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Violation Tracker Individual Record

Company: DELTA DENTAL OF WASHINGTON
Penalty: $100,000
Year: 2024
Date: November 20, 2024
Offense Group: consumer-protection-related offenses
Primary Offense: insurance violation
Violation Description: $100,000 fine levied for failing to provide timely notice of health care benefit managers on the Company's initial public notice, website, and evidence of coverage, and by contracting with a health care benefit manager that denied claims based on time and frequency limits that were not filed and approved, and using unclear criteria to deny claims that did not match the benefit information provided to policyholders and the Insurance Commissioner.
Level of Government: state
Action Type: agency action
Agency: Washington State Office of the Insurance Commissioner
Civil or Criminal Case: civil
Facility State: Washington
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.