The Los Angeles City Attorney requests that Blue Cross substantiate its press release on rescission.
The story of Blue Cross of California's effort to gather data that
might be used to rescind patient insurance coverage continues. As part
of its investigation into the health insurance industry's rescission
practices, the Los Angeles City Attorney's office requested that Blue
Cross substantiate claims in a press release that it had improved its
rescission policies.
Blue Cross weathered a hail of unflattering media attention for
asking doctors for information that might be used to rescind coverage.
In response, the company issued a press release, which caught the City
Attorney's attention by claiming that in 2006 it had "implement[ed] a
series of steps to strengthen and make more transparent our process for
rescinding policies in order to further minimize the possibility of
errors." The company also claimed to have recently begun a rescission
review process.
Writing that it is authorized to prosecute
violations of the Unfair Competition Law and the False Advertising Law,
the Office of the City Attorney sent Blue Cross a Request for
Advertising Claim Substantiation, requesting information on the health
plan's claims within 21 days. "California State law says the failure to
adequately respond to this type of request within a reasonable time
authorizes the City Attorney to presume that the advertising claim is
false or misleading, to disseminate information alerting consumers to
the false or misleading nature of the advertising claim and/ or to seek
appropriate judicial relief," explains Nick Velasquez, a spokesperson
for the City Attorney's office.
In responding to the City Attorney,
Blue Cross asserted its message had been truthful. "We are following
all business practices that were described in a recent press statement,
indeed, most have been shared with the public in the past, and have
been in place for well over a year," the company said. "In addition, as
described in the recent statement, we are actively in the development
of a third party review process for use on all potential rescissions."