North Carolina’s Department of Insurance has entered into a settlement agreement with UnitedHealth Group Inc. and UnitedHealthCare of North Carolina, Inc. to resolve complaints involving claims payment and other issues.
Under the agreement, the companies will pay a fine of $786,655, state Insurance Commissioner Jim Long announced.
According to the NCDOI, it first heard complaints from consumers about the companies’ claims settlement and payment practices in 2003 and 2004. Following an investigation, the department ultimately fined both companies as part of a settlement agreement in 2004.
After that agreement, NCDOIE participated in a multistate examination of UnitedHealth practices, including claims processing and payment, coordination of benefits, and complaint resolution.