Massachusetts Revises Lawsuit Against Health Insurers For Denying Benefits Required By State Laws

August 31, 2007 – 12:54 pm | posted in Health Insurance

Massachusetts Attorney General Martha Coakley (D) on Thursday filed a revised complaint against MEGA Life and Health Insurance, Mid-West National Life Insurance and the two insurers’ parent company HealthMarkets alleging that they denied services required by state law, the Boston Globe reports.

The suit builds off a complaint filed by former state Attorney General Thomas Reilly (D) in October 2006. It alleges that the companies denied services such as maternity care, cervical cancer screening, contraception, infertility treatment, mammograms and preventive care for children. About 30,000 people in Massachusetts are insured by the companies, Coakley’s office said.

Coakley in a release said, “MEGA and Mid-West routinely mislead people about the benefits in their health insurance policies,” adding, “These companies targeted individuals and small businesses looking for low-cost health insurance, but the coverage they provide is not what MEGA and Mid-West’s advertising and sales agents make it out to be.”

A HealthMarkets spokesperson in a statement said that the company “strongly disagrees with the allegations” and that it has been working with the attorney general’s office for three years (Krasner, Boston Globe, 8/24).

Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation© 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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