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Violation Tracker Individual Record

Company: MEDICA INSURANCE COMPANY
Penalty: $300,000
Year: 2023
Date: July 5, 2023
Offense Group: consumer-protection-related offenses
Primary Offense: insurance violation
Violation Description: Medica agreed to pay a $300,000 civil penalty, settling allegations the company did not provide timely and comprehensive comparative analysis reviews, failed to maintain accurate provider directories, disproportionately reviewed Behavioral benefits, denied rights to appeal, and failed to adequately documents and explain reviews and benefits.
Level of Government: state
Action Type: agency action
Agency: Minnesota Department of Commerce
Civil or Criminal Case: civil
Facility State: Minnesota
Source of Data: (click here)
Source Notes: If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Current parent company note: Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.