Violation Tracker Individual Record

Company: 
Excellus Health Plan Inc.
Current Parent Company: 
Excellus BlueCross BlueShield
Penalty: 
$995,000
Year: 
2012
Date: 
April 19, 2012
Primary Offense: 
insurance violation
Violation Description: 

The Department of Financial Services fined Excellus Health Plan Inc. $995,000 for improperly denying 166 emergency room claims and for failing to explain coverage to consumers in 337,689 instances.

Level of Government: 
state
Action Type: 
agency action
Agency: 
New York Department of Financial Services
Civil or Criminal Case: 
civil
Facility State: 
New York
HQ Country of Parent: 
USA
HQ State of Parent: 
New York
Ownership Structure of Parent: 
non-profit
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
health insurance
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.