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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: GOOD & SOLID rescission ?
A man tears ligament in knee playing softball in March. He visits ER on Monday and learns that surgery is likely.
On Wednesday he meets with Blue Cross agent and applies for coverage. He discloses arthritis in wrist from an injury of 4 years ago; he discloses enlarged prostate treated with Flomax; he discloses surgery for removal of wisdom teeth 2 years ago; he discloses two episodes of pneumonia in past 5 years.
Three weeks later, agent calls to tell him policy has been issued with effective date of May 1. He consults with surgeon May 14, and has surgery May 28.
Insurance company investigates and learns that the injury happened a week prior to applying for the coverage AND also notes that no mention was made of the ER visit in the days prior to contacting the agent.
Insurance company rescinds policy--they refund the premium.
This is a solid rescission.