Three UnitedHealth Group Inc. units paid a $150,000 fine aspart of a settlement with the Missouri Department of Insurance, resolvingallegations that they unlawfully restricted members' access to in-networkproviders.
Under the settlement, UnitedHealthcare Insurance Co., andUnitedHealthcare Life InsuranceCo. agreed to stop requiring non-health maintenance organizationgroup plan members to obtain a referral from a primary care physician beforethey could see or be treated by another in-network provider, starting inOctober.
The insurers also agreed to transfer small- and large-groupbusiness to non-HMO products that do not have gatekeeper requirements and payfor claims that were previously denied or reduced.