The
SFGate just reported that California's insurance commissioner wants a
12.6 million penalty against Blue Shield. The commissioner claims Blue Shield unfairly canceled members policies and improperly processed claims. The insurance department revealed more than 1,200 violations of law, resulting in more than 200 people loosing coverage after submitting claims. The state department has already fined Blue Cross 1.2 Million previously. Now, Blue Cross is upset with the excessive fines and thinks the state is being unfair.
Blue Cross may be upset, but I bet the 200 members with canceled policies is upset as well. I don't know how this fight will turn out, but I've known of auto insurance companies canceling policies for getting a DWI, and what people did was they just switched companies. If Blue Cross wants to lose business, then they cancel policies. At the end of the day, they make money, no matter who they insure. If they want to cancel policies, and try to maximize profit, then that's not a very good business model.
Insurance companies shouldn't cancel policies for both business and moral reasons. They make money at the end of the day. They do not need so-and-so telling their friends they were canceled. No matter how big they are. All it takes is one competitor advertising more than them, and they take over the market. Insurers all have different business models, but their business model should focus on taking care of their clients. They have enough people that pay for insurance that they never use. It's obvious some people will need the insurance.
Let's go back in time. Why was insurance invented in the first place? Was it invented so insurance companies could make money? Nope. It was first invented for cargo ships, so that cargo ships could go about their business without worrying they would wreck their ships. Everyone put money in to the insurance company, and if someone wrecked their ship, then the other cargo ships money would cover the ship lost. That's what insurance is for. If I'm paying for insurance, and I never use it. I want it at least to cover people that need it.
The bottom line should be: Don't cancel policies, unless the member is committing fraud. If Blue Cross thinks this fine is unfair then I think they need to explain exactly why they canceled the policies. They are a leading insurance company in California and need to set the example. I'm also curious what kind of plans they were, and if they were prescription drug plans.
Labels: california