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Violation Tracker Individual Record

Company: Avera Health Plans, Inc.
Penalty: $125,000
Year: 2023
Date: June 28, 2023
Offense Group: consumer-protection-related offenses
Primary Offense: insurance violation
Violation Description: Avera agreed to pay $125,000 in settlement of allegations the company's significant system implementation issues resulted in widespread delays in payments to health care providers, miscalculation of pharmacy out of pocket maximums for consumers, and administrative issues with identification cards and billing notices.
Level of Government: state
Action Type: agency action
Agency: South Dakota Division of Insurance
Civil or Criminal Case: civil
Facility State: South Dakota
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.