A Kansas-based insurance company will pay more than $2.8 million to settle charges that it used deceptive and unlawful practices to sell health insurance to Massachusetts consumers, Attorney General Maura Healey said Tuesday.

According to a complaint filed along with a consent judgment in Suffolk Superior Court on Monday, Unified Life Insurance Co. (ULIC) sold health insurance to Massachusetts consumers that was not authorized for sale. The company also engaged in deceptive practices, like claiming its insurance covered services that it actually did not, Healey said in a statement.

“This company sold sub-par health insurance that violated state law,” Healey said in a statement. “Recently revived federal proposals to take away our state’s longstanding authority to oversee sales of health insurance will leave consumers and families more vulnerable to exploitation and create a ‘race-to-the-bottom’ that will raise prices and reduce access to quality health care for those in need.”

According to the AG’s complaint, ULIC also excluded Massachusetts consumers from coverage based upon their health status or preexisting conditions, and failed to cover basic health services – such as behavioral health services, maternity services, preventive services for women and children, and other essential benefits required by Massachusetts law. The coverage at issue was sold across state lines and was issued through a third-party association.

State law also requires that health benefit plans sold to individuals or small groups in Massachusetts be filed with the Massachusetts Division of Insurance and approved by the Commissioner of Insurance. According to the AG’s complaint, ULIC did not file with division or get approval from the commissioner.

ULIC will pay $2,348,000 for consumer relief, and $465,000 to the commonwealth, including $450,000 in civil penalties.

Insurance Co. To Pay $2.8M For Deceiving Massachusetts Consumers

by Banker & Tradesman time to read: 1 min
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