NAIC News Release

FOR IMMEDIATE RELEASE

EXAMINATION OF NATIONAL HEALTH CARRIER
REVEALS MULTIPLE PROBLEMS

KANSAS CITY, Mo. (Jan. 3, 2008) - Led by the Washington and Alaska insurance departments, state insurance regulators today announced the results of a multi-state market conduct examination of HealthMarkets, Inc. Thirty-five states and the District of Columbia participated in the examination.

"Our examination stemmed from the volume, scope and nature of complaints made against the companies by consumers and policyholders in several different states," said Washington Insurance Commissioner Mike Kreidler, who also chairs the National Association of Insurance Commissioners' (NAIC) Market Regulation and Consumer Affairs Committee. "We consolidated and coordinated our regulatory response so that we could better protect insurance consumers by responding to these issues on a nationwide basis."

In the 112-page examination report, which covers a five-year period, state insurance regulators cite numerous deficiencies in the following areas of the companies' operations:

  • Oversight, communication, monitoring and training of agents
  • Processing and handling of claims made by policyholders
  • Disclosure of relationships with membership associations and affiliated companies to consumers and policyholders
  • Handling of policyholder complaints and grievances
  • Adherence to a compliance plan

The HealthMarkets (formerly UICI) companies examined include MEGA Life and Health Insurance Company, Mid-West National Life Insurance Company of Tennessee and Chesapeake Life Insurance Company. MEGA agents sold policies through the National Association for the Self-Employed and Americans for Financial Security. Mid-West agents sold plans through the Alliance for Affordable Services.

A multi-state settlement group - headed by Washington and Alaska - will determine which enforcement actions will be applied to the companies, as well as identify how the companies can improve the problems and issues outlined in the report. A settlement agreement is expected to be completed this spring.

The following regulatory jurisdictions participated in the multi-state market conduct examination: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, District of Columbia, Florida, Idaho, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, Nevada, New Hampshire, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin and Wyoming.

Click HERE for a complete copy of the HealthMarkets multi-state market conduct examination report.

Click HERE for an FAQ document regarding multi-state market conduct examinations.

About the NAIC

Formed in 1871, the National Association of Insurance Commissioners (NAIC) is a voluntary organization of the chief insurance regulatory officials of the 50 states, the District of Columbia and five U.S. territories. The NAIC has three offices: Executive Office, Washington, D.C.; Central Office, Kansas City, Mo.; and Securities Valuation Office, New York City.

The NAIC serves the needs of consumers and the industry, with an overriding objective of supporting state insurance regulators as they protect consumers and maintain the financial stability of the insurance marketplace. For more information, visit www.naic.org.

You are currently subscribed to the "NAIC News Release" electronic service.
For information regarding this service, please contact the NAIC Communications Division, 2301 McGee Street, Kansas City, MO 64108, 816-783-8909.

To unsubscribe from NAIC Electronic Services, send a blank e-mail to NAIC Opt Out services.

Insure U Logo

Contacts

Communications Division
(816) 783-8909 news@naic.org

Scott Holeman
Communications
Director

Jeremy Wilkinson
Electronic Communications
Manager

Heidi Robertson
Communications
Specialist

Vanessa Sink
Communications
Specialist

Carly Halvorson
Communications
Intern

Visit the PRESSROOM to search News Releases and for additional media information

Join Our E-mail List
Receive the latest news releases and other information from the NAIC Communications Division!


NAIC Web Site | Search NAIC and State Insurance Department Sites  ]
[ Copyright & Reprint Info | Privacy Statement]

©2008 National Association of Insurance Commissioners. All rights reserved.