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Managed Care Enforcement Activity

Prior to September 2005, the Department of Health and Senior Services had oversight of and enforcement authority with respect to laws codified at N.J.S.A. 26:2J-1 et seq., and N.J.S.A. 26:2S-1 et seq., as well as N.J.S.A. 17:48H-2 through 10. Orders assessing or related to penalties issued by that agency from 2000 through September 2005 are accessible below.

Enforcement activity by the Department of Banking and Insurance with regard to these laws after September 2005 will be posted on the Department of Banking and Insurance's web pages listing activity in the same manner as other enforcement activity is posted.

Department of Health and Senior Services Office of Managed Care Enforcement Actions 2000 - 2005
2005 Orders
Order Subject Date
Order 2005-15 IMO Health Net 08-09-05
Order 2005-14 IMO Oxford 07-28-05
Order 2005-13 IMO University Health Plan 08-08-05
Order 2005-12 IMO AmeriChoice 09-22-05
Order 2005-11 IMO AmeriChoice 09-22-05
Order 2005-10 IMO Aetna Health, Inc. 06-08-05
Order 2005-09 IMO UnitedHealthCare 05-26-05
Order 2005-08 IMO Aetna Health 05-26-05
Order 2005-07 IMO Oxford 05-26-05
Order 2005-06 IMO Health Net 05-26-05
Order 2005-05 IMO AmeriChoice 05-10-05
Order 2005-04 IMO AmeriHealth 05-10-05
Order 2005-03 IMO University 05-10-05
Order 2005-01 IMO AmeriChoice 02-01-05

2004 Orders
Order Subject Date
Order 2004-05 IMO Oxford
11-10-04
Order 2004-04 IMO Health Net
11-10-04
Order 2004-03 IMO Well Choice
08-19-04
Order 2004-02 IMO Great West )
08-19-04
Order 2004-01 IMO Cigna 08-09-04

2003 Orders
Order Subject Date
Order 2003-09 IMO University Health Plans, Inc.
05-07-03
Order 2003-08 IMO Horizon HealthCare of NJ, Inc.
05-07-03
Order 2003-07 IMO University Health Plans, Inc.
04-01-03
Order 2003-06 IMO AmeriChoice of New Jersey, Inc.
04-03-03
Order 2003-05 IMO University Health Plans, Inc.
03-26-03
Order 2003-04 IMO Health Net of New Jersey, Inc.
04-01-03
Order 2003-03 IMO University Health Plans, Inc.
03-17-03
Order 2003-02 IMO Horizon HealthCare
02-03-03
Order 2003-01 IMO AmeriChoice of New Jersey 02-10-03

2002 Orders
Order Subject Date
Order 2002-09 IMO Aetna Health, Inc.
12-03-02
Order 2002-08 IMO One Health Plan
09-26-02
Order 2002-07 IMO AmeriChoice
09-03-02
Order 2002-06 IMO AmeriChoice
09-03-02
Order 2002-05 IMO AmeriChoice
09-03-02
Order 2002-04 IMO AmeriChoice
09-03-02
Order 2002-03 IMO UnitedHealthCare
08-29-02
Order 2002-02 IMO AmeriChoice
04-18-02
Order 2002-01 IMO Amerigroup 04-15-02

2001 Orders
Order Subject Date
Order 2001-06

IMO Physicians Health Services

12-20-01
Order 2001-05 IMO Physicians Health Services
12-20-01
Order 2001-04 IMO CIGNA
03-30-01
Order 2001-03 IMO CIGNA
03-27-01
Order 2001-02 IMO Physicians Health Services
03-06-01
Order 2001-01 IMO Physicians Health Services 02-07-01

2000 Orders
Order Subject Date
Consent Agreement Horizon 2000
12-18-00
Order Physicians Health Services
10-18-00
Order Physicians Health Services
09-18-00
Consent Agreement Oxford 2000
03-22-00
Consent Agreement United 2000 03-15-00
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