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Violation Tracker Individual Record

Company: Health Net of New Jersey, Inc.
Current Parent CompanyUnitedHealth Group
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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
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Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.