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Violation Tracker Individual Record

Company: Lifewise Health Plan of Washington and Premera Blue Cross
Current Parent Company: Premera Blue Cross
Penalty: $100,000
Year: 2022
Date: May 5, 2022
Offense Group: consumer-protection-related offenses
Primary Offense: insurance violation
Violation Description: $100,000 fine for failing to timely process 95% of monthly volume clean claims within 30 days and failure to process 95% of the monthly volume of all claims within 60 days for its individual and family health plans, systems issues affecting some insureds' ability to pay premiums payments online and failing to timely provide ID cards, assessing an incorrect dependent premium rate, assessing members an incorrect rate involving APTC errors, and processing acupuncture claims at the incorrect benefit level.
Level of Government: state
Action Type: agency action
Agency: Washington State Office of the Insurance Commissioner
Civil or Criminal Case: civil
Facility State: Washington
HQ Country of Current Parent: USA
HQ State of Current Parent: Washington
Ownership Structure of Current Parent: non-profit
Major Industry of Current Parent: healthcare services
Specific Industry of Current Parent: insurance; managed care
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.