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Humana pays $500,000 fine

Managed Care Weekly Advisor, August 29, 2007

Humana Insurance Company has agreed to pay the state of Oklahoma $500,000 after reportedly using improperly licensed agents. Oklahoma Insurance Commissioner Kim Holland says agents who were not licensed in the state were used to sell Medicare Advantage and prescription drug plans to senior citizens.

According to Insurance Journal in San Diego, CA, the 68 agents were licensed, but not in Oklahoma. A Humana spokesman said Oklahoma residents near the state border traveled across state lines or called out-of-state agents to enroll in plans.

Holland has testified before Congress on two occasions, calling for more state regulation of Medicare plan marketing,. Other providers of Medicare Advantage plans have voluntarily stopped selling the coverage until jurisdiction issues are resolved.

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