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Independent Review Decisions
Order 22-0104
Order Summary
Ordered to Cease and Desist from disseminating, implementing, or enforcing in Washington the “Coverage Election Package” sent to Respondent’s Washington policyholders; implementing any election or choice made by a Washington policyholder under the terms of the “Coverage Election Package,” or attempting to enforce such election or choice against any Washington policyholder; requesting that Washington policyholders select rates or benefits different from those authorized by the Insurance Commissioner and called for under the terms of the contract; charging Washington policyholders additional premium, or withholding, delaying or encumbering benefits in whole or in part, without authorization by the Insurance Commissioner; and making, issuing, or circulating any “Coverage Election Form” or similar correspondence or communication for Washington policies that is false or deceptive, contains misrepresentations, and/or is untrue, deceptive, or misleading. RCW 48.19.010(2); RCW 48.18.100(1); RCW 48.02.080(3)(a); RCW 48.30.040; RCW 48.30.090; WAC 284-50-020(1); WAC 284-50-020(2); WAC 284-50-030(1); WAC 284-50-050(1); WAC 284-50-050(2); WAC 284-50-060(1); WAC 284-50-070(1).
Entities Named in the Order
Entity Name
Location
Senior Health Insurance Company of Pennsylvania
HARRISBURG, PA
Order Documents
Order Type
Issue Date
Effective Date
Cease & Desist
03/01/2022
03/01/2022
The order has been stayed pending an administrative hearing. Enforcement of the order is put on hold or “stayed” until the end of the hearing process. To find more information about hearings, visit our
administrative hearings
page.