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Archive for the ‘California’ Category

The following email came from the State of California Department of Insurance.

NOTICE

TO:  All Admitted Insurers, Insurance Producers, Bail Agents, Independent and Public Adjusters and Other Interested Parties

SUBJECT:  Reporting of Administrative Actions and Criminal Convictions

DATE:  August 16, 2013

Background
On January 1, 2005, Section 1729.2 was added to the California Insurance Code. This section requires all licensees and applicants for licenses issued by the California Department of Insurance’s (CDI) Producer Licensing Bureau to report any administrative actions or criminal convictions to CDI within 30 days of the final disposition of the matter. This requirement applies to both California resident and non-resident licensees and applicants.

Purpose
Several licensees have told CDI that they are not aware of the reporting requirement. Therefore, the purpose of this notice is to remind all affected parties of the requirement and to provide instructions for how to report the information.

What needs to be reported?
Background information that must be reported includes any of the following:

• A misdemeanor or felony conviction

• A filing of felony criminal charges in state or federal court

• An administrative action regarding a professional or occupational license

• A licensee’s discharge or attempt to discharge in a personal or organizational bankruptcy proceeding an obligation regarding any insurance premiums or fiduciary funds owed to any company, including a premium finance company, or managing general agent

• Any admission, or judicial finding or determination, of fraud, misappropriation or conversion of funds, misrepresentation, or breach of fiduciary duty

How to report
To report information to CDI in writing, you may use the background change disclosure form available on our website at http://www.insurance.ca.gov by selecting “Producer Background Information” under “Agents & Brokers”. Additional information regarding this requirement, and the form, can be found by following the link here or by typing “background change” in the search box on CDI’s homepage.

All Admitted Insurers, Insurance Producers, Bail Agents, Independent and Public Adjusters and Other Interested Parties Reporting of Administrative Actions and Criminal Convictions

You may also submit background changes electronically to the National Insurance Producer Registry (NIPR) Attachment Warehouse Reporting of Actions (ROA) at http://www.nipr.com/ by selecting “Reporting of Actions” under “Attachments Warehouse”. The documents submitted through the ROA service fully satisfy the Background Reporting requirements of Section 1729.2 of the California Insurance Code.

What documents to provide?
Please include supporting documents such as a statement regarding the background change; certified court documents; administrative or disciplinary documents; or any other information relative to the change.

Specific Requirements for Employees of Organizational Licenses
If any of the changes in the background information involves an applicant or licensee who is listed as an endorsee on a business entity license, the licensee or applicant must also provide the notice of background change to any officer, director, or partner listed on that business entity license or application pursuant to Section 1729.2(a) of the California Insurance Code.

You may contact the Licensing Background Bureau at (916) 492-3650 if you have further questions about these background reporting requirements.

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Here is the article from Healthcare Finance News.  Non-profit HMO, Senior Care Action Network or SCAN, will repay $190M to the state of California and $129M to the Federal government.  SCAN commented on the settlement via a press release on their website.  The investigation found no wrong doing reported on behalf of SCAN or it’s current or prior employees.  Susan Hershman, an assistant U.S. attorney on the case, told the Los Angeles Times. “It was a mistake by the state of California.”

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Here is a link to an article with more details.  CareMore is a Medicare Advantage plan with membership in CA, AZ and NV.

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Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into ritterim.zendesk.com/ to view forums) 

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This past Thursday, Wellpoint announced a deal to acquire Medicare Advantage provider, Caremore.  Caremore operates in 3 states:  CA, NV and AZ.  Caremore has approximately 54,000 members.  The terms of the deal weren’t disclosed, however, it has been reported that Wellpoint will pay $800 million for Caremore.  The deal is expected to close before the end of this year.

For more details, see the Indy Star report on the story.

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Ritter Insurance Marketing is committed to providing our agents with information about the insurance industry. Below are links to the lasted news in your state. (Must be logged into ritterim.zendesk.com/ to view forums)

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Molina January Training

Molina Medicare offers competitive products and benefit plans that you can market year-round with rich value-adds to meet your customers needs.  Now that the AEP is coming to an end, come hear about the plans that Molina Medicare offers that can be marketed year around!
 
Space is limited so please make sure to RSVP to one of the Webinars or Live Trainings!

Click here for a full list of Molina Training events during January.

IT IS HIGHLY RECOMMENDED TO PLEASE TEST YOUR BROWSER BEFORE YOU ATTEND YOUR FIRST WEB CONFERENCE!!!!

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