Chiropractor William Guenther, 69, of Granite Bay and former owner of Fort Sutter Chiropractic, was arraigned in Sacramento Superior Court today on eight felony counts of insurance fraud for his alleged role in a fraud scheme billing health and auto insurers for treatment services never provided.
Executive Order To Minimize The Economic Burden Of The ACA by President Trump
It is the policy of my Administration to seek the prompt repeal of the Patient Protection and Affordable Care Act (Public Law 111-148), as amended (the “Act”). In the meantime, pending such repeal, it is imperative for the executive branch to ensure that the law is being efficiently implemented, take all actions consistent with law to minimize the unwarranted economic and regulatory burdens of the Act, and prepare to afford the States more flexibility and control to create a more free and open healthcare market.
Investigation of major Anthem cyber breach reveals foreign nation behind breach
The team determined with a high degree of confidence the identity of the attacker and concluded with a medium degree of confidence that the attacker was acting on behalf of a foreign government. Notably, the exam team also advised that previous attacks associated with this foreign government have not resulted in personal information being transferred to non-state actors.
Zenefits Hit With $7 Million Fine For Unlicensed Agents
Insurance Commissioner Dave Jones today announced the enforcement action taken against Zenefits for multiple license violations has resulted in a $7 million penalty. Zenefits was charged with allowing unlicensed employees to transact insurance and circumventing insurance agent education requirements. This is the largest penalty assessed by any commissioner against Zenefits and one of the largest penalties for licensing violations ever assessed in the department’s history.
New online tool to search for life insurance benefits launches
Created by The National Association of Insurance Commissioners (NAIC) the service is designed to offer consumers who may suspect they or a family member is the beneficiary of a life insurance policy or annuity, but may now have some of the key information typically needed to search, such as a policy number or name of the insurer.
Owners of sober living facilities arrested for health insurance fraud
California Department of Insurance detectives, assisted by multiple law enforcement agencies, arrested Chris Bathum and Kirsten Wallace on multiple felony counts of grand theft, and identity theft for allegedly conspiring to defraud patients and insurers out of more than $176 million through an elaborate conspiracy. Simultaneously, search warrants were also executed at 15 locations throughout Los Angeles and Orange County.
Department of Insurance Receives Health Plan Compliance Grant
The Centers for Medicare and Medicaid Services at the U.S. Department of Health & Human Services announced today it awarded a $1.84 million grant to the California Department of Insurance to enhance enforcement of key market reforms under the Affordable Care Act.
Beware of deceptive sales practices during Medicare’s enrollment
The California Department of Insurance is alerting seniors and their advocates to be on their guard against improper sales practices during the annual open enrollment period for Medicare Advantage plans (Part C) and the Medicare Prescription Drug (Part D) Program.
Commissioner Jones supports DOJ block of health plan mergers
I’m very pleased with the U.S. Department of Justice action today to block these mergers because they are anti-competitive and would harm consumers and businesses. As insurance commissioner of the largest insurance market in the country, I urged the DOJ to prevent both of these health insurance mergers, which if approved would have resulted in a highly concentrated, less competitive health insurance market doing irreparable harm to consumers and businesses.
Family caregivers urged to explore insurance options and resources
Caregivers may want to consider obtaining a life insurance policy to help provide support to others in case something happens to them. Another consideration is disability income insurance, which offers protection by replacing a percentage of one’s previous income if they are unable to work due to a disability. If a caregiver plans to leave a job to be a full-time caregiver, they need to ensure they will have access to healthcare.