/26/25 |
Harold faxed both forms to UC RASC at 800-792-5178. Dropbox Fax records confirm: “UBEN_100_and…d__C_Harold” sent to +1 800-792-5178 on Dec 26, 2025. Harold also mailed hard copies via USPS Priority Express to RASC (PO Box 24570, Oakland CA 94623-1570). Shippo.com receipt on file.
The UBEN form sequence reveals that UC’s systems processed Harold through two contradictory classification tracks simultaneously.
UC cannot simultaneously:
One department treated Harold as an active UC plan member. Another department treated Harold as a Via Benefits transfer candidate. The left hand did not know what the right hand was doing.
The explanation for this contradiction lies in Harold’s disability status. Harold has a documented permanent disability rating from a 1996 industrial injury and a 2003 workers’ compensation settlement. Under UC policy and the published Via Benefits eligibility rules, UCRP disability recipients are NOT eligible for Via Benefits.
Track A (UC High Option enrollment) appears to have been processed by a department that knew Harold was a disabled public safety member eligible for UC group coverage. Track B (Via Benefits transfer) appears to have been processed by a department that did NOT know — or ignored — Harold’s public safety permanent disability status, treating him as a regular retiree. The two tracks reflect two different classifications of the same person: disabled member vs. regular retiree.
On February 2, 2026, at 12:11 PM Arizona time, Via Benefits program administrator Joshua Lewis called Harold from the Willis Towers Watson number (1-866-322-2824 — the same corporate number that appeared in the July 23, 2025 email). The call lasted 7 minutes and 6 seconds.
Lewis identified himself as a Via Benefits program administrator. Lewis stated he had received Harold’s enrollment and was calling to process it (which struck Harold as odd since he had already sent UC the stop notice and they had acknowledged it).
Harold explained he was formulating a letter about his ineligibility due to his disability rating.
JOSHUA LEWIS CONFIRMED: Harold is indeed ineligible for Via Benefits because of his disability rating.
Lewis stated this is a problem and he will send a note/letter to UC system notifying them Harold’s application will NOT be accepted by Via Benefits due to ineligibility.
Lewis stated it will take about a week for UC to respond after which he will call Harold. He added that he usually calls and if the call is not answered he waits and then recalls to connect.
Harold informed Lewis of his February 25, 2026 cancer surgery.
Lewis responded: “We need to fix this before then.”
Harold explained it was illogical for a cancer patient to opt out of UC Blue Cross High Option for a $4,000/year stipend. Lewis agreed it made no sense.
Harold specifically directed Lewis NOT to enroll him in Via Benefits because it would seriously jeopardize his quality of healthcare coverage and his life.
Lewis added a caveat about routing uncertainty (whether the notification would go to UC HR or someone else).
Harold stated he now understood that UC had been attempting to move him to Via Benefits before he signed the UBEN forms because someone in UC’s system concluded he was eligible when he was not.
This is not Harold’s claim. This is not a legal argument. This is the third-party program administrator that UC contracted with — the entity on the receiving end of UC’s enrollment pipeline — independently determining, based on Harold’s disability rating, that Harold cannot be enrolled.
The published eligibility rules are not merely words on a page. They are applied in practice by Via Benefits itself. UC directed Harold into a program. That program’s own administrator has now told Harold he cannot enter it and is notifying UC in writing.
The enrollment pipeline UC activated — the July 2025 emails from Raven Green, the October “Initial Enrollment Period” claim, the November marketing blitz, the calls from Christopher Dilge on December 9, Kim Jones on December 11, Takia Mobile on December 23, the UBEN forms from Robin on December 26, and the January 23 follow-up call — was directed at a person the program itself will not accept.
UC told Harold to enroll in Via Benefits. Via Benefits told Harold (and is telling UC) that he cannot enroll. The two institutions on opposite sides of the same transaction are contradicting each other about the same person.
Harold exists in a superposition of contradictory states within UC’s systems:
These four states cannot coexist. Harold cannot simultaneously be eligible for UC High Option enrollment (UBEN 123) and required to disenroll from UC High Option (UBEN 101). He cannot simultaneously be a Via Benefits transfer candidate (UC’s direction) and ineligible for Via Benefits (Via Benefits’ determination). The wave function has not collapsed. Harold remains in superposition. And his surgery is February 25, 2026.
Harold’s cancer surgery is scheduled for February 25, 2026. If UC’s Via Benefits transfer proceeds as processed:
This outcome would occur because UC directed Harold into a program he cannot enter, is NOT REQUIRED TO ENTER and does not want to enter. On February 2, 2026, Via Benefits administrator Joshua Lewis acknowledged the urgency, stating “we need to fix this before then” when Harold informed him of the February 25 surgery date. Harold specifically directed Lewis not to enroll him in Via Benefits because it would seriously jeopardize his quality of healthcare coverage and possibly a favorable medical recovery outcome. The enrollment pipeline UC activated over seven months is colliding with medical reality 23 days before surgery.
The blank UBEN 100 form Robin sent to Harold on December 26, 2025 contains a critical omission. Section 3 of UBEN 100 (“YOUR MEDICAL, DENTAL, LEGAL PLAN”) lists available Medicare Medical Plans, including “Via Benefits–Medicare Coordinator Prog” with footnotes:
There is NO footnote or warning anywhere on the UBEN 100 form stating that UCRP disability recipients are ineligible for Via Benefits. The form header states: “RETIREE CONTINUATION, ENROLLMENT OR CHANGE—MEDICAL, DENTAL AND/OR LEGAL PLAN.” Section 1 header states: “YOUR PERSONAL INFORMATION — RETIREE, SURVIVOR OR DISABLED MEMBER.” The form explicitly contemplates use by disabled members. Yet it presents Via Benefits as an option without any warning that disabled members are ineligible. A disabled member filling out this form would have no indication that selecting Via Benefits would result in rejection. The disability exclusion exists in UC’s published eligibility rules — but not on the form UC sent to Harold.
| Date | Event |
|---|---|
| Nov 2024 | Harolds take Social Security; automatically enrolled in Medicare |
| Jul 18, 2025 | Via Benefits logs a “call” (referenced in subsequent emails). Harold has no record of initiating this call. |
| Jul 23, 2025 | Via Benefits email thanks Harold for “contacting” them and responding to his “recent question regarding scheduling an appointment.” Harold never contacted them. From: Raven Green, Via Benefits WTW. Phone: 1-866-322-2824. |
| Jul 26, 2025 | Via Benefits survey request email referencing 7/18/2025 call |
| Jul 29, 2025 | Via Benefits reminder survey email: “Thank you for calling Via Benefits on 7/18/2025” |
| Oct 2, 2025 | Via Benefits email claims “Our records show your Initial Enrollment Period has started” (FALSE — Harolds already on Medicare since Nov 2024). Phone: 1-855-359-7381 (different number). |
| Nov 4, 2025 | Via Benefits marketing email: “Next Stop: Birthday Bash” |
| Nov 11, 2025 | Harold diagnosed with advanced cancer requiring surgery (scheduled Feb 25, 2026) |
| Nov 17, 2025 2:24 PM | Harold calls UC RASC (800-888-8267), 49m 46s. Told Arizona residence requires Via Benefits transfer. |
| Nov 17, 2025 | SAME DAY: Harold signs UBEN 123 enrolling in Navitus drug coverage under UC High Option. Faxed to UC. |
| Nov 18, 2025 | Via Benefits marketing email: “Birthdays Come Just Once a Year” (day after UC RASC call, same day as UBEN 123 update prep) |
| Nov 21, 2025 11:12 AM | Harold calls Via Benefits (1-855-359-7381), 2h 17m 10s. (Extended time may include wait time, discussion and improper disconnect). |
| Nov 21, 2025 | SAME DAY: Harold re-faxes updated UBEN 123 for BOTH Charles and his wife to STAY in UC High Option. |
| Dec 2, 2025 | Via Benefits marketing email: “Let’s Get This Party Started” |
| Dec 9, 2025 | Via Benefits voicemail for Harold's wife (Christopher Dilge): “University of California has authorized us to call regarding your upcoming transition to a new health plan.” |
| Dec 11, 2025 | Via Benefits voicemail for Harold's wife (Kim Jones): Same message. |
| Dec 16, 2025 | Via Benefits email: “Don’t Leave Money On The Table” |
| Dec 23, 2025 | Via Benefits voicemail for Charles (Takia Mobile): Same “UC has authorized us” message. Call declined. |
| Dec 26, 2025 4:38 PM | Robin (UC RASC, ucop.edu) emails Harold UBEN 100 and UBEN 101 forms. Case ID 1831281. |
| Dec 26, 2025 | SAME DAY: Per UC rep requirements, Harold signs UBEN 100 (enroll Via Benefits) and UBEN 101 (disenroll UC High Option). Both Charles and his wife sign. Faxed to UC RASC. |
| Dec 27, 2025 | Harold mails hard copies of UBEN forms via USPS Priority Express to RASC (PO Box 24570, Oakland CA 94623-1570). Shippo.com receipt on file. |
| Dec 31, 2025 | SIX RECORDED CALLS — Coverage System Failures Discovered (Full transcripts in Chapter 4) |
| Dec 31 — 1:22 PM | ACCOLADE CALL PART 1: Harold discovers 6–8 months of claims retroactively denied. $100,000 in back claims showing as owed. $9,000 PET-CT for prostate cancer imaging showing patient responsibility. Coordination of benefits error identified — system asking for “secondary insurance” Harold never had. |
| Dec 31 — 1:44 PM | ACCOLADE CALL PART 2: Three-way call with Anthem rep “Dynasty” on back end. INSTITUTIONAL ADMISSION: Coordination of benefits “was not updated.” Updated on call. Claims to reprocess in 30 business days. System integration failure confirmed — Accolade cannot link to Anthem portal. |
| Dec 31 — 2:30 PM | UCOP CALL ATTEMPT #1: UC closed for New Year’s holiday. No answer. |
| Dec 31 — 2:34 PM | UCOP CALL ATTEMPT #2: UC closed for New Year’s holiday. No answer. |
| Dec 31 — 2:36 PM | MEDICARE CALL 1 (Monica Soria): No secondary insurance on file at Medicare. Prior enrollment/unenrollment note from previous week’s call CANNOT BE LOCATED — data disappeared between calls. Medigap 6-month open enrollment window advisory (expires ~July 1, 2026). Harold states coercion narrative on federal recording: adjuster company threatened to pull all claims unless he applied for regular retirement. |
| Dec 31 — 3:05 PM | MEDICARE CALL 2 (Eric Thompson): Confirmed no secondary coverage on file as of December 31, 2025. CRITICAL ADMISSION: “Medicare cannot set up crossover records. What would have to happen is Blue Cross would have to contact us and set it up.” 60 business day timeline (~3 months). |
| Dec 31 — 3:23 PM | ACCOLADE CALL PARTS 3 & 4: Physical therapy claim miscoded as “biofeedback” and denied. UCLA unaware Harold lives in Arizona despite having his address on file for ~10 years. Account “closure” warning upon Medicare transition. Promise to email claim summaries and callback. AS OF FEB 2, 2026: Email never sent. Callback never made. |
| Jan 23, 2026 | Via Benefits (Willis Towers Watson) missed call from +1 866-322-2824 at 11:28 AM. |
| Jan 29, 2026 | Harold files Immediate Hold Request on Retiree Medical Coverage Changes with UC RASC, demanding all coverage changes be frozen pending cancer surgery. |
| Jan 29, 2026 | Medicare.gov account shows Blue Cross of California as “Other Insurance” with coverage start date 1/1/2026. Federal CMS database confirms UC Blue Cross coverage active. |
| Jan 30, 2026 | UCRAYS portal shows active UC High Option enrollment: $727.48/month premium, 100% UC contribution, Medicare Coordination: Yes. Red alert: “An insurance change is currently in progress.” |
| Jan 30, 2026 | Blue Cross portal shows only 3 years of plan documents (Jan 2024–present) despite 20+ years of continuous coverage. No records available prior to January 1, 2024. |
| Jan 30, 2026 | RASC responds via UCRAYS: Jeanine states outbound Via Benefits calls paused until 3/1/2026, UC coverage continues through 3/31/2026. Directive: “Please ensure that your new coverage through Via Benefits becomes effective on 04/01/2026.” Transfer not voided — only paused. |
| Feb 2, 2026 12:11 PM | Joshua Lewis (Via Benefits/WTW, 1-866-322-2824) calls Harold, 7m 6s. CONFIRMS Harold is INELIGIBLE for Via Benefits due to disability rating. States he will notify UC in writing. Harold directs Lewis NOT to enroll him. |
| Feb 25, 2026 | SCHEDULED: Harold’s cancer surgery |
| # | Evidence Item |
|---|---|
| 1 | Jul 23, 2025 Via Benefits email (Raven Green, WTW) thanking Harold for “contacting” them |
| 2 | Jul 26, 2025 Via Benefits survey email referencing 7/18/2025 call |
| 3 | Jul 29, 2025 Via Benefits reminder email referencing 7/18/2025 call |
| 4 | Oct 2, 2025 Via Benefits email claiming “Initial Enrollment Period has started” |
| 5 | Nov 4, 2025 Via Benefits marketing email “Next Stop: Birthday Bash” |
| 6 | Nov 17, 2025 Phone log: Harold to UC RASC (800-888-8267), 49m 46s |
| 7 | Nov 17, 2025 UBEN 123 signed by Harold (UC High Option drug enrollment) |
| 8 | Nov 17, 2025 Fax cover sheet to UC Retirement Admin Services |
| 9 | Nov 18, 2025 Via Benefits marketing email “Birthdays Come Just Once a Year” |
| 10 | Nov 21, 2025 Phone log: Harold to Via Benefits (1-855-359-7381), 2h 17m 10s |
| 11 | Nov 21, 2025 Updated UBEN 123 for Charles and his wife (UC High Option) |
| 12 | Nov 21, 2025 Fax cover sheet to UC Medicare Enrollment |
| 13 | Dec 2, 2025 Via Benefits marketing email “Let’s Get This Party Started” |
| 14 | Dec 9, 2025 Via Benefits voicemail transcript (Christopher Dilge for Harold's wife) |
| 15 | Dec 11, 2025 Via Benefits voicemail transcript (Kim Jones for Harold's wife) |
| 16 | Dec 16, 2025 Via Benefits email “Don’t Leave Money On The Table” |
| 17 | Dec 23, 2025 Via Benefits voicemail transcript (Takia Mobile for Charles) |
| 18 | Dec 26, 2025 Robin email with UBEN 100/101 (ucop.edu, Case ID 1831281) |
| 19 | Dec 26, 2025 Blank UBEN 100 form (R10/21) showing no disability exclusion warning |
| 20 | Dec 26, 2025 Blank UBEN 101 form (R10/20) |
| 21 | Dec 26, 2025 Signed UBEN 100 (Via Benefits enrollment) with “Enrolling in Via Benefits” |
| 22 | Dec 26, 2025 Signed UBEN 101 (UC High Option disenrollment) |
| 23 | Dec 26, 2025 Fax cover sheet to RASC re UBEN 100/101 |
| 24 | Dec 26, 2025 Dropbox Fax confirmation of UBEN transmission |
| 25 | Dec 27, 2025 USPS Priority Express — UBEN forms mailed to RASC (Shippo receipt) |
| 26 | Dec 31, 2025 Recorded Calls — Accolade (4 parts) and Medicare (2 calls) — Full transcripts in Chapter 4 |
| 27 | Dec 31, 2025 Phone log screenshot — December 31 call sequence |
| 28 | Jan 23, 2026 Via Benefits missed call screenshot |
| 29 | Jan 29, 2026 Immediate Hold Request on Retiree Medical Coverage Changes |
| 30 | Jan 29, 2026 Medicare.gov — Blue Cross of California as Other Insurance |
| 31 | Jan 30, 2026 UCRAYS portal — Active UC High Option enrollment screenshot |
| 32 | Jan 30, 2026 Blue Cross portal — Only 3 years of plan documents |
| 33 | Jan 30, 2026 RASC response — Jeanine/Farzana via UCRAYS messaging |
| 34 | Feb 2, 2026 Phone log: Joshua Lewis call (1-866-322-2824), 7m 6s |
| 35 | Feb 2, 2026 Via Benefits Gmail folder screenshot showing complete email trail |
| 36 | Via Benefits website screenshot (my.viabenefits.com) |
| 37 | UC published Via Benefits eligibility rules showing UCRP disability exclusion |
| 38 | Harold 2003 workers’ compensation settlement (to be produced by UC) |
| 39 | Harold permanent disability rating documentation (to be produced by UC) |
The documentary evidence establishes that:
The enrollment pipeline UC activated over seven months — from the July 2025 emails through the December 2025 transfer forms — was directed at a person the program itself will not accept. Via Benefits’ own administrator has confirmed the ineligibility and is notifying UC. Harold remains caught between contradictory institutional positions while preparing for cancer surgery. UC must immediately halt the Via Benefits transfer, confirm Harold’s continued UC Blue Cross High Option coverage through his surgery, recovery, and perpetuity, and produce the records documenting his 2003 settlement terms and disability status.