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Top 5 Offense Groups (Groups Defined)	Penalty Total	Number of Records
healthcare-related offenses	$5,687,004,290	31
government-contracting-related offenses	$587,904,656	32
consumer-protection-related offenses	$314,307,323	264
employment-related offenses	$116,971,564	81
competition-related offenses	$67,150,000	7

Top 5 Primary Offense Types	Penalty Total	Number of Records
off-label or unapproved promotion of medical products	$5,484,000,000	2
False Claims Act and related	$587,904,656	32
consumer protection violation	$229,912,239	36
Controlled Substances Act violation	$199,262,500	17
wage and hour violation	$108,327,071	66

Notes: Parent-subsidiary linkages are based on relationships current as of the latest revision listed in the Update Log, which may vary from what was the case when a violation occurred. The penalty totals are adjusted to account for the fact that the individual entries below 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. The totals 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 list below.

Links: Subsidy Tracker data on financial assistance to this company by federal, state and local government agencies can be found here.

Individual Penalty Records:

Click on the company or penalty amount for more information on each case.

Company	Primary Offense Type	Year	Agency	Penalty Amount
Aetna Health of California Inc.	insurance violation	2018	CA-MHC	$45,000
Aetna Health of California Inc.	insurance violation	2018	CA-MHC	$10,000
Aetna Health of California Inc.	insurance violation	2019	CA-MHC	$17,500
Aetna Health of California Inc.	insurance violation	2019	CA-MHC	$5,000
Aetna Health of California Inc.	insurance violation	2019	CA-MHC	$50,000
Aetna Health of California Inc.	insurance violation	2019	CA-MHC	$50,000
Aetna Health of California, Inc.	insurance violation	2019	CA-MHC	$5,000
Aetna Health of California Inc.	insurance violation	2020	CA-MHC	$60,000
Aetna Health, Inc.	insurance violation	2010	CO-INS	$314,000
Aetna Life Insurance Co.	insurance violation	2010	CO-INS	$350,000
Aetna Health, Inc.	insurance violation	2017	CO-INS	$79,000
Aetna Health Inc.	insurance violation	2016	DE-INS	$33,333
Aetna Life Insurance Co.	insurance violation	2016	DE-INS	$66,666
Aetna Life Insurance Company	insurance violation	2020	DE-INS	$67,000
Aetna US Healthcare, Inc.	insurance violation	2002	FL-OFR	$67,000
Aetna Health, Inc.	insurance violation	2003	FL-OFR	$27,000
Aetna Health, Inc.	insurance violation	2007	FL-OFR	$16,500
Aetna Life Insurance Co.	insurance violation	2007	FL-OFR	$16,500
Aetna Life Insurance Co.	insurance violation	2007	FL-OFR	$7,000
Aetna Health, Inc.	insurance violation	2014	FL-OFR	$28,000
Coventry Health and Life Insurance Co. et al.	insurance violation	2015	FL-OFR	$103,000
Coventry Health Care of Kansas, Inc.	insurance violation	2002	KS-INS	$14,000
Coventry Health and Life Insurance Co. et al.	insurance violation	2011	KS-INS	$16,750
Aetna Life Insurance Co. and Aetna Health, Inc.	insurance violation	2017	KS-INS	$70,000
CaremarkPCS	insurance violation	2018	KY-INS	$1,500,000
Coventry Health Care of Delaware, Inc.	insurance violation	2011	MD-INS	$26,500
CaremarkPCS Health L.L.C.	insurance violation	2011	MD-INS	$15,300
Coventry Health Care of Delaware, Inc.	insurance violation	2012	MD-INS	$5,000
Aetna Life Insurance Co.	insurance violation	2012	MD-INS	$15,000
Coventry Health Care of Delaware, Inc.	insurance violation	2012	MD-INS	$31,750
Coventry Health & Life Insurance Co.	insurance violation	2012	MD-INS	$6,000
Coventry Health & Life Insurance Co.	insurance violation	2012	MD-INS	$5,000
Coventry Health & Life Insurance Co.	insurance violation	2013	MD-INS	$40,000
Aetna Life Insurance Co.	insurance violation	2013	MD-INS	$5,000
Aetna Life Insurance Co.	insurance violation	2013	MD-INS	$5,500
Coventry Health & Life Insurance Co.	insurance violation	2013	MD-INS	$5,000
Aetna Life Insurance Co.	insurance violation	2013	MD-INS	$41,000
Aetna Life Insurance Co.	insurance violation	2014	MD-INS	$8,000
Coventry HealthCare of Delaware, Inc.	insurance violation	2014	MD-INS	$265,000
Coventry Health & Life Insurance Co.	insurance violation	2014	MD-INS	$75,000
Aetna Life Insurance Co.	insurance violation	2015	MD-INS	$111,900
Aetna Life Insurance Co.	insurance violation	2015	MD-INS	$100,000
Coventry Health Care of Delaware, Inc.	insurance violation	2015	MD-INS	$8,400
Aetna Life Insurance Co.	insurance violation	2015	MD-INS	$200,000
Aetna Health Inc.	insurance violation	2018	MD-INS	$10,000
Aetna Life Insurance Co.	insurance violation	2019	MD-INS	$22,300
Aetna Health, Inc.	insurance violation	2019	MD-INS	$16,300
Aetna Health Management, LLC	insurance violation	2019	MD-INS	$24,700
Aetna U.S. Healthcare, Inc.	insurance violation	2001	ME-INS	$16,000
Aetna U.S. Healthcare, Inc.	insurance violation	2001	ME-INS	$10,000
Aetna U.S. Healthcare, Inc.	insurance violation	2001	ME-INS	$8,000
Aetna Health, Inc.	insurance violation	2005	ME-INS	$5,000
Aetna Life Insurance Co.	insurance violation	2011	ME-INS	$50,000
Aetna Life Insurance Co. and Aetna Health Inc.	insurance violation	2018	ME-INS	$115,500
Aetna Life Insurance Co.	insurance violation	2017	MN-FIN	$5,000
Coventry Health Care of Kansas, Inc.	insurance violation	2008	MO-INS	$221,275
Aetna Health, Inc.	insurance violation	2010	MO-INS	$37,400
Aetna Life Insurance Co. and Aetna Health Insurance Co.	insurance violation	2012	MO-INS	$1,750,000
Aetna Life Insurance Co. and Aetna Health Insurance Co.	insurance violation	2015	MO-INS	$3,000,000
Coventry Health and Life Insurance Co. et al.	insurance violation	2018	MO-INS	$1,000,000
Coventry Health and Life Insurance Co.	insurance violation	2020	MO-INS	$51,000
Aetna Life Insurance Co.	insurance violation	2010	MT-FIN	$5,000
Aetna U.S. Healthcare	insurance violation	2000	NC-INS	$21,400
Pennsylvania Life Insurance Company	insurance violation	2016	NE-DOI	$35,000
Aetna Health, Inc.	insurance violation	2007	NJ-DBI	$9,457,500
Aetna Health, Inc.	insurance violation	2009	NJ-DBI	$2,500,000
Aetna Health Inc. (a New Jersey Corporation)	insurance violation	2013	NJ-DBI	$850,000
Aetna Life Insurance Company and Aetna Health Inc.	insurance violation	2018	NJ-DBI	$350,000
Aetna Health Inc.	insurance violation	2010	NY-DFS	$750,000
Aetna	insurance violation	2010	NY-DFS	$850,000
Aetna Health Inc.	insurance violation	2011	NY-DFS	$11,495,614
Aetna Life Insurance Company	insurance violation	2014	NY-DFS	$500,000
Aetna Life Insurance Company	insurance violation	2016	NY-DFS	$550,000
Aetna Health Inc.	insurance violation	2018	NY-DFS	$1,950,000
Aetna Life Insurance Company	insurance violation	2011	OR-FIN	$20,000
Aetna Life Insurance Company	insurance violation	2012	OR-FIN	$15,000
Aetna Health Inc.	insurance violation	2006	PA-INS	$45,000
Aetna Health inc.	insurance violation	2016	SC-INS	$135,000
Continental Life Insurance Company of Brentwood, Tennessee	insurance violation	2019	SC-INS	$12,030
Silverscript Insurance Company	insurance violation	2013	SD-INS	$5,000
Aetna Life Insurance Company	insurance violation	2014	SD-INS	$25,000
Coventry Health Care of Iowa Inc.	insurance violation	2015	SD-INS	$5,000
Coventry Health and Life Insurance Company	insurance violation	2015	SD-INS	$5,000
Coventry Health and Life Insurance Company	insurance violation	2015	SD-INS	$20,000
Caremark, L.L.C.	insurance violation	2008	TX-INS	$42,000
Aetna Life Insurance Company	insurance violation	2015	TX-INS	$25,000
Aetna Health Inc.	insurance violation	2017	TX-INS	$150,000
Aetna Life Insurance Company	insurance violation	2017	TX-INS	$100,000
Aetna Better Health of Texas, Inc.	insurance violation	2018	TX-INS	$175,000
Aetna Life Insurance Company	insurance violation	2011	UT-INS	$13,000
AETNA U.S. HEALTHCARE ET AL.	insurance violation	2002	VA-INS	$50,000
AETNA LIFE INSURANCE COMPANY	insurance violation	2004	VA-INS	$18,000
AETNA HEALTH, INC.	insurance violation	2005	VA-INS	$165,000
AETNA HEALTH, INC.	insurance violation	2008	VA-INS	$36,000
AETNA LIFE INSURANCE COMPANY	insurance violation	2015	VA-INS	$63,000
AETNA LIFE INSURANCE CO.	insurance violation	2015	VA-INS	$420,350
AETNA LIFE INSURANCE CO.	insurance violation	2017	VA-INS	$16,000
AETNA HEALTH, INC.	insurance violation	2017	VA-INS	$7,500
Coventry Health Care of Virginia, Inc.	insurance violation	2019	VA-INS	$40,800
Coventry Health and Life Insurance Company	insurance violation	2019	VA-INS	$18,000
Aetna Life Insurance Company	insurance violation	2020	VA-INS	$57,805