Health Net Inc. has agreed to a multimillion-dollar settlement over
allegations of unfair claims handling and policy cancellations, according to the
California Department of Insurance.
The Woodland Hills, California, health care insurer will be required to pay
$14.2 million in billed medical charges and waive $7.2 million in
insurance premiums and possibly pay a $3.6 million penalty to the state.
The company also will be required to reinstate health care coverage for 926
consumers whose policies were canceled during the past four years and prevent
improper rescissions going forward, according to the California regulator’s
statement.
Finally, Health Net could be fined an additional $3.6 million if it doesn’t
correct all the issues stipulated in the settlement. The settlement was in
response to consumer complaints of unfair claims handling and improper
rescission practices dating back to 2004. Health Net denies 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,” Health Net CEO Jay Gellert
said.
Filed by Kristin Gunderson Hunt of Business Insurance, a sister publication
of Workforce Management. To comment, e-mail editors@workforce.com.
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