2006 Orders
Orders posted below are unverified duplicates of official orders actually entered. To get an official version of the order contact:
Renee Molnes
Phone: 360-725-7047
Email: legal@oic.wa.gov
| Orders 151 to 200 of 356 | |||||||||
| Name | Violation | Issue Date | Action | Order | |||||
|---|---|---|---|---|---|---|---|---|---|
| Group Health Cooperative Seattle, WA |
Failure to timely file | 10/16/2006 | $1,000.00 fine | D06-276 | |||||
| Comments: | |||||||||
| Group Health Cooperative and Group Health Options, Inc. Seattle, WA |
Failure to timely submit records requested by the OIC’s examiners, failure to maintain a complete and central advertising file, use of superlatives that exaggerated plan benefits, use of statistics without disclosing the source, failure to send amended explanations of benefits or otherwise notify enrollees and providers when initial payment decisions were modified, failure to pay ninety-five percent of clean claims within thirty days, allowing three days for making utilization review determinations, failure to insure that agents were licensed, failure to insure that agents were appointed, failure to include hold harmless agreements in provider contracts, use of unfiled rates, and use of unfiled provider contracts. These violations were discovered during a market conduct examination. | 7/10/2006 | $15,000 fine to Group Health Cooperative and $5,000 fine to Group Health Options, Inc. | D06-224 | |||||
| Comments: | |||||||||
| Habitiat for Humanity International, Inc. Americus, GA |
Issued nineteen annuities in the State of WA prior to receiving its certificate of exemption | 3/30/2006 | $3,625.00 Fine | D06-83 | |||||
| Comments: | |||||||||
| Hadassah, The Women's Zionist Organization of America, Inc. New York, NY |
The organization issued annuities prior to receiving its certificate of exemption | 7/28/2006 | $1,125.00 Fine | D06-228 | |||||
| Comments: | |||||||||
| HARCO National Insurance Company Rolling Meadows, IL |
Failure to timely file. | 10/9/2006 | $1,500 fine | D06-254 | |||||
| Comments: | |||||||||
| Hart Life Insurance Company Simsbury, CT |
Failure to timely file annual financial statement April supplemental | 3/7/2006 | $3,400.00 Fine | D06-46 | |||||
| Comments: | |||||||||
| Hartford International Life Reassurance Corporation Hartford, CT |
Failure to timely file annual financial statement April supplemental | 3/7/2006 | $3,400.00 Fine | D06-47 | |||||
| Comments: | |||||||||
| Hartford Life and Annuity Insurance Company Hartford, CT |
Failure to timely file | 12/7/2006 | $1,250.00 fine | D06-321 | |||||
| Comments: | |||||||||
| Hartford Life Group Insurance Company Chicago, IL |
Failure to timely file annual financial statement April supplemental | 3/7/2006 | $3,400.00 Fine | D06-48 | |||||
| Comments: | |||||||||
| Hartford Life Insurance Company Hartford, CT |
Failure to timely file | 12/7/2006 | $1,250.00 fine | D06-322 | |||||
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| Hartford Steam Boiler Inspection & Insurance Company of Connecticut Hartford, CT |
Failure to timely file its signature accompanying its statement of actuarial opinion | 4/4/2006 | $6,300 fine | D06-96 | |||||
| Comments: | |||||||||
| Hentschell & Associates, Inc., Tacoma, WA |
Failure to properly and timely disclose broker fees, commissions and contingent commissions. | 1/10/2006 | $3,000 Fine | D06-01 | |||||
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| Home Warranty of America Inc #71 Buffalo Grove |
The issuance of service contracts prior to having a valid registrations | 7/26/2006 | $3,800.00 FIne | D06-289 | |||||
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| Hope Heart Institute #55 Seattle, WA |
Failure to Timely File its Annual Report, Actuarial Opinion & Annual Filing Fee | 5/28/2006 | $1,000.00 Fine | D06-194 | |||||
| Comments: | |||||||||
| Horton, Curtis W., Spokane, WA |
Engaged in unfair/deceptive acts; made, published and disseminated false/misleading representations; falsified and submitted information on applications; and sold annuity policies not approved for sale. | 4/20/2006 | Revocation | D06-174 | |||||
| Comments: | |||||||||
| Houston General Insurance Company Boston, MA |
Failure to timely file calendar Statement of Actuarial Opinion | 3/28/2006 | Order Suspending Certificate of Authority. See D2006-111 for Order Rescinding Order Suspending Certificate of Authority . | D06-111 | |||||
| Comments: | |||||||||
| Houston General Insurance Company Boston, MA |
Failure to timely file its calendar year 2004 Statement of Actuarial Opinion in electronic form. | 4/13/2006 | Order Rescinding Order Suspending Certificate of Authority and Consent Order Imposing $10,000 fine. See D06-111 for Order Suspending Certificate of Authority. | D2006-111 | |||||
| Comments: | |||||||||
| Independence Life and Annuity Company Wellesley Hills, MA |
Failure to timely file its calendar year Annual Statement and Supplemental filing | 9/5/2006 | $1,125 fine | D06-207 | |||||
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| ING Life Insurance And Annuity Company Hartford, CT |
Failure to timely file | 10/16/2006 | $1,250.00 fine | D06-287 | |||||
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| ING USA Annuity and Life Insurance Company Atlanta, GA |
Failure to timely file | 10/16/2006 | $1,250.00 fine | D06-289A | |||||
| Comments: | |||||||||
| International Fellowship of Christians & Jews, Inc. #246 Chicago, IL |
Failure to file annual report and statement of qualified actuary | 4/17/2006 | Suspension | G06-32 | |||||
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| Investors Life Insurance Company of North America Austin, TX |
Failure to File Audited Financial Statement | 2/24/2006 | Suspension | G06-13 | |||||
| Comments: | |||||||||
| Investors Life Insurance Company of North America Austin, TX |
Failure to timely file its calendar year Audited Financial Statements | 8/30/2006 | $1,250 fine | G2006-13 | |||||
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| J.M.I.C. Life Insurance Company Deerfield Beach, FL |
Failure to timely file. | 12/1/2006 | $2,000.00 fine | D06-339 | |||||
| Comments: | |||||||||
| Jefferson Pilot Financial Insurance Company Greensboro, NC |
Failure to timely file supplemental filing | 5/3/2006 | $2,800 fine | D06-49 | |||||
| Comments: | |||||||||
| Jefferson Pilot Life Insurance Company Greensboro, NC |
Failure to timely file supplemental filing | 5/3/2006 | $2,800 fine | D06-52 | |||||
| Comments: | |||||||||
| Kaiser Foundation Health Plan of the Northwest Portland, OR |
Failure to timely file the additional data statement form | 4/4/2006 | $6,300 fine | D06-129 | |||||
| Comments: | |||||||||
| Kaiser Foundation Health Plan of the Northwest Portland, OR |
Denying emergency room claims where its physicians reviewer concluded there was no medical necessity for emergency care | 7/6/2006 | $65,000 fine | D06-198 | |||||
| Comments: | |||||||||
| Kaiser Permanente Health Alternatives Portland, OR |
Failure to timely file the additional data statement form | 4/4/2006 | $6,300 fine | D06-130 | |||||
| Comments: | |||||||||
| Kaiser Permanente Health Alternatives and Kaiser Foundation Health Plan of the Northwest Portland, OR |
Unfair practice of restricting, excluding, or reducing benefits on the basis of sex, and prohibiting any terms relating to prescription contraceptives which are less favorable than terms applicable to other prescriptions. Provisions excluding coverage for our-of-network contraceptive drugs and devices. | 6/13/2006 | $66,700 fine | D06-177 | |||||
| Comments: | |||||||||
| Kanawha Insurance Company Lancaster, SC |
Failure to timely file annual statement. | 3/31/2006 | $10,000 fine | D06-140 | |||||
| Comments: | |||||||||
| Karzen, Gene B., Los Angeles, CA |
Failure to respond to request for fingerprint replacement card. | 1/20/2006 | Revocation | D06-06 | |||||
| Comments: | |||||||||
| Kemper Investors Life Insurance Company Shamburg, IL |
Failure to timely file annual financial statement April supplemental | 3/7/2006 | $1,000.00 Fine | D06-53 | |||||
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| Kilen, Jehoshua S., Lakewood, WA |
Failure to respond. | 11/1/2006 | Revocation | D06-334 | |||||
| Comments: | |||||||||
| Kissinger, Elisa M., Spokane, WA |
Failure to respond. | 6/2/2006 | Revocation | D06-213 | |||||
| Comments: | |||||||||
| KPS Health Plans Bremerton, WA |
Failing to issue a replacement notification to each enrollee 90 days prior to making this change and to offer each enrollee whose plan was being discontinued the option to enroll in any individual plan they offer without being subject to health screening. | 6/27/2006 | $2,000 fine and Compliance Plan | D06-151 | |||||
| Comments: | |||||||||
| KPS Health Plans Bremerton, WA |
Using unfiled rates. | 7/18/2006 | $5,000 fine. | D06-225 | |||||
| Comments: | |||||||||
| Laurier Indemnity Company Milwaukee, WI |
Failure to timely file annual financial statement April Supplimental for the year ended December 31, 2004 | 2/15/2006 | $3,300.00 Fine | D06-54 | |||||
| Comments: | |||||||||
| Lawyers Title Insurance Corporation Richmond, VA |
Failure to timely file. | 10/16/2006 | $1,875.00 fine | D06-281 | |||||
| Comments: | |||||||||
| Lewis and Clark College Portland, OR |
Issuing Annuities Prior to Receiving its Certificate of Exemption | 5/25/2006 | $250.00 Fine | D06-175 | |||||
| Comments: | |||||||||
| Lewis, Michelle R., Belfair, WA |
While conducting insurance business falsified applications and signatures, acted deceptively and made misleading representations, and failed to respond. | 7/19/2006 | Revocation | D06-234 | |||||
| Comments: | |||||||||
| Liberty Life Assurance Company of Boston Boston, MA |
Failure to timely file | 12/12/2006 | $1,375.00 fine | D06-340 | |||||
| Comments: | |||||||||
| Liberty Northwest Insurance Corporation Portland, OR |
Failure to timely file | 10/16/2006 | $2,500.00 fine | D06-256 | |||||
| Comments: | |||||||||
| Lincoln Benefit Life Company Lincoln, NE |
Failure to timely file annual financial statement April supplemental | 2/24/2006 | $1,000.00 Fine | D06-55 | |||||
| Comments: | |||||||||
| Lincoln General Insurance Company York, PA |
Failure to timely file the signature accompanying its Statement of Actuarial Opinion. | 3/13/2006 | $5,900 fine | D06-134 | |||||
| Comments: | |||||||||
| Lutheran Bible Institute of Seattle #137 Issaquah |
Failure to meet the minimum financial requirements | 4/17/2006 | Suspension | G06-26 | |||||
| Comments: | |||||||||
| Lutheran Church-Missori Synod Foundation St Louis, MO |
Failure to Meet Minimum Financial Requirements of RCW 48.38.010(6) | 4/17/2006 | Suspension | G06-27 | |||||
| Comments: | |||||||||
| Luthern Church-Missouri Synod Foundation St. Louis, MO |
Failure to meet the minimum financial requirements | 4/17/2006 | Suspension | G06-27 | |||||
| Comments: | |||||||||
| Madison National Life Insurance Company, Incorporated Madison, WI |
Failure to timely file its 2004 Statement of Actuarial Opinion. | 3/16/2006 | $6,500 fine. | D06-145 | |||||
| Comments: | |||||||||
| Maryknoll Sisters of St. Dominic, Inc. Maryknoll, NY |
Issued annuities prior to receiving its Certificate of Exemption | 11/22/2006 | $1,800.00 Fine | D06-255 | |||||
| Comments: | |||||||||
| Orders 151 to 200 of 356 | |||||||||
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These enforcement actions taken by Mike Kreidler, Washington state Insurance Commissioner, are a primary tool in protecting the people of Washington.
| Type of Entity | Authority to Suspend or Revoke | Authority to Fine |
|---|---|---|
| Agent or broker | RCW 48.17.530 | RCW 48.17.560 |
| Insurance company | RCW 48.05.140 | RCW 48.05.185 |
| Health care service contractor | RCW 48.44.160 | RCW 48.44.166 |
| Health maintenance organization (HMO) | RCW 48.46.130 and RCW 48.46.135 | |
Updated 05/02/2013
See also
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