Share this e-Alert:

Polsinelli - Insurance Polsinelli - Insurance


August 2014


Missouri Insurance Department Reaches $7.8 Million Settlement with Anthem







Insurance Professionals:


Steven L. Imber

Practice Area Chair



Zachary R. Dyer



Justin Liby



Jeanie A. Botkin




To view a full list of our Insurance Business and Regulatory Law Professionals, click here.


To learn more about our Insurance Business and Regulatory Law practice, click here.



View Polsinelli documents on JD Supra  
LinkedIn Twitter Facebook Inside Law Podcast


LinkedIn Twitter Facebook Inside Law Podcast Connect with us on LinkedIn. Connection with us on Twitter. Connect with us on Facebook. Connect with us on LinkedIn. Connection with us on Twitter. Connect with us on Facebook.



The Missouri Department of Insurance, Financial Institutions and Professional Registration (DIFP) recently announced that it has entered into a $7.8 million regulatory settlement with Healthy Alliance Life Insurance Co. and HMO Missouri Inc., which are subsidiaries of Anthem BlueCross BlueShield of Missouri (Anthem), and a part of WellPoint, Inc. Our firm's Summer 2012 Insurance Business & Regulatory newsletter discussed a recent increase in Missouri market conduct examination activity and our firm's February 2014 eAlert discussed the increasing monetary penalties sought by the DIFP in connection with market conduct examinations. The settlement with Anthem is the largest reached in the DIFP's history.

The DIFP alleges that the health insurers offered two substantially equivalent health plans to St. Louis area consumers but charged more in premiums for one of those plans without informing consumers about the lower-priced plan. The Stipulation of Settlement states that the plans were marketed in the individual market in Missouri from 2007 to 2010 in the city of St. Louis, Missouri and in the following Missouri counties: St. Louis, St. Charles, Warren, Franklin, Jefferson, St. Francois, Lincoln, Ste. Genevieve and Washington counties. According to the Stipulation of Settlement, Anthem denies wrongdoing and any failure to provide information.

Under the terms of the settlement, approximately 5,500 individuals in Missouri will receive refunds for premiums previously paid for the more expensive plan. Any settlement funds remaining as of May 31, 2015 will escheat to the Missouri Treasurer as unclaimed property.

According to the DIFP, its market conduct section has recovered more than $33 million in consumer restitution and fines since 2009.

For More Information

For additional information regarding these issues, please contact:











Atlanta  Chattanooga  Chicago  Dallas  Denver  Edwardsville  Jefferson City  Kansas City  Los Angeles  New York
Overland Park   Phoenix   St. Joseph  St. Louis  San Francisco  Springfield  Topeka  Washington, D.C.  Wilmington








real challenges. real answers.SM  
Polsinelli is a first generation Am Law 100 firm serving corporations, institutions, entrepreneurs and individuals nationally. Our attorneys successfully build enduring client relationships by providing practical legal counsel infused with business insight, and with a passion for assisting General Counsel and CEOs in achieving their objectives. Polsinelli is ranked 18th in number of U.S. partners* and has more than 740 attorneys in 19 offices. Profiled by The American Lawyer and ranked as the fastest growing U.S. law firm over a six-year period**, the firm focuses on healthcare, financial services, real estate, life sciences and technology, energy and business litigation, and has depth of experience in 100 service areas and 70 industries. The firm can be found online at Polsinelli PC. In California, Polsinelli LLP.

* Law360, March 2014
** The American Lawyer 2013 and 2014 reports







Polsinelli provides this material for informational purposes only. The material provided herein is general and is not intended to be legal advice. The choice of a lawyer is an important decision and should not be based solely upon advertisements.

Copyright © 2014 Polsinelli PC.





Connect with us on LinkedIn. Connection with us on Twitter. Connect with us on Facebook.