(Helena, MT – Insurance News 360) – State Auditor and Insurance Commissioner Matt Rosendale has proposed fines for Prime Therapeutics and two subsidiaries of Express Scripts, which are accused of operating without a license since 2017. The companies have not complied with requests from lawmakers for documentation, Rosendale said.
“These companies need to understand that we are serious about consumer protection and that they will be held accountable for their actions,” Rosendale said in a statement Wednesday.
Prime applied for a license in April 2018, but has not received the license because they have not provided information requested by the state.
These companies can request a hearing on the issue and fines. The fines could be up to $30,000 for each violation of the Montana insurance Code.
Prime Therapeutics is owned by Health Care Service Corporation, the parent company of Blue Cross and Blue Shield of Montana. It has handled nearly 6 million claims for Blue Cross in Montana since 2013, each of which could be considered a code violation, the commissioner’s office said. Express Scripts handled claims for the Montana Health CO-OP.
Source: Montana Department of Insurance.