|
| 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
|
