Order 24-0108

Order Summary
$550,000 fine for failing to provide all required information in its comparative analyses of the design and application of its NQTLs and failing to include all required information in its provider directories, in violation of 42 U.S.C. ยง 300gg-26(a)(8)(A), WAC 284-43-0140, WAC 284-170-260(4), WAC 284-170-260(5)(d), WAC 284-170-260(5)(e), WAC 284-170-260(7), and WAC 284-170-260(8), justifying the imposition of a fine under RCW 48.44.166.
Entities Named in the Order
Entity Name Location
PREMERA BLUE CROSS MTLAKE TERRACE, WA
Order Documents
Order Type Issue Date Effective Date
Demand for Hearing 09/05/2024 09/05/2024
Consent Order with Fine 07/31/2025 08/05/2025

Get help

Consumer Advocacy

Call: 800-562-6900
(8:30 a.m. to 4:30 p.m., Monday - Friday)
Form: Ask an insurance expert