He Public Ministry maintains that in the National Health Insurance (Senasa) operated, for several years, a criminal structure directed to divert funds public, manipulate internal processes and financially benefit a group of officials and associates. The accusation, contained in the request for a measure of coercion and declaration of complexity, filed last night, describes a network that combined administrative fraud, corruptiondocument falsification and money laundering. At the moment there are ten accused.
According to the investigation, the network would have been headed by the then executive director of the Senasa, Santiago Marcelo Hazim Albainy, along with several managers and strategic collaborators. This group, according to the accusation, created a parallel system decision-making process that nullified institutional controls and allowed manipulation of the hiring and licensing of health service providers.
One of the central points of the file is the alleged manipulation of the financial and administrative systems of the state insurer. The MP affirms that the defendants altered financial statements, entered false claims and justified irregular payments through adulterated documentation. These maneuvers would have directly affected the Technical Reserves of Senasawith an estimated damage of more than 15,900 million pesos until December 2024.
The indictment also details a scheme of corruption internal system through which the approval, expansion or authorization of providers was negotiated in exchange for bribes. For this, a “operating committee“made up of managers close to the executive director, in charge of centralizing sensitive insurance decisions. The Public Ministry states that it was a mechanism designed to violate regulatory requirements and facilitate illicit economic benefits.
Portfolio companies
Another element highlighted is the use of portfolio companies and billing fictitious to launder diverted resources. The operations included banking triangulation, simulated purchases and the use of third parties to conceal the origin of funds. In this context, personal benefits derived from the scheme are cited, such as the acquisition of a luxury vehicle through financial intermediation.
- The file attributes to the accused crimes of association of criminals, administrative corruptioncoalition of officials, fraud against the State, falsification, bribery and money laundering in its aggravated form.
He Public Ministry concludes that the actions investigated not only caused a patrimonial damage significant, but they compromise the sustainability of public insurance and the social protection of millions of affiliates, especially the most vulnerable.
The accused
Among those accused are Gustavo Enrique Messina Cruz, linked to the manipulation of internal processes and fraudulent operations within the institution.
Also German Rafael Robles Quiñones, legal advisor of the Senasa. The MP places him within the operational core close to the director and points him out by endorse processes irregularities and facilitate decisions contrary to the law.
Another accused is Minerva Minaya Reyesfor his alleged role in the administration of processes and execution of fraudulent maneuvers. TO Cinty Acosta Sención It is related to alleged documentary adulterations and irregular internal processes.
Rafael Luis Martínez Hazim appears charged “for his intervention in maneuvers linked to the diversion of funds and fraudulent administrative operations”.
TO Ramon Alan Speaker Mateo is assigned functions within the scheme to enable fraudulent decisions and irregular operations in the public insurer.
While at Heidi Mariela Pineda Perdomo is accused of her alleged participation in operations of billingadministrative processes and tasks related to the embezzlement.
Another accused is Ada Ledesma Ubieraalthough he is also mentioned in the victims section as institutional figure linked to the State. She is singled out for her alleged role in irregular administrative maneuvers.
