The complaint against the insurance company along with the consent judgment was filed in Suffolk Superior Court on Monday. The complaint alleged ICSOP sold health insurance policies to consumers that were not authorized for sale. The complaint further alleged the insurance company sold policies that excluded coverage for certain health services required by Massachusetts law, including contraception and behavioral health services.
Commenting on the consent judgment, Massachusetts Attorney General Maura Healy said, “Consumers purchasing health insurance should be confident that their policies comply with the law. Companies that sell unauthorized health insurance or fail to cover essential benefits mandated by law…must be held accountable to consumers.”
The majority of the settlement proceeds ($355,000) will go toward consumer relief, while $75,000 will be paid to the commonwealth.
More articles on payer issues:
Fitch: Major health insurers’ credit metrics improved in first half of 2015
How 7 leading health plans performed in Q1: 8 findings
Hospitals lay out concerns about Aetna-Humana deal
Becker’s 3rd Annual Fall Chief Pharmacy Officer Summit is the top tier event that the people leading the future of pharmacy convene. This 3-day event is built specifically for Chief Pharmacy Officers and senior pharmacy leaders. The sessions examine the workforce, financial and clinical priorities shaping pharmacy today. Becker’s is where candid discussions flourish and new ideas thrive. Becker's 3rd Annual Fall Chief Pharmacy Officer Summit