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Violation Tracker Individual Record

Company: UnitedHealthcare Insurance Co.
Current Parent Company: UnitedHealth Group
Penalty: $15,684,249
Year: 2021
Date: August 12, 2021
Offense Group: employment-related offenses
Primary Offense: benefit plan administrator violation
Violation Description: United Behavioral Health and UnitedHealthcare Insurance Co. agreed to pay $13.6 million to affected participants and beneficiaries; pay $2,084,249 in penalties; and take other corrective actions following investigations and litigation by the U.S. Department of Labor and the New York State Attorney General. An investigation by the department' Employee Benefits Security Administration found that going back to at least 2013 United reduced reimbursement rates for out-of-network mental health services, thereby overcharging participants for those services, and flagged participants undergoing mental health treatments for a utilization review, resulting in many denials of payment for those services. The settlement was also announced by the New York AG (see separate entry).
Level of Government: federal
Action Type: agency action
Agency: Employee Benefits Security Administration
Civil or Criminal Case: civil
HQ Country of Current Parent: USA
HQ State of Current Parent: Minnesota
Ownership Structure of Current Parent: publicly traded
Major Industry of Current Parent: healthcare services
Specific Industry of Current Parent: insurance; managed care
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.