Aetna, Oscar fined in violation of insurance laws

Health insurers Aetna and Oscar signed consent orders totaling more than $2.5 million to resolve allegations they violated New York insurance laws.

The state's Department of Financial Services claimed Aetna failed to acknowledge and respond to members' complaints within required time frames. The department also said Aetna failed to make preauthorizations. The health insurer agreed to pay a $1.95 million civil penalty to resolve the allegations.

Oscar agreed to pay $576,950 to resolve allegations it failed to follow utilization review deadlines. The department also said Oscar failed to include detailed explanations of denials.  

To view Aetna's full consent order, click here. To view Oscar's, click here.

More articles on payers:
CMS' final rule on risk adjustment payments: 3 things to know
BCBS of Wyoming customers overcharged due to banking error
ACA plan enrollment falls 11%: 3 things to know

Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Webinars

Featured Whitepapers

Featured Podcast

Top 40 articles from the past 6 months