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Violation Tracker Industry Summary Page

Industry: healthcare services
Penalty Total since 2000: $23,336,511,735
Number of Records: 13,470
Note: The totals include only those entries matched to a parent company. The industry designation is the primary one for the parent's operations overall. The totals are adjusted to account for the fact that each parent's entries may include both agency records and settlement announcements for the same case; or else a penalty covering multiple locations may be listed in the individual records for each of the facilities. They are also adjusted to reflect cases in which federal and state or local agencies cooperated and issued separate announcements of the outcome. Duplicate or overlapping penalty amounts are marked with an asterisk in the individual records list below.
Top 10 Current Parent CompaniesTotal Penalty $Number of Records
UnitedHealth Group$2,245,949,382388
Centene$1,893,480,722226
Tenet Healthcare$1,837,042,45167
HCA Healthcare$1,770,736,95871
Fresenius Medical Care$1,065,932,67526
Elevance Health$1,030,125,450500
Encompass Health$978,182,28920
Sutter Health$762,074,19148
Cigna$746,415,946205
SCAN Health Plan$643,897,9504

Individual Penalty Records:

Click on the company or penalty amount for more information on each case. Click on the parent name to reach the summary page for that parent company.

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CompanyCurrent Parent sort iconPrimary Offense TypeYearAgencyPenalty Amount
Cigna CorporationCignaconsumer protection violation2014NY-AG$56,000
CIGNA Health CareCignakickbacks and bribery2004CT-AG$870,388
CIGNA HealthCareCignaconsumer protection violation2007NY-AG$100,000
CIGNA Healthcare of New YorkCignaconsumer protection violation2005NY-AG$5,000
CIGNA Life Insurance CompanyCignaconsumer protection violation2008NY-AG$13,500,000
Express ScriptsCignaFalse Claims Act and related2018VT-AG$503,500
Express Scripts Inc.Cignaconsumer protection violation2008MULTI-AG$9,500,000
Express Scripts, Inc.Cignaconsumer protection violation2008NY-AG$13,500,000
Life Insurance of North AmericaCignaconsumer protection violation2013MA-AG$1,500,000
Life Insurance of North AmericaCignaconsumer protection violation2012MA-AG$1,705,000
Medco Health SolutionsCignaprice-fixing or anti-competitive practices2012CA-AG$2,750,000
Medco Health Solutions, Inc.Cignaconsumer protection violation2004MULTI-AG$29,100,000
Medco Health Solutions, Inc.CignaFalse Claims Act and related2005OH-AG$7,800,000
Life Insurance Company of North AmericaCignawage and hour violation2018WHD$241,149
Express Scripts Administrators, LLCCignainsurance violation2019AR-INS$50,000
Life Insurance Company of North AmericaCignainsurance violation2014AZ-DIFI$54,000
Connecticut General Life Insurance Co.Cignainsurance violation2015AZ-DIFI$235,750
Cigna HealthCare of California, Inc.Cignainsurance violation2001CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2002CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2002CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2003CA-MHC$30,000
Cigna HealthCare of California, Inc.Cignainsurance violation2003CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2004CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2004CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2005CA-MHC$5,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2005CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2006CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2006CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2007CA-MHC$350,000
Life Insurance Company of North AmericaCignainsurance violation2009CA-INS$600,000
Cigna HealthCare of California, Inc.Cignainsurance violation2010CA-MHC$10,000
CignaCignainsurance violation2010CA-MHC$450,000
Cigna HealthCare of California, Inc.Cignainsurance violation2011CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2013CA-MHC$15,000
Cigna HealthCare of California, Inc.Cignainsurance violation2013CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$6,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2014CA-MHC$100,000
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2014CA-MHC$7,500
Cigna HealthCare of California, Inc.Cignainsurance violation2015CA-MHC$15,000
Cigna HealthCare of California, Inc.Cignainsurance violation2015CA-MHC$70,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2016CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2016CA-MHC$100,000
Cigna Dental Health of California, Inc.Cignainsurance violation2017CA-MHC$18,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$70,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$5,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2017CA-MHC$20,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$90,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$10,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2017CA-MHC$10,000
Cigna HealthCare of California, Inc.Cignainsurance violation2017CA-MHC$20,000
Cigna Dental Health of California, Inc.Cignainsurance violation2018CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2018CA-MHC$40,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2018CA-MHC$5,000
Cigna HealthCare of California, Inc.Cignainsurance violation2019CA-MHC$10,000
CIGNA Behavioral Health of California, Inc.Cignainsurance violation2019CA-MHC$5,000
Connecticut General Life Insurance Co.Cignainsurance violation2007CO-INS$207,250
Cigna Healthcare of Colorado, Inc.Cignainsurance violation2007CO-INS$217,250
CIGNA HealthCare - Centennial State, Inc.Cignainsurance violation2010CO-INS$35,200
Cigna Healthcare of Colorado, Inc.Cignainsurance violation2012CO-INS$68,200
Cigna Health and Life Insurance Co.Cignainsurance violation2015CO-INS$57,200
Connecticut General Life Insurance Co.Cignainsurance violation2015CO-INS$53,900
Cigna Healthcare of Colorado, Inc.Cignainsurance violation2017CO-INS$5,750
CIGNA Behavioral Health, Inc.Cignainsurance violation2019CT-INS$8,000
CIGNA Health Management, Inc.Cignainsurance violation2019CT-INS$25,000
Connecticut General Life Insurance Co. and American Speciality Health Networks, Inc.Cignainsurance violation2011DE-INS$5,000
Cigna Health and Life Insurance Co.Cignainsurance violation2019DE-INS$31,000
Life Insurance Company of North AmericaCignainsurance violation2000FL-OFR$13,000
Cigna Healthcare of Florida, Inc.Cignainsurance violation2002FL-OFR$55,000
Life Insurance Company of North AmericaCignainsurance violation2002FL-OFR$5,000
Connecticut General Life Insurance Co.Cignainsurance violation2002FL-OFR$5,000
Cigna Healthcare of Florida, Inc.Cignainsurance violation2003FL-OFR$77,000
Connecticut General Life Insurance Co.Cignainsurance violation2008FL-OFR$9,500
Connecticut General Life Insurance Co. and Cigna Healthcare of Florida, Inc.Cignainsurance violation2019FL-OFR$40,000
CIGNA Health Care of Massachusetts, Inc.Cignainsurance violation2004MA-INS$15,000
Connecticut General Life Insurance Co.Cignainsurance violation2011MD-INS$61,775
Connecticut General Life Insurance Co.Cignainsurance violation2013MD-INS$40,000
Connecticut General Life Insurance Co.Cignainsurance violation2014MD-INS$5,000
CIGNA Health and Life Insurance Co. et al.Cignainsurance violation2015MD-INS$5,400
CIGNA Health and Life Insurance Co.Cignainsurance violation2015MD-INS$9,000
CIGNA Health and Life Insurance Co.Cignainsurance violation2016MD-INS$10,500
CIGNA Health and Life Insurance Co.Cignainsurance violation2016MD-INS$10,000
Bravo Health Mid-Atlantic, Inc.Cignainsurance violation2017MD-INS$11,000
CIGNA Health and Life Insurance Co.Cignainsurance violation2018MD-INS$265,143
CIGNA Health and Life Insurance CompanyCignainsurance violation2019MD-INS$25,000
CIGNA Health and Life Insurance CompanyCignainsurance violation2019MD-INS$265,700
CIGNA Behavioral Health, Inc.Cignainsurance violation2000ME-INS$5,000
CIGNA Healthcare of Maine, Inc.Cignainsurance violation2000ME-INS$10,000
CIGNA Healthcare of Maine, Inc.Cignainsurance violation2001ME-INS$6,000
CIGNA Healthcare of Maine, Inc.Cignainsurance violation2001ME-INS$17,500
CIGNA Healthcare of Maine, Inc. and CIGNA Behavioral Health, Inc.Cignainsurance violation2004ME-INS$1,814,992
Cigna Health and Life Insurance Co.Cignainsurance violation2018ME-INS$81,000
Life Insurance Company of North AmericaCignainsurance violation2016MN-FIN$15,000
Life Insurance Company of North AmericaCignainsurance violation2018MN-FIN$5,000
CIGNA Healthcare of St. Louis, Inc.Cignainsurance violation2006MO-INS$149,084
CIGNA Healthcare of Ohio, Inc.Cignainsurance violation2008MO-INS$14,591
Cigna Healthcare of St. LouisCignainsurance violation2015MO-INS$94,800
Cigna Healthcare of St. LouisCignainsurance violation2015MO-INS$46,000
The Life Insurance Company of North AmericaCignainsurance violation2012MT-FIN$12,500
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.