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Violation Tracker Individual Record

Company: Health Net of New Jersey, Inc.
Current Parent CompanyUnitedHealth Group
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Penalty: $325,000
Year: 2006
Date: 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: state
Action Type: agency action
Agency: New Jersey Department of Banking & Insurance
Civil or Criminal Case: civil
Facility State: New Jersey
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
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Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.