Wisconsin insurance company makes coverage error

Posted Monday, July 7, 2014 --- 9:37 a.m.

MADISON, Wis. (AP) -- Nearly 300 people who applied for stand-alone dental coverage from Anthem Blue Cross Blue Shield Wisconsin through the federal health care exchange thought they had policies but didn't have them activated.

That is according to enforcement records from the state's Office of Commissioner of Insurance reported on by the Wisconsin State Journal on Monday (http://tiny.cc/kismix).

The documents show the Waukesha-based insurance company signed a stipulation and order April 24 agreeing to stop offering inadequate insurance. The records also show the insurance company agreed to activate appropriate coverage and reprocess any claims that were denied due to the company's system error.

It is the first and so far only enforcement action taken by state insurance regulators in connection with the federal health marketplace program for the uninsured.

Copyright 2014: Associated Press


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