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Press Release
 
STATE OF OHIO
DEPARTMENT OF INSURANCE
COMMUNICATIONS OFFICE
 
 

5/26/2016
InHealth Mutual Failing Ohio Insurance Department Takes Control


 

 

COLUMBUS - Lt. Gov. Mary Taylor was appointed receiver for Coordinated Health Mutual, Inc. today following the Ohio Department of Insurance (ODI) request to liquidate the company which provides health insurance to nearly 22,000 Ohioans under its InHealth Mutual brand.  The action allows ODI to assure that claims of policy holders, providers and vendors are provided for in an orderly manner while it winds down company operations.

Franklin County Common Pleas Judge Kim Brown granted the ODI request to operate the company, pay policy holder claims, and control the cash reserve held by the company.

Under the order, InHealth policy holders must continue to pay their premiums; providers must continue to honor their contract for service to InHealth policy holders; and, vendors must work with Taylor to continue to provide necessary services to the company.

“Our examination of the company’s financials made it clear that the company’s losses would prevent it from paying future claims should its operations continue,” Lt. Gov. Mary Taylor, also Ohio Director of Insurance, said.

“Under Ohio law, we acted with certainty to protect the consumers,” she said, adding: “Now, policy holders should learn their options by visiting the special page on the Ohio Department of Insurance web site or calling our consumer services division.”

ODI’s action triggers the availability of the Ohio Life & Health Insurance Guaranty Association made up of companies who engage in life and health insurance business in the state.  Should the reserve and receipts of Coordinated Health Mutual not be sufficient to operate InHealth during this process, the law provides that the Ohio Life & Health Insurance Guaranty Association support up to $500,000 of a policy holder’s claims.

Current InHealth policy holders who want to keep their federal health care subsidy should visit the federal health insurance exchange within the next sixty days to replace their InHealth policy with a policy offered by another company on the federal exchange.

Coordinated Health Mutual, Inc. was licensed by ODI in October 2013.  It is organized as a Consumer Operated and Oriented Plan (CO-OP) under the Affordable Care Act.  The Act sought to create CO-OP companies to compete with private sector companies that traditionally marketed health insurance plans.  Fully operational since January 2014, the company sold its InHealth products for both individual and group health coverage.

The company has policy holders throughout the state with the largest concentrations in central Ohio followed by concentrations in the Cincinnati and Dayton areas.

Consumers with questions may call the insurance department’s help line at 1-800-686-1526. Consumers, providers and vendors will find information at http://insurance.ohio.gov/liq/Pages/LIQTab1.aspx.

 


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The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
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John Kasich, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578