Pa. Insurance Department recovered more than $18M for consumers in 2022
In his budget address, Gov.
"The comprehensive market conduct exams of our largest health insurers focused on making sure consumers receive mental health and substance use disorder care coverage at parity with medical and surgical coverage, as required by state and federal law," said Humphreys. "
During 2022, approximately 75,000 consumers around
Reprocessing of claims that were improperly handled, in many cases due to financial requirements and visit limits that were not compliant with mental health parity laws and regulations;Restoration of stolen funds when an agent collected payment from a consumer for a policy or annuity but did not send the money to the insurance company;Refunding of copays, and payment of previously denied or underpaid claims when a company did not pay a claim as it should under the consumer's policy, andRefunding of overcharged premiums when an insurance company was found to be charging premiums above the rate that had been approved by the Pa.
Humphreys added that in some cases, the department's findings can result in additional penalties against the offending insurance provider. For example, after thorough examinations and investigations, the department issued more than
"PID works diligently to hold insurance licensees accountable to
To date, approximately 60,000 Pennsylvanian consumers have received a cumulative
The Pa.
PID is charged with upholding fair business practice standards for consumers, companies, and insurance professionals to ensure that consumers in
Consumers who have a question about their insurance or need to file a complaint may contact the
U.S. Attorney for the Northern District of Illinois: Physician Indicted on Thirteen Counts of Healthcare Fraud
Shriver Center on Poverty Law, Families USA Offer Key Policy Recommendations for More Affordable Health Insurance in Illinois
Advisor News
Annuity News
Health/Employee Benefits News
Life Insurance News