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Violation Tracker Current Parent Company Summary
Current Parent Company Name: EmblemHealth
Ownership Structure: non-profit
Headquartered in: New York
Major Industry: healthcare services
Specific Industry: health insurance
Penalty total since 2000: $13,063,633
Number of records: 28
| Top 5 Offense Groups (Groups Defined) | Penalty Total | Number of Records |
| consumer-protection-related offenses | $12,811,995 | 24 |
| healthcare-related offenses | $241,637 | 3 |
| employment-related offenses | $10,001 | 1 |
| Top 5 Primary Offense Types | Penalty Total | Number of Records |
| consumer protection violation | $7,303,334 | 12 |
| insurance violation | $4,833,661 | 10 |
| privacy violation | $675,000 | 2 |
| Medicare Parts C and D Enforcement Action | $241,637 | 3 |
| benefit plan administrator violation | $10,001 | 1 |
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.
Individual Penalty Records:
Click on the company or penalty amount for more information on each case.
| Company | Primary Offense Type | Year | Agency | Penalty Amount  |
| ConnectiCare of New York | consumer protection violation | 2005 | NY-AG | $5,000 |
| Group Health Inc. (GHI) | consumer protection violation | 2005 | NY-AG | $5,000 |
| Health Insurance Plan of Greater New York (HIP) | consumer protection violation | 2005 | NY-AG | $5,000 |
| EMBLEMHEALTH SERVICES COMPANY, LLC | benefit plan administrator violation | 2021 | EBSA | $10,001 |
| ConnectiCare of NY | insurance violation | 2011 | NY-DFS | $15,462 |
| EmblemHealth, Inc. | Medicare Parts C and D Enforcement Action | 2023 | CMS | $19,024 |
| ConnectiCare, Inc. | insurance violation | 2021 | CT-INS | $25,000 |
| ConnectiCare Insurance Company, Inc. | insurance violation | 2021 | CT-INS | $25,000 |
| ConnectiCare Benefits, Inc. | insurance violation | 2021 | CT-INS | $25,000 |
| Connecticare Insurance Company, Inc. | insurance violation | 2022 | CT-INS | $59,000 |
| Connecticare, Inc. | insurance violation | 2022 | CT-INS | $60,500 |
| Health Insurance Plan of Greater New York | consumer protection violation | 2003 | NY-AG | $75,000 |
| Connecticare Benefits, Inc. | insurance violation | 2022 | CT-INS | $85,000 |
| EmblemHealth, Inc. | privacy violation | 2018 | NJ-AG | $100,000 |
| EmblemHealth, Inc. | Medicare Parts C and D Enforcement Action | 2022 | CMS | $106,325 |
| EmblemHealth, Inc. | Medicare Parts C and D Enforcement Action | 2023 | CMS | $116,288 |
| Group Health Incorporated | consumer protection violation | 2001 | NY-AG | $166,667 |
| HIP Health Plan of Greater NY, Inc. | consumer protection violation | 2001 | NY-AG | $166,667 |
| HIP Health Plan of Greater New York | insurance violation | 2011 | NY-DFS | $182,194 |
| HIP Health Plan | insurance violation | 2012 | NY-DFS | $187,570 |
| EmblemHealth, Inc. | consumer protection violation | 2014 | NY-AG | $190,000 |
| ConnectiCare | consumer protection violation | 2007 | MA-AG | $230,000 |
| EmblemHealth | consumer protection violation | 2018 | NY-AG | $250,000 |
| EmblemHealth | privacy violation | 2018 | NY-AG | $575,000 |
| EmblemHealth, Inc. | consumer protection violation | 2014 | NY-AG | $1,200,000 |
| Group Health Incorporated | consumer protection violation | 2002 | NY-AG | $1,210,000 |
| Group Health Incorporated | consumer protection violation | 2014 | NY-AG | $3,800,000 |
| Group Health Incorporated | insurance violation | 2011 | NY-DFS | $4,168,935 |
