Four companies must stop selling insurance in Maine and pay $260,000 in fines, as well as restitution, for their role in what state officials say was a fraudulent health insurance scheme.
Maine Insurance Superintendent Eric Cioppa said that as a result of a June 20 hearing United States Contractors Trust (USCT), Real Benefits Association (RBA), Metropolitan Business Alliance LLC (also known as National Association of Business Leadership, NABL) and Access Health Now (AHN) were found to have violated Maine’s insurance laws and were ordered to stop doing business in Maine and to pay benefits due under existing policies.
As a result of consumer complaints of unpaid medical bills, the Maine Bureau of Insurance initiated an investigation and found that USCT, RBA and NABL engaged in unlicensed insurance transactions, and AHN assisted in these transactions.
Maine law prohibits anyone from acting as an insurance company or administrator without being authorized by the superintendent. USCT was also found in violation of Maine’s unfair claims practices statute that requires an insurer to deal with policyholders’ claims in good faith.
“Unlicensed insurance activities must be reported and stopped,” Cioppa said in a statement. “Maine policyholders paid their premiums, but received little to no benefit in return. Anyone seeking to purchase insurance can always contact the Bureau to make sure the company is licensed in Maine.”
Consumers and providers who have not received payment for medical bills from these companies are encouraged to notify the Bureau. For further assistance, Maine consumers should contact the Bureau by phone at (207) 624-8475 or toll-free at (800) 300-5000 and ask for Kelly Rogers. They can also contact the Bureau by e-mail at insurance[dot]pfr[at]maine[dot]gov (include USCT/NABL in the subject line); or by mail: USCT/NABL Consumer Assistance, Maine Bureau of Insurance, 34 State House Station, Augusta ME 04333-0034.
Four firms fraudulently selling health insurance in Maine halted via IFAwebnews.com .
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