Health insurance is for everyone, and California law makes it clear that insurance companies are not allowed to impose exclusions, charge differentials, or other modifications of enrollee benefits based on race, color, national origin, ancestry, religion, sex, gender, marital status, sexual orientation, or age. One exception is that premiums, prices and charge differentials based... Read More »
For years now, insurance companies like Blue Cross of California d.b.a. Anthem Blue Cross have been made aware of the requirements under California to maintain a policy and procedure to receive and process customer complaints (grievances) and to respond to complaints and resolve them within the time frame specified in the law. Nevertheless, companies... Read More »
When a policyholder files a claim with their health or life insurance company, they expect a fair evaluation and a clear explanation if their claim is denied. Unfortunately, some insurers engage in practices that fall short of this expectation, including failing to promptly explain the reasons behind a denial. In California, this failure can... Read More »
Not only does Anthem consistently fail to respond to customer complaints in a timely manner if at all, they don’t even respond well to requests from the California state insurance regulator. The regulator, the Department of Managed Health Care (DMHC), has the authority to assess administrative penalties, but it seems even slapping the company... Read More »
The California Department of Managed Health Care (DMHC) is a government agency regulating managed health care plans in the state, including health maintenance organizations (HMOs) and most of the managed care plans servicing Medi-Cal recipients, such as Anthem Blue Cross, Health Net, Blue Shield Promise, Molina, and others. Every covered health plan is required... Read More »
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