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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 8-09-05
Order 2005-14 IMO Oxford 7-28-05
Order 2005-13 IMO University Health Plan 8-08-05
Order 2005-12 IMO AmeriChoice 9-22-05
Order 2005-11 IMO AmeriChoice 9-22-05
Order 2005-10 IMO Aetna Health, Inc. 6-08-05
Order 2005-09 IMO UnitedHealthCare 5-26-05
Order 2005-08 IMO Aetna Health 5-26-05
Order 2005-07 IMO Oxford 5-26-05
Order 2005-06 IMO Health Net 5-26-05
Order 2005-05 IMO AmeriChoice 5-10-05
Order 2005-04 IMO AmeriHealth 5-10-05
Order 2005-03 IMO University 5-10-05
Order 2005-01 IMO AmeriChoice 2-01-05

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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
8-19-04
Order 2004-02 IMO Great West )
 8-19-04
Order 2004-01 IMO Cigna 8-09-04

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2003 Orders
Order Subject Date
Order 2003-09 IMO University Health Plans, Inc.
 5-07-03
Order 2003-08 IMO Horizon HealthCare of NJ, Inc.
5-07-03
Order 2003-07 IMO University Health Plans, Inc.
4-01-03
Order 2003-06 IMO AmeriChoice of New Jersey, Inc.
4-03-03
Order 2003-05 IMO University Health Plans, Inc.
3-26-03
Order 2003-04 IMO Health Net of New Jersey, Inc.
4-01-03
Order 2003-03 IMO University Health Plans, Inc.
3-17-03
Order 2003-02 IMO Horizon HealthCare
 2-03-03
Order 2003-01 IMO AmeriChoice of New Jersey 2-10-03

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2002 Orders
Order Subject Date
Order 2002-09 IMO Aetna Health, Inc.
12-03-02
Order 2002-08 IMO One Health Plan
9-26-02
Order 2002-07 IMO AmeriChoice
9-03-02
Order 2002-06 IMO AmeriChoice
9-03-02
Order 2002-05 IMO AmeriChoice
9-03-02
Order 2002-04 IMO AmeriChoice
9-03-02
Order 2002-03 IMO UnitedHealthCare
8-29-02
Order 2002-02 IMO AmeriChoice
4-18-02
Order 2002-01 IMO Amerigroup   4-15-02

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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
3-30-01
Order 2001-03 IMO CIGNA
3-27-01
Order 2001-02 IMO Physicians Health Services
3-06-01
Order 2001-01 IMO Physicians Health Services 2-07-01

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2000 Orders
Order Subject Date
Consent Agreement Horizon 2000
12-18-00
Order Physicians Health Services
10-18-00
Order Physicians Health Services
9-18-00
Consent Agreement Oxford 2000
3-22-00
Consent Agreement United 2000 3-15-00

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