Violation Tracker Individual Record

Company: 
Aetna Health Inc. (a New Jersey Corporation)
Current Parent Company: 
CVS Health
Penalty: 
$850,000
Year: 
2013
Date: 
May 3, 2013
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

Respondents improperly denied and delayed processing of claims for chiropractic services, provided incorrect information to members and providers regarding where to submit claims, what services require prior authorization and who is responsible for payment of a $3 processing fee, and failed to promptly and accurately respond to Department inquiries.

Level of Government: 
state
Action Type: 
agency action
Agency: 
New Jersey Department of Banking & Insurance
Civil or Criminal Case: 
civil
Facility State: 
New Jersey
HQ Country of Parent: 
USA
HQ State of Parent: 
Rhode Island
Ownership Structure of Parent: 
publicly traded
Major Industry of Parent: 
retailing
Specific Industry of Parent: 
retail-pharmacies
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.