Health Now New York Inc.Page 2(c) Section 2112(d), by failing
notify the Department of itsinsurance agents' terminations;(d) Section 2114(a)(3),
ensure that commissionswere paid only to licensed producers;(e) Section 4802(d), by failing to provide writtenacknowledgement
Sections 3234(b)(6) and 3234(b)(7), respectively, by failingto issue complete Explanation
Benefits Statements ("EOBs") incertain instances where claims were denied because the insured orsubscriber was terminated and for certain out-of-network claims.
mitigation that the above violations
not theresult of any conscious company policy
evade the requirements
the Insurance Lawand Regulations.
any other disciplinary action which could be taken by theDepartment
the foregoing, Respondent consents to the imposition
a civil penalty
Seven Hundred Thousand Dollars ($700,000.00}, receipt ofwhich is hereby acknowledged.
take all steps necessary to prevent the recurrence
Respondent acknowledges that this Stipulation, and any admissioncontained herein, may
used against it
any future proceeding if there is reason tobelieve the terms
the Stipulation have been violated by Respondent, or
theDepartment institutes disciplinary action against Respondent for any reason other thanthe specific acts considered herein.Dated:New York, New York
2012NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES
Beth CohenAssociate Attorney