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Violation Tracker Industry Summary Page

Industry: healthcare services
Penalty Total since 2000: $23,311,696,485
Number of Records: 13,343
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 ParentPrimary Offense Type sort iconYearAgencyPenalty Amount
Empire HealthChoiceElevance Healthinsurance violation2012NY-DFS$480,440
HIP Health PlanEmblemHealthinsurance violation2012NY-DFS$187,570
Oxford HealthUnitedHealth Groupinsurance violation2012NY-DFS$665,000
Excellus Health Plan, Inc.Excellus BlueCross BlueShieldinsurance violation2012NY-DFS$125,000
Healthfirst PHSP Inc.Healthfirstinsurance violation2013NY-DFS$27,500
American Progressive Life and Health Insurance Company of New YorkCenteneinsurance violation2013NY-DFS$968,075
Excellus Health Plan, Inc.Excellus BlueCross BlueShieldinsurance violation2013NY-DFS$314,979
UnitedHealthcare Insurance Company of New YorkUnitedHealth Groupinsurance violation2016NY-DFS$225,000
Unimerica Life Insurance Company of New YorkUnitedHealth Groupinsurance violation2016NY-DFS$36,153
Oxford Health Plans (NY) Inc. and Oxford Health Insurance, Inc.UnitedHealth Groupinsurance violation2017NY-DFS$1,000,000
Excellus Health Plans, Inc.Excellus BlueCross BlueShieldinsurance violation2017NY-DFS$1,000,000
Cigna Health and Life Insurance CompanyCignainsurance violation2017NY-DFS$2,000,000
CIGNA Health and Life Insurance CompanyCignainsurance violation2018NY-DFS$13,000
Empire Healthchoice Assurance, Inc.Elevance Healthinsurance violation2018NY-DFS$85,325
Excellus Health Plan, Inc.Excellus BlueCross BlueShieldinsurance violation2018NY-DFS$228,822
Healthfirst PHSP, Inc.Healthfirstinsurance violation2018NY-DFS$40,000
American Progressive Life and Health Insurance Company of New YorkCenteneinsurance violation2019NY-DFS$260,000
Humana Insurance CompanyHumanainsurance violation2007OK-INS$500,000
LifeWise, A Premera Health Plan, Inc.Premera Blue Crossinsurance violation2002OR-FIN$5,000
PacifiCare Life Assurance CompanyUnitedHealth Groupinsurance violation2005OR-FIN$40,000
Health Net Health Plan of Oregon, Inc.Centeneinsurance violation2005OR-FIN$10,000
LifeWise Health Plan of Oregon Inc.Premera Blue Crossinsurance violation2006OR-FIN$20,000
Chesapeake Life Insurance CompanyUnitedHealth Groupinsurance violation2006OR-FIN$45,000
Health Net Health Plan of Oregon, Inc.Centeneinsurance violation2006OR-FIN$10,000
Healthy Alliance Life Insurance CompanyElevance Healthinsurance violation2007OR-FIN$5,000
PacifiCare of Oregon, Inc.UnitedHealth Groupinsurance violation2007OR-FIN$34,000
MEGA Life and Health Insurance CompanyUnitedHealth Groupinsurance violation2007OR-FIN$50,000
Kaiser Foundation Health Plan of the Northwest dba Kaiser PermanenteKaiser Permanenteinsurance violation2007OR-FIN$10,000
PacifiCare Life Assurance CompanyUnitedHealth Groupinsurance violation2008OR-FIN$46,000
Kaiser Foundation Health Plan of the Northwest dba Kaiser PermanenteKaiser Permanenteinsurance violation2009OR-FIN$9,000
Health Net Health Plan of Oregon, Inc.Centeneinsurance violation2009OR-FIN$10,000
PacifiCare of Oregon, Inc.UnitedHealth Groupinsurance violation2010OR-FIN$6,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2010OR-FIN$20,000
PacifiCare of Oregon, Inc.UnitedHealth Groupinsurance violation2011OR-FIN$10,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2011OR-FIN$5,000
MEGA Life and Health Insurance CompanyUnitedHealth Groupinsurance violation2011OR-FIN$40,000
Health Net Health Plan of Oregon, Inc.Centeneinsurance violation2011OR-FIN$5,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2011OR-FIN$20,000
Health Net Health Plan of Oregon, Inc.Centeneinsurance violation2016OR-FIN$163,000
Kaiser Foundation Health Plan of the NorthwestKaiser Permanenteinsurance violation2017OR-FIN$100,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2017OR-FIN$6,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2017OR-FIN$44,000
Life Insurance Company of North AmericaCignainsurance violation2017OR-FIN$10,000
LifeWise Health Plan of OregonPremera Blue Crossinsurance violation2018OR-FIN$788,000
Life Insurance Company of North AmericaCignainsurance violation2019OR-FIN$50,000
UnitedHealthcare Insurance Company and United Behavioral HealthUnitedHealth Groupinsurance violation2019OR-FIN$30,000
Cigna Healthcare of PennsylvaniaCignainsurance violation2006PA-INS$10,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2019PA-INS$1,800,000
United Healthcare of New England Inc.UnitedHealth Groupinsurance violation2007RI-OHIC$67,500
The MEGA Life and Health Insurance CompanyUnitedHealth Groupinsurance violation2011RI-OHIC$225,000
UnitedHealthcare Insurance CompanyUnitedHealth Groupinsurance violation2018RI-OHIC$10,000
Cigna Insurance Service CompanyCignainsurance violation2006SC-INS$6,000
Express Scripts Administrators LLCCignainsurance violation2015SD-INS$125,000
Humana Pharmacy Solutions Inc.Humanainsurance violation2016SD-INS$25,000
Sanford Health PlanSanford Healthinsurance violation2018SD-INS$5,000
Express Scripts Administrators LLCCignainsurance violation2017TN-INS$25,000
Humana Pharmacy Solutions Inc.Humanainsurance violation2019TN-INS$25,000
Humana Health Plan of TexasHumanainsurance violation2001TX-INS$2,100,000
Methodist HospitalHouston Methodistinsurance violation2010TX-INS$8,000
Healthsouth CorporationEncompass Healthinsurance violation2010TX-INS$5,000
Christus Santa Rosa HospitalCHRISTUS Healthinsurance violation2011TX-INS$6,000
Quest Diagnostics Inc.Quest Diagnosticsinsurance violation2011TX-INS$5,000
Memorial Hermann Hospital SystemMemorial Hermann Health Systeminsurance violation2011TX-INS$6,000
Methodist HospitalHouston Methodistinsurance violation2011TX-INS$6,000
Ascension HealthAscension Healthinsurance violation2014TX-INS$5,000
Dallas Medical CenterPrime Healthcare Services Inc.insurance violation2014TX-INS$15,000
Ascension HealthAscension Healthinsurance violation2015TX-INS$19,500
Sterling Life Insurance CompanyCignainsurance violation2015TX-INS$30,000
PacifiCare Life and Health Insurance CompanyUnitedHealth Groupinsurance violation2015TX-INS$10,000
AmeriGroup Texas, Inc.Elevance Healthinsurance violation2015TX-INS$40,000
Cigna Healthcare of Texas, Inc.Cignainsurance violation2016TX-INS$75,000
Humana Health Plan of Texas, Inc.Humanainsurance violation2016TX-INS$10,000
Unitedhealthcare Benefits of Texas, Inc.UnitedHealth Groupinsurance violation2016TX-INS$90,000
Molina Healthcare of Texas, Inc.Molina Healthcareinsurance violation2016TX-INS$200,000
Cigna Healthcare of Texas, Inc.Cignainsurance violation2016TX-INS$75,000
Humana Insurance CompanyHumanainsurance violation2017TX-INS$75,000
Envolve Pharmacy Solutions, Inc.Centeneinsurance violation2017TX-INS$45,000
Cigna Healthcare of Texas, Inc.Cignainsurance violation2017TX-INS$40,000
Celtic Insurance CompanyCenteneinsurance violation2017TX-INS$30,000
Superior HealthPlan, Inc.Centeneinsurance violation2017TX-INS$30,000
Memorial Hermann Health Plan, Inc.Memorial Hermann Health Systeminsurance violation2017TX-INS$20,000
Christus Health PlanCHRISTUS Healthinsurance violation2017TX-INS$85,000
Allegian Insurance CompanyTenet Healthcareinsurance violation2017TX-INS$120,000
Humana Health Plan of Texas, Inc.Humanainsurance violation2017TX-INS$140,000
Unitedhealthcare Community Plan of Texas, LLCUnitedHealth Groupinsurance violation2017TX-INS$15,000
Superior HealthPlan Inc.Centeneinsurance violation2017TX-INS$40,000
Centene Company of Texas LPCenteneinsurance violation2017TX-INS$45,000
Express Scripts Utilization Management CompanyCignainsurance violation2018TX-INS$200,000
Humana Insurance CompanyHumanainsurance violation2018TX-INS$50,000
CHRISTUS Health PlanCHRISTUS Healthinsurance violation2018TX-INS$30,000
Humana Insurance CompanyHumanainsurance violation2018TX-INS$60,000
Cigna Health and Life Insurance CompanyCignainsurance violation2018TX-INS$40,000
OptumHealth Care Solutions, LLCUnitedHealth Groupinsurance violation2018TX-INS$50,000
OptumRX, Inc.UnitedHealth Groupinsurance violation2018TX-INS$75,000
Humana Insurance CompanyHumanainsurance violation2018TX-INS$350,000
UnitedHealthcare of Texas, Inc.UnitedHealth Groupinsurance violation2018TX-INS$175,000
Humana Insurance CompanyHumanainsurance violation2018TX-INS$100,000
United Behavioral HealthUnitedHealth Groupinsurance violation2018TX-INS$25,000
Chi St. Luke's HealthCommonSpirit Healthinsurance violation2019TX-INS$5,000
Humana Health Plan of Texas, IncHumanainsurance violation2019TX-INS$115,000
Molina Healthcare of Texas, Inc.Molina Healthcareinsurance violation2019TX-INS$500,000
(*): Penalty amounts marked by an asterisk are ones announced by more than one agency. Parent penalty totals are adjusted to avoid double-counting.