Violation Tracker Individual Record

Company: 
Blue Cross of California dba Anthem Blue Cross
Current Parent Company: 
Anthem
Penalty: 
$1,500,000
Year: 
2015
Date: 
May 27, 2015
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

Failure to refer enrollees to contracted providers in neighboring service areas to ensure timely access, where the plan is operating in a service area having a shortage of providers. Failure to arrange for specialty services from specialists outside the plan's contracted network if unavailable within the network.

Level of Government: 
state
Action Type: 
agency action
Agency: 
California Department of Managed Health Care
Civil or Criminal Case: 
civil
Facility State: 
California
HQ Country of Parent: 
USA
HQ State of Parent: 
Indiana
Ownership Structure of Parent: 
publicly traded
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
insurance; managed care
Source Notes: 
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.