Business

/

ArcaMax

False offers of cash subsidies used to 'capture' health insurance customers, lawsuit alleges

Ron Hurtibise, South Florida Sun Sentinel on

Published in Business News

— Replaced consumers’ existing policy by replacing it with another plan “that has similar or worse benefits solely to generate a new commission.”

— Broke up families into two plans — “for example, creating a new policy for the husband while leaving the wife and children on the original policy.”

Plaintiffs suffered damages by losing medical treatments, in-network health care providers and specialists, prescription coverage, and sometimes even lost their coverage altogether, the lawsuit states.

The complaint alleges that some policyholders had to spend money to correct changes to their data and agents, and some had to pay tax penalties after being put into plans for which they did not qualify.

Because the lawsuit was filed on Friday, attorneys have not yet filed notices of representation on behalf of any of the named defendants, and no response has been filed so far to the charges.

The South Florida Sun Sentinel sent numerous emails to addresses listed on the defendant companies’ websites and left voice and text messages to phone numbers associated with Brandon Bowsky and Matthew B. Herman seeking comment about the lawsuit.

 

By Tuesday afternoon, only Enhance Health responded. It issued this statement:

“First and foremost, Enhance Health is committed to leading the way in transforming what is too often an overwhelming and complicated health insurance enrollment experience while improving healthcare access for millions of individuals and families across the country.

“We take any allegations of misconduct by our employees or partners seriously and are committed to upholding the highest standards of compliance and controls in all aspects of our operations. This lawsuit is without merit. We will defend against these baseless claims.”

Defendants operated out of Broward County

...continued

swipe to next page

©2024 South Florida Sun Sentinel. Visit at sun-sentinel.com. Distributed by Tribune Content Agency, LLC.

Comments

blog comments powered by Disqus