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CONTACT FOR MEDIA: Roger Snell or Eva Smith-Carroll, Department of Insurance, (502) 564-2664
FOR IMMEDIATE RELEASE: Friday, Nov. 2, 2001
Insurance
regulators get injunction against company marketing health plan in Kentucky
FRANKFORT, KY. -
The Franklin County Circuit Court issued an injunction today against a company
that has begun marketing an unlicensed form of health insurance in Louisville
and Western Kentucky.
The Kentucky
Department of Insurance won the restraining order today against TRG
Administration LLC and TRG Marketing LLC. Both are limited liability companies
in Carson City, Nev., with their principal place of business located at 37
South Park Blvd, Greenwood, Ind. Also named in the injunction are: Carmello
Zanfei, Calumet City, Ill., Paul Crouse, Batesville, Ind., and Win W. Coburn
Jr., Dexter, Mo.
Insurance
Commissioner Janie Miller claimed in today’s court filing that the defendants
are marketing health insurance in Kentucky without the required licenses and
authorization and without a sound financial basis.
Miller credited
insurance agents for tipping off state regulators about questionable marketing
practices in which TRG began promoting plans to agents as a type of self-funded
insurance plan that employers could offer to employees at greatly discounted
premiums, with benefits resembling standard health insurance and a provider
network.
"These
agents had concerns that consumers were being misled and that sales and
marketing practices were forbidden by law," Miller said.
A preliminary
investigation by the state insurance department found the company has not
registered with the U.S. Department of Labor and does not meet conditions for
transacting insurance business, Miller said. The company has failed to provide
details of its finances and how it would meet obligations for paying claims.
The company
maintains that it is outside of licensing and other regulatory laws set by federal
and state agencies.
What does this
mean to TRG policyholders? People who have a policy with this company do not
have health insurance. TRG was not marketing a recognized health plan, meaning
consumers could sacrifice important rights to health coverage in the case of
pre-existing medical conditions. They also might have to pay their own medical
bills if TRG failed to meet its financial obligations.
These policyholders should
immediately seek other health coverage. Consumers with questions may call the
Department of Insurance toll free 1-800-595-6053 and ask for the Consumer
Protection & Education Division. Information about options is detailed in a
publication, HMOs and Insurers Authorized to
Write Health Benefit Plans in Kentucky
,
available online at the department Web site
Kentucky is
sharing information and working with other states reporting similar concerns
with TRG.
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