Basic Search  |  Summaries  |  Advanced Search

Violation Tracker Individual Record

Company: Health Net of New Jersey, Inc.
Current Parent Company: UnitedHealth Group
Parent at the Time of the Penalty Announcement:  subscribe to see this data field
Recap of Ownership Changes:  subscribe to see this data field
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 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
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.