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State Regulators Fine Blue Cross for Canceling Policies
West News • March 26, 2007
State regulators fined California's largest health insurance provider $1 million for violating state law, saying an investigation found that the company systematically dropped policyholders after ...
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| Subject | Posted By | Posted On |
|---|---|---|
| RE: Twenty Two Cents per Person = $1M fine | ken | Mar 30, 2007, 10:37 pm |
| $8M Fine | ken | Mar 30, 2007, 6:06 pm |
| RE: Fine Above $8M coming | terence | Mar 30, 2007, 2:03 pm |
| Fine Above $8M coming | ken | Mar 29, 2007, 7:19 pm |
| Blue Cross | ken | Mar 29, 2007, 6:56 pm |
| IMPROPER rescission--an example | Klapper | Mar 29, 2007, 11:41 am |
| GOOD & SOLID rescission ? | klapper | Mar 29, 2007, 10:40 am |
| Blue Cross fine--will it exceed $2.3 ? | terence | Mar 29, 2007, 10:16 am |
| RE: Blue Cross and the Dept of Insurance. | ken | Mar 29, 2007, 12:46 am |
| Blue Cross and the Dept of Insurance. | Terence | Mar 26, 2007, 10:15 pm |
| RE: Anthem and Blue Cross the Same ? | Terence | Mar 26, 2007, 10:07 pm |
| Anthem and Blue Cross the Same ? | mv | Mar 26, 2007, 3:47 pm |
| Back to article | ||
Subject: Blue Cross fine--will it exceed $2.3 ?
Others had opinions on claims practices.
Big difference on an opinion on the administration of the HMO contact.
The hoops to jump through in order to rescind an insurance policy and many and complex. But the insurance industry has many talented investigators who know the rules, know how to investigate, know where to obtain the facts and know how to present their arguements as to why the contract is being rescinded.
To the detriment of Blue Cross, none of these investigators work in Woodland Hills.
Using a term like "broke the law" is much too general to have any meaning. More specific examples of behavior would get the point across better. I can give you a dozen examples of GOOD & SOLID rescissions with a dozen examples of IMPROPER rescissions. Each case must be studied. Then you can see that the
applicant made a BOLD FACED LIE
or an innocent error in completing the questions within the application.
Those who make the BOLD FACED LIE are easily found out, and they are rescinded.
Others deserve the help of the State regulators as some of the rescission actions are improper--and explaining why the conduct of Blue Cross is IMPROPER has been a constant battle. I once spent 25 minutes explaining why four rescission cases were improper and should be reinstated. The manager and his two assistants said "So what?"
At long last Blue Cross is being pulled into the 21st century in a very expensive manner. The next fine in April will exceed $2.3 million.