State fines United Healthcare $50,000 for denying 276 women’s health claims

Insurance Commissioner Mike Kreidler issued fines in September 2018 totaling $157,600 against insurance companies, agents and brokers who violated state insurance regulations.
The largest fine was for United Healthcare of Washington, Inc., which was fined $50,000 after a consumer filed a complaint with the insurance commissioner when United Healthcare denied a claim for women’s health services, saying she needed a referral before seeking treatment. State law requires health insurers to cover women’s health services without a referral. The consumer filed one verbal and one written complaint with the company, and never received a response to either complaint.
The commissioner asked the company to search its records for the previous two years for similar claim denials. It found claims for 276 Washington consumers that were illegally denied, totaling more than $135,000.

The Office of the Insurance Commissioner publishes disciplinary orders against companies, agents and brokers. Consumers can also look up complaints against insurance companies.

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