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DENVER—Texas-based health insurer HealthMarkets Inc. has agreed to pay $20 million to Colorado and 28 other states to settle allegations that it misled consumers and mishandled claims.

Colorado’s share of almost $650,000 will go to the state general fund.

The agreement, announced last week, resolves a multistate examination that insurance regulators started in 2005 because of consumer complaints.

The settlement includes HealthMarkets and subsidiaries MEGA Life and Health Insurance Co., Mid-West National Life Insurance Co. of Tennessee and The Chesapeake Life Insurance Co.

In addition to the $20 million penalty, HealthMarkets could pay $10 million more if it fails to meet performance standards set by the agreement.

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