DCBS Media Release
March 9, 2001
QualMed fined $50,000 for insurance violations
QualMed Oregon Health Plan, Inc., has been fined $50,000 for violating state insurance laws and administrative rules.
The fine was imposed after a market conduct examination of the company's operations from April to July 1999 by the Insurance Division of the Oregon Department of Consumer and Business Services (DCBS).
QualMed, now known as Health Net Health Plan of Oregon, Inc., admitted to:
The Insurance Division found similar violations by QualMed during past market conduct examinations.
QualMed has been licensed in Oregon as a domestic health care service contractor since 1989. Its main administrative offices are in Clackamas.
The company was fined $15,000 by the Insurance Division in 1996 for improperly denying emergency room claims without conducting a reasonable investigation.