Saturday, December 22, 2012

Aetna to Pay $1.5M in Settlement with Missouri

September 28, 2012Email ThisPrintNewslettersTweetArticleComments

Missouri insurance regulators said that insurer Aetna agreed to pay a $1.5 million penalty to settle allegations that the company violated requirements for health coverage of autism, contraception and abortions.

The state insurance agency said Aetna sometimes provided coverage for contraceptives without allowing employers to opt out and routinely covered abortions. Officials say Aetna also had excluded coverage for autism spectrum disorders.

A 2001 Missouri law states birth control prescriptions should be covered under policies with pharmaceutical benefits but allows insurers to offer policies without contraception coverage to people or employers who say it violates their moral or religious beliefs. That law also allows people to purchase a plan with contraception coverage if their employer’s plan does not offer it.

A 1983 state law prohibits abortion coverage from basic insurance policies and instead requires payment of an additional premium. And treatment for autism must be covered under a 2010 law.



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