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Administrative Orders - 2011
Enforcement Orders
Company - Marketplace Violations

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Aetna Life Insurance Company
Hartford, Connecticut
Violation: Issued a group life insurance policy to an unapproved trust; issued group health insurance policy to unapproved trust.
Penalty: $20,000
Date of Order: 07/11/2011
Final
American International Group, Inc
New York, New York
Violation: Multistate investigation alleges underreporting of workers' compensation premium.
Penalty: AIG agrees to pay nationwide fine of $100 million plus $46.6 million in additional premium taxes and assessments; Oregon's share of the fine is $1.1 million and its share of assessments is nearly $2.6 million.
Date of Order: 02/28/2011
Final
Regulatory Settlement Agreement
American Mercury Insurance Company
Oklahoma City, Oklahoma
Violation: Failed to notify claimants in writing about claim denials
Penalty: $15,000
Date of Order: 03/28/2011
Final
Bankers Life and Casualty Company
Carmel, Indiana
Violation: Failed to notify policyholders about Medicare supplement insurance premium change
Penalty: $5,000
Date of Order: 01/25/2011
Final
Brokers National Life Assurance Company
Austin, Texas
Violation: Issued a group health insurance policy to an unapproved association
Penalty: $15,000
Date of Order: 07/11/2011
Final
Hallmark Insurance Company
Fort Worth, Texas
Violation: Terminated agents without sufficient notice
Penalty: $2,800
Date of Order: 04/13/2011
Final
Health Net Health Plan of Oregon
Tigard, Oregon
Violation: Health Net misrepresented to claimants seeking chemical dependency or mental health services under group health insurance policies that the policies required prior authorization before receiving the services.
Penalty: $5,000
Date of Order: 08/11/2011
Final
Metropolitan Life Insurance Company
Tampa, Florida
Violation: Issued a group life insurance policy to an unapproved trust; issued group health insurance policy to unapproved trust.
Penalty: $5,000
Date of Order: 07/11/2011
Final
PacifiCare of Oregon, Inc.
Cypress, California
Violation: Issued a group health insurance policy to unapproved trust.
Penalty: $10,000
Date of Order: 07/11/2011
Final
Pan-American Life Insurance Company
New Orleans, Louisiana
Violation: Issued a group health insurance policy to unapproved association
Penalty: $5,000
Date of Order: 07/11/2011
Final
Providence Health Plan
Beaverton, Oregon
Violation: Failed to notify insured and provider of additional information needed to process claims
Penalty: $20,000
Date of Order: 05/10/2011
Final
Providence Health Plan
Beaverton, Oregon
Violation: Issued a group health insurance policy to unapproved trust
Penalty: $10,000
Date of Order: 07/11/2011
Final
Regence BlueCross BlueShield of Oregon
Portland, Oregon
Violation: The company failed to reimburse applicants the full costs of medical information requested by the company in evaluating applicants' Oregon Standard Health Statement.
Penalty: $10,000
Date of Order: 05/24/2011
Final
Standard Insurance Company
Portland, Oregon
Violation: Issued a group health insurance policy to unapproved trust
Penalty: $15,000
Date of Order: 07/11/2011
Final
Symetra Life Insurance Company
Seattle, Washington
Violation: Issued stop loss policy to unapproved trust
Penalty: $10,000
Date of Order: 07/11/2011
Final
The Mega Life and Health Insurance Company
North Richland Hills, Texas
Violation: Refused to pay claims without conducting reasonable investigations
Penalty: $40,000
Date of Order: 05/24/2011
Final
The Union Labor Life Insurance Company
Washington, D.C.
Violation: Issued group life insurance policy to unapproved trust; issued group health insurance policy to unapproved trust
Penalty: $10,000
Date of Order: 07/11/2011
Final
United of Omaha Life Insurance Company
Omaha, Nebraska
Violation: Issued group life insurance policy to unapproved trust
Penalty: $5,000
Date of Order: 07/11/2011
Final
UnitedHealthcare Insurance Company
Hartford, Connecticut
Violation: Issued group health insurance policy to unapproved trust
Penalty: $5,000
Date of Order: 07/11/2011
Final
UnitedHealthcare Insurance Company
Hartford, Connecticut
Violation: Failed to notify members that company needed additional information to process claims
Penalty: $20,000
Date of Order: 10/25/2011
Final
Williamsburg National Insurance Company
Southfield, Michigan
Violation: Recouped more from insureds than its assessment by the Oregon Insurance Guaranty Association.
Penalty: $5,000
Date of Order: 11/21/2011
Final