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One of California’s largest health insurance plans has distinguished itself, and not in a good way.

The state Department of Managed Health Care hit Anthem Blue Cross with $9.6 million in fines from January 2014 through early November 2019, according to a California Healthline analysis of agency data. That is about 44% of the $21.7 million in penalties the department issued against full-service health plans during that period.

And yet, Anthem covered only 10% to 13% of Californians with department-regulated plans. An annual average of 3.8 million Californians wer...

Default notices, scheduled auctions or bank repossessions jumped 13 percent month-over-month during October 2019, according to a report from ATTOM Data Solutions.

The 55,197 foreclosure filings in October were down 17 percent from one year ago, ATTOM found.

“While foreclosure activity across the United States rose in October, in looking at historical trends, October numbers tend to increase as lenders may be pushing filings through the pipeline before the holiday season,” ATTOM Chief Product Officer Todd Teta said in a release. “The latest number is still below where...

Anthem Blue Cross filed a lawsuit against the federal government to recoup $100 million in payments under the ACA, according to Bloomberg Law.

In the Nov. 18 lawsuit filed in the U.S. Court of Federal Claims, Anthem argued it sold plans on the ACA individual exchange because the government said it would offset expected losses on the policies through the risk corridors program. 

Risk corridors payments, which expired in 2016, aimed to protect insurers from large deficits as they enrolled sicker members into their new individual exchange policies. While the program int...

California Insurance Commissioner Ricardo Lara has ordered the Fair Plan, the state’s insurer of last resort for homeowners and renters who can’t get coverage elsewhere, to double the coverage limit on its bare-bones homeowner’s policy and begin offering a comprehensive policy alongside it.

The move comes at a time when many more people living in regions at risk of wildfires, including parts of the Bay Area, are having a hard time getting or keeping insurance from mainstream carriers licensed and regulated by the department. Their only options are to get a policy fr...

Southern California Edison, the utility subsidiary of Rosemead-based Edison International, announced Nov. 13 that it has agreed to pay $360 million to settle wildfire and mudslide claims from 23 public agencies in Los Angeles, Ventura and Santa Barbara counties.

The settlement allocates roughly $150 million to cover claims from public agencies from the December 2017 Thomas and Koenigstein fires in Ventura and Santa Barbara counties as well as the January 2018 Montecito mudslides that resulted from the Thomas Fire. The remaining $210 million is being allocated to cla...

California Governor Gavin Newsom has asked a federal judge to delay signing off on PG&E Corp.’s $11 billion insurance claim settlement, saying the deal is premature.

In a filing Saturday, the governor raised issues with a proposed settlement of so-called subrogation claims that would see PG&E pay billions to holders of insurance claims tied to wildfires.

“Given the uncertainty related to the plan that will resolve these chapter 11 cases, and the possibility that the state will need to pursue its own plan, the Allowed Subrogation Claim Amount may be an impediment to c...

A handful of important state laws related to housing have been passed by the California legislature, including the Housing Crisis Act of 2019 (SB 330), which provides a set of limited reforms to the Housing Accountability Act (HAA), Planning and Zoning Law, and Permit Streamlining Act. These new laws, most of which would take effect in January 2020 if signed into law by Gov. Gavin Newsom, are of interest to project proponents and local agencies:

  • SB 330 limits jurisdictions' abilities to move the goalposts for housing development projects during their application...

ATTOM Data Solutions, curator of the nation's premier property database and first property data provider of Data-as-a-Service (DaaS), today released its October 2019 U.S. Foreclosure Market Report, which shows there were a total of 55,197 U.S. properties with foreclosure filings — default notices, scheduled auctions or bank repossessions — in October 2019, up 13 percent from the previous month but down 17 percent from a year ago.

"While foreclosure activity across the United States rose in October, in looking at historical trends, October nu...

The Maria Fire in Southern California threatens thousands of structures and has forced almost 11,000 people to evacuate. There's no end in sight for firefighters, or for homeowners living in fire-prone areas. Many have had their insurance policies dropped and are desperate for coverage.

Frances Mann Craik is among at least 350,000 Californians whose fire insurance policies have been canceled. She had the same coverage for 18 years.

"I've paid thousands and thousands of dollars in premiums and insurance and never gotten a cent back," Craik said.   

Now C...

When a patient sees a provider, the patient signs an “assignment of benefits” contract with the provider, assigning the patient’s legal rights to recover benefits from the insurance company to the provider so that the provider can be directly reimbursed for the services rendered to the patient. When the provider is in-network, this process is executed with little fanfare. However, for an out-of network provider, the road to reimbursement is not always as smooth. Not all states expressly permit assignment-of-benefits clauses, and as a result, insurers send the reimb...

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