Violation Tracker Individual Record

Company: 
Health Net of New Jersey, Inc.
Current Parent Company: 
UnitedHealth Group
Penalty: 
$41,000,000
Year: 
2008
Date: 
August 26, 2008
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

Health Net systemically under-reimbursed certain types of claims, affecting approximately 88,000 members; failed to initially disclose to the Department the true extent of under-reimbursements; failed to initially properly remediate under-reimbursements; and improperly denied certain claims for lack of pre-authorization, Sanctions: Restitution - $26 million; Fine - $13 million; Costs - $2 million.

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: 
Minnesota
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.