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The New Hampshire Insurance Department has issued an order requiring Aetna to prove why it should not be fined or have its operating license suspended in the state.
The Feb. 26 order stems from a complaint filed by a New Hampshire resident in November 2024 regarding claims denial issues with Aetna. The state investigated the claims and made multiple attempts to obtain information from Aetna to resolve the issue. Despite repeated requests for a response through the end of January 2025, Aetna failed to provide the requested information.
As a result of Aetna's lack of response, the insurance department is now considering a minimum fine of $7,500 and the suspension of Aetna's license to operate in New Hampshire until the company provides the information.
A hearing has been scheduled for April 8, 2025, where Aetna must appear and address the state's allegations.
Aetna faced similar threats from the state in early 2024 for failure to respond to a separate investigation into overdue payments for actuarial services. The state scheduled a hearing over the issue, but it was eventually cancelled after Aetna paid the outstanding invoices.
[EXTERNAL LINK] - New Hampshire threatens to suspend Aetna's operating license
The Feb. 26 order stems from a complaint filed by a New Hampshire resident in November 2024 regarding claims denial issues with Aetna. The state investigated the claims and made multiple attempts to obtain information from Aetna to resolve the issue. Despite repeated requests for a response through the end of January 2025, Aetna failed to provide the requested information.
As a result of Aetna's lack of response, the insurance department is now considering a minimum fine of $7,500 and the suspension of Aetna's license to operate in New Hampshire until the company provides the information.
A hearing has been scheduled for April 8, 2025, where Aetna must appear and address the state's allegations.
Aetna faced similar threats from the state in early 2024 for failure to respond to a separate investigation into overdue payments for actuarial services. The state scheduled a hearing over the issue, but it was eventually cancelled after Aetna paid the outstanding invoices.
[EXTERNAL LINK] - New Hampshire threatens to suspend Aetna's operating license
