Examination Report - Financial - Oxford Health Insurance, Inc 2025

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The document is a comprehensive examination report of Oxford Health Insurance, Inc. as of December 31, 2002, conducted by examiner Bruce Borofsky and submitted on March 2, 2004. It outlines the scope of the examination, company management, operational territory, reinsurance practices, financial statements, claims handling, and compliance with prior recommendations. The report highlights significant findings regarding management practices, financial allocations, investment activities, and adherence to New York insurance laws. It includes recommendations for improving governance and operational procedures to ensure compliance and enhance accountability.
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  1. Click ‘Get Form’ to open the Examination Report in the editor.
  2. Begin by reviewing the 'Scope of Examination' section. This provides context for the report and outlines the examination period.
  3. Proceed to the 'Description of Plan' section. Here, you will find detailed information about Oxford Health Insurance, Inc., including its management structure and operational territory.
  4. Fill out any required fields in the 'Financial Statements' section. Ensure that all financial data is accurate and corresponds with your records.
  5. Review the 'Claims Unpaid' section to ensure that all claims are accounted for accurately.
  6. Finally, check the 'Summary of Comments and Recommendations' for any actionable items that may require your attention or follow-up.

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Oxford Benefit Management℠ acts as the distribution company for products by UnitedHealthcare, and OptumHealth including: dental, vision and an optional life benefit. Using these products, we have created several different plans to offer employers a wide range of choices to suit varying needs.
Oxford is a commercial HMO with Medicare and Medicaid lines of business that were added within the past two years. Oxford currently has 255,000 members, of which 20,000 are Medicaid. Oxford has set up its Medicaid line of business as a totally separate and distinct cost center.
In 1997 the firm had been fined $3 million for a variety of legal violations amidst false claims of alleged profits that included double counting of premiums. In 2004 it merged with UnitedHealth Group.
UnitedHealth Group agreed yesterday to acquire Oxford Health Plans for $4.7 billion in stock and cash, giving UnitedHealth, one of the nations largest health insurers, a greater presence in the New York metropolitan area.
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If you have questions related to OBM, you can contact us via e-mail at obm@ancillary-benefits.com, or contact Member Services at 1-800-521-9845. The phone number provided will give you access to OBM and OBM partners, who can assist you with questions specific to: Claims and claims payments.

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Issued To: University of Hartford (Enrolling Group). Policy Number: 165058. Policy Effective Date: January 1, 2016. Policy Anniversary Date: January 1.

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report on examination of OXFORD HEALTH INSURANCE, inc.

Jun 8, 2023 This report on examination is confined to financial statements and comments on those matters which involve departure from laws, regulations or

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