October 15, 2009 |
California has ousted Blue Shield, the state's second-largest not-for-profit health plan, from the state's high-risk medical insurance pool because its premiums were too high. The pool, known as the Major Risk Medical Insurance Program, or MRMIP, insures more than 6,700 Californians who have been shut out of the private health insurance market because of pre-existing conditions. Through MRMIP, such people are able to buy coverage from private insurers at premiums that are supposed to be 25% higher than the market rate for a comparable policy.
December 18, 2009 |
Blue Shield of California has dropped plans to reduce the amount of time customers are given to pay their health insurance premiums before coverage is canceled. The decision came after I reported Wednesday that individual policyholders had been informed that Blue Shield was going to take away a key benefit even as millions of people grapple with the loss of jobs and homes and as lawmakers debate making the healthcare system more accessible. A number of news outlets picked up the story, prompting more customers to contact the company with questions about why Blue Shield was playing rough.
July 4, 2012 |
California Insurance Commissioner Dave Jones denied Blue Shield of California's plan to close several of its health policies to new customers, saying it violated state rules designed to protect consumers from large rate increases. Regulators routinely scrutinize efforts by health insurers to stop enrollment on some policies because the pool of existing customers can face escalating premiums as policyholders get older and incur more medical claims, without healthier applicants to offset those costs.
April 9, 2013 |
Health insurers don't exactly enjoy a reputation for timely payouts when people submit claims. They've been known to make policyholders jump through all sorts of hoops before coming across with a little cash. But when you owe them money, that's another story. Karen Fairbank, 60, of Pacific Palisades discovered this recently when Blue Shield of California sent her a letter demanding that she return a payment of more than $2,400, and that she do it pronto. Plus $4.70 in interest.
March 6, 2013 |
Despite objections from regulators, health insurers Blue Shield of California and Aetna Inc. are proceeding with double-digit rate increases that state officials said were unreasonable. Officials at the California Department of Managed Health Care said increases that average more than 11% for about 47,000 individual and small-business policyholders of Blue Shield and Aetna were unreasonable. But state officials don't have the authority to reject changes in premiums, and increasingly health insurers refuse state demands to lower rates.
August 20, 1993 |
Wayne R. Moon, president and chief operating officer of Kaiser Foundation Health Plan, on Thursday was named president and chief executive of rival Blue Shield of California. It is telling that San Francisco-based Blue Shield, one of California's largest fee-for-service insurers, tapped the giant health maintenance organization for a new leader. Like other traditional carriers, Blue Shield has shifted focus toward managed care, the likely model for federal health reforms.
July 30, 1997 |
In what one executive jokingly described as a "man-bites-dog" merger, a major nonprofit health-care firm--Blue Shield of California--announced plans Tuesday to acquire a for-profit managed-care firm and turn it into a nonprofit business. "We are bucking a trend," said Wayne R. Moon, Blue Shield's chairman and chief executive, of the company's purchase of CareAmerica Health Plans of Woodland Hills for $175 million.
December 13, 2007 |
California's top insurance regulator has accused Blue Shield, one of the state's largest health plans, of 1,262 violations of claims-handling laws and regulations that resulted in more than 200 people losing their medical coverage. Calling the allegations "serious violations that completely undermine the public's trust in our healthcare delivery system and are potentially devastating to patients," Insurance Commissioner Steve Poizner said he would announce today that he would seek a $12.
June 2, 2000 |
Blue Shield of California will be licensed by the state to provide health services to employees on both sides of the Mexican border. Gov. Gray Davis made the announcement during opening ceremonies for the 18th annual Border Governors Conference in Sacramento. An estimated 40,000 to 50,000 Mexicans cross the border each day to work legally in the San Diego area.