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Significant Enforcement Actions

The Office of Enforcement investigates a number of health care service plans and/or takes enforcement actions that receive media attention.

The links below take you to the enforcement actions that have been recently publicized.

• PacifiCare of California: Letter of Agreement Re:  Failure to pay claims timely, March 21, 2008.
  
  
• California Physicians' Service d.b.a. Blue Shield of California: Letter of Agreement Re:  Independent Medical Review Process, November 21, 2007
  
  
• Health Net of California, Inc. Re:  Consent Agreement November 16, 2007
  
  
• Molina Healthcare of California:  Letter of Agreement Re:  Misdirected Claims, August 2, 2007
  
  
• Kaiser Foundation Health Plan, Inc: Consent Agreement Re: Oversight of Quality Assurance Programs, July 30, 2007
  
  
• Blue Cross of California: Consent Agreement Re:  Provider Notification of Change in Rates, June 5, 2007
  
  
• Kaiser Foundation Health Plan, Inc: Letter of Agreement Re:  Reasonable Person Standard for ER Claims, May 3, 2007
  
  
• Kaiser Foundation Health Plan, Inc.:  Letter of Agreement Re:  Post Claims Underwriting, March 1, 2007
  
  
• Kaiser Foundation Health Plan, Inc.:  Letter of Agreement Re:  Post Claims Underwriting, December 13, 2006
  
  
• Vision Plan of America:  Order Adopting Proposed Decision, September 6, 2006
  
  

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