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Health Net Inc. has agreed to settle with the California
Department of Insurance to pay a fine as well as reimburse affected customers
in unlawful medical insurance rescissions case.
The Woodland Hills, CA healthcare company has been ordered to
pay $3.6 million in fines, $7.2 million in waived insurance premiums
and $14.2 million to reimburse medical charges in the case of 926 people whose
medical insurance policies were unfairly cancelled by Health Net after they
became ill.
The California Department of Insurance is investigating five
major Calif. health
insurance policy companies for improper rescission of insurance. California
Insurance Commissioner Steve Poizner said that "The
health insurance industry is on notice that I will not tolerate illegal
rescissions, but my ultimate goal is to protect consumers by changing the way
future rescissions are decided and prevent improper rescission practices.”
Although Health Net
have agreed to co-operate with the CDI, they haven’t admitted to any wrongdoing:
"While we do not necessarily agree with the California Department of
Insurance's allegations, we do believe it is time to move forward and make sure
these affected individuals can obtain coverage," said Health Net Chief
Executive Jay Gellert.
The company is also ordered to operate changes to its application
form, underwriting process, agent training and consumer notifications, as well
as to issue new insurance policies for those customers whose policies were
unfairly rescinded. Health Net are passable for an additional penalty of up to
$3.6 million if a subsequent inspection finds that they have failed to comply
and correct all deficiencies.
NYSE stock values for Health Net were down by 16 cents today,
selling at $26.33
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