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State fines coming for Aetna and Highmark

Delaware Department of Insurance

Department of Insurance officials are fining two prominent insurance companies in Delaware for violating state law in recent years.



Insurance Commissioner Karen Weldin Stewart’s office is fining Highmark Blue Cross Blue Shield Delaware and two prongs of Aetna, Inc. more than $480,000.


In documents finalized late last year, state officials found that Highmark didn’t handle customer claims on time, keep a detailed customer complaint log or respond to DOI inquiries between 2013 and 2014.


The department also found Aetna Health and Aetna Life weren’t paying claims on time and overcharged customers who used co-payments or coinsurance at chiropractor offices between 2010 and 2012.


Highmark will pay the bulk of the fine at just over $380,000, while Aetna owes the state $100,000.


State officials waived $200,000 of Aetna’s fines that could be immediately reinstated if they are found in violation again during the next three years.