Illinois Gov. Pritzker Administration Announces Over $2 Million in Fines for Major Health Insurance Companies Violating Illinois Mental Health Parity Laws
The unprecedented fines for the five major health insurance companies build on the administration's efforts to ensure parity for Illinoisans seeking treatment for mental health and substance use disorder.
"These fines are a reminder to health insurance companies that my administration is committed to providing the best standard of care for Illinoisans and will protect their right to equitable treatment from health insurance providers," said
Market conduct examinations performed by IDOI from 2015-2017 show that
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* UnitedHealthcare paid
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* HCSC paid
* Celtic paid
"Market conduct exams are an important tool the Department uses to make sure the health insurance companies we regulate are not imposing barriers to care and coverage for mental health services," IDOI Director
In 2018, IDOI successfully changed the essential health benefits of plans sold on the
Targeted exams focus on a specific issue within the company's operations, and comprehensive exams have a larger scope including complaints, claims practices, rating of policies, underwriting of policies for acceptability, and marketing for all areas of the company's operations. All five companies found to be in violation of the law have agreed to take corrective action based on the exam findings, and the Department will conduct follow up exams to ensure the companies remain in compliance.
The Market Conduct Examination Reports can be found online here (https://insurance.illinois.gov/MarketConductExam/marketConductExamLH.html).
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