Violation Tracker Individual Record

Company: 
Oxford Health Insurance, Inc. and UnitedHealthcare Insurance Company
Current Parent Company: 
UnitedHealth Group
Penalty: 
$800,000
Year: 
2015
Date: 
December 2, 2015
Offense Group: 
consumer-protection-related offenses
Primary Offense: 
insurance violation
Violation Description: 

The Department found that respondents implemented prior authorization/medical necessity programs for certain prescription drugs that resulted in the denial of medically necessary services, improperly denied inpatient treatment for persons suffering from multiple serious mental illnesses, improperly issued and offered to issue small employer plans with retiree coverage, and improperly delayed in complying with a decision of the Independent Health Care Appeals Program.

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.