Violation Tracker Individual Record

Health Net of New Jersey, Inc.
Current Parent Company: 
UnitedHealth Group
March 3, 2006
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

Consolidated Consent Order #E06-44, March 3, 2006; HMO's predecessor, Physician's Health Services of New Jersey, Inc., engaged in improper business practices set forth in a market conduct examination report adopted on January 2, 2003; and Health Net improperly refused to cover certain out-of-network surgical center charges and issued inaccurate, deceptive and misleading letters to certain SEH members that created the false impression that the services were not covered benefits. Sanctions: Fine - $325,000; Restitution: Approximately $100,000 - to be determined by audit.

Level of Government: 
Action Type: 
agency action
New Jersey Department of Banking & Insurance
Civil or Criminal Case: 
Facility State: 
New Jersey
HQ Country of Parent: 
HQ State of Parent: 
Ownership Structure of Parent: 
publicly traded
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
insurance; managed care
Source Notes: 
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Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.