Health Net said it was implementing a freeze on policy cancelations that would last until the company sets up a third-party review panel to scrutinize cases. The award came a day after the Los Angeles city attorney sued Health Net, claiming it illegally canceled the coverage of about 1, patients. City Attorney Rocky Delgadillo also said the company illegally ran an incentive program in which it paid bonuses to an administrator for meeting targets of policy cancelations.
The undersigned was designated by the parties to serve as Arbitrator in this case. A binding arbitration hearing was conducted on November 8, 9, 12, 13, 14, 15 and 16, In addition to receiving written closing arguments, Arbitrator allowed oral closing arguments which were heard on January II,
Patsy Bates, a year-old grandmother, was at work at the Gardena hair salon she owns when her lawyer William Shernoff called with the news. Bates said she screamed and thanked the lawyer. Health Net Chief Executive Jay Gellert ordered an immediate halt to cancellations and told The Times that the company would be changing its coverage applications and retraining its sales force. Other insurers were considering changing their own practices.
Patsy Bates, a year-old mother of two, said she screamed when she heard about the damage award. The award is the first of its kind, and it is expected to have a significant effect on the insurance industry. The case exposed numerous questionable practices at the Woodland Hills- based insurer, and provided a rare glimpse of the incentive structures within a major insurance company.
When Patsy Bates began her battle against breast cancer, she didn't expect she would also have to battle her health insurer too. Bates faced the bureaucratic diagnosis of rescission: when a health insurer retroactively cancels your insurance policy. When Bates, a year-old hairdresser, found out she had breast cancer in she thought she had reliable health insurance.
Health Net, Inc. The company's subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs. Louis-based Centene completed its acquisition of Health Net in March
Signs of Trouble Ms. Bates says she was in the hospital awaiting surgery for her cancer when a hospital administrator came to her room and told her that her surgery, scheduled for the next day, had been canceled due to problems related to her insurance. According to the L.
Breast cancer affects 1 in 8 women across the United States, and low-income minority breast cancer survivors are at increased risk of job loss compared to higher-income whites. Employer accommodations, such as schedule flexibility, have been associated with job retention in higher-income whites, but the role of such accommodations in job retention among low-income minorities is not well understood. We longitudinally studied employed women aged 18—64 who were undergoing treatment for early-stage breast cancer and spoke English, Chinese, Korean, or Spanish.
She answered a few questions and later filled out a form when a company representative came by her shop on Rosecrans Avenue to process the paperwork. A few months later, Bates was diagnosed with breast cancer, and the decision to change insurers sent her life into a tailspin and left her vulnerable for hundreds of thousands of dollars in medical bills. Bates, 51, is now at the center of a lawsuit alleging Health Net Inc.