Insurance News

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September 26, 2012

Missouri Department of Insurance takes action against Aetna for violations related to autism, contraception, other coverage

Aetna will pay largest insurance fine in Missouri history, make donation for autism treatment

Jefferson City, Mo. - State insurance regulators say one of the nation's largest health insurance companies has for years been violating Missouri law in the health plans it offers to employers. Insurance Director John M. Huff has announced a settlement with Aetna Life Insurance Company related to its coverage of health benefits required by Missouri law, including autism, contraception and elective abortion.

In the settlement, Aetna admits to numerous violations of Missouri law, including issuing health insurance policies that:

"This settlement should be a reminder to all health benefit plans covering Missourians, that state law has stringent requirements honoring the religious and moral beliefs of insurance customers," said Huff. "We will be enforcing Missouri's decade-old contraception coverage law, as well as the new law on the subject, anywhere we see violations."

Under the settlement, Aetna will:

Aetna is Missouri's sixth largest health insurance company, with premium sales of $340 million in 2011.

Consumers with complaints or questions about insurance claims or policy provisions can call the Insurance Consumer Hotline at 800-726-7390 or file a complaint at insurance.mo.gov.

About the Missouri Department of Insurance, Financial Institutions & Professional Registration

The Missouri Department of Insurance, Financial Institutions and Professional Registration (DIFP) is responsible for consumer protection through the regulation of financial industries and professionals. The department's seven divisions work to enforce state regulations both efficiently and effectively while encouraging a competitive environment for industries and professions to ensure consumers have access to quality products.

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