Información Demográfica de la Compañía Name of Company: QUALITY HEALTH PLANS, INC Case Number: 2011 CA 002245 Guaranty Association: Ninguna Type of Coverage: Organización para el Mantenimiento de la Salud State of Domicile: Florida Status of Receivership: Liquidación Fechas Importantes de la Quiebra Date of Rehabilitation: 16 de noviembre de 2011 Date of Liquidation: 01 de diciembre de 2011 Policy Cancellation Date: 01 de diciembre de 2011 Claims Filing Deadline: 16 de noviembre de 2012 Objection Deadline: 29 de enero de 2016
Notificación de la Administración Judicial
Quality Health Plans, Inc., (Quality) was ordered liquidated on December 1, 2011 by the Second Judicial Circuit Court in Leon County, Florida. The Florida Department of Financial Services is the court appointed Receiver of Quality. The company was previously ordered into receivership on October 17, 2011 and was placed under a subsequent rehabilitation order on November 16, 2011.
Información General
Quality was a provider-sponsored health maintenance organization that obtained its Florida Certificate of Authority in 2002 and began operations in January 2003. Headquartered in Tampa, Florida, Quality was a Medicare only HMO of approximately 10,000 Medicare subscribers. Medicare premiums and contracts are administered through a federal agency, the Centers for Medicare and Medicaid Services ("CMS"). As Quality only wrote Medicare health care coverage, there is no guaranty association coverage available to pay claims.
Proof of Claim Forms
On August 3 and 6, 2012, the Department mailed Proof of Claim forms to all known claimants for Quality Health Plans, Inc. The deadline for filing a Proof of Claim was November 16, 2012. If you did not receive a Proof of Claim form, please click aquí to request a form.
Notices of Determination
Notices of Determination for the First Interim Claims Report:
On December 15, 2015, the Department sent 1,763 Notices of Determination (NODs) via US postal mail to claimants with Class 2 through Class 11 claims informing them of the Department's recommendations concerning the amount recommended and classification of their filed claim.
The objection filing deadline was January 29, 2016. All objections were required to be filed in writing to both the Division and to the Clerk of Court before the deadline date in order to be considered. Objections that were filed after the deadline were not considered. It was recommended that objections be sent by certified mail, return receipt requested.
Notices of Determination for the Second Interim Claims Report:
On June 13, 2016, the Department sent 2 Notices of Determination (NODs) via US postal mail to claimants with Class 6 claims informing them of the Department's recommendations concerning the amount recommended and classification of their filed claim.
The objection filing deadline was July 13, 2016. All objections were required to be filed in writing to both the Division and to the Clerk of Court before the deadline date in order to be considered. Objections that were filed after the deadline were not considered. It was recommended that objections be sent by certified mail, return receipt requested.
W-9 Request Letters
W-9 Request Letters with attached Internal Revenue Service W-9 Forms and instructions were mailed on June 29, 2021. Payment of claims is subject to court approval and the receipt of a properly executed W-9 Form. A response was requested by July 21, 2021 in order to expedite the claims distribution once authorized by the court.
Asignación de Reclamaciones
Assignment of a claim involves transferring the ownership of a claim to someone else. When you submit a request to assign your claim, you or your firm are requesting that the Receiver's records for your claim be permanently changed to show that someone else is the new owner of the title, interest and rights to your claim, including any future mailings and payments if they occur.
Some companies specialize in purchasing claims and interests in distressed situations, specifically bankruptcies, liquidations and insolvent estates. These companies communicate with persons or entities which have filed a claim in these receivership estates offering to purchase the claimant's interest in their claim. The decision of whether to accept or not to accept the offer is entirely that of the claimant. The Receiver does not instruct, offer advice or make any comments to influence the claimant's decision.
Financial information regarding claims distributions and payments published on the Receiver's website can assist the claimant in making an independent and informed decision regarding any sale of the claim. The purchase price being offered in exchange for the assignment may differ from the amount ultimately distributed in the receivership proceeding with respect to the claim.
Once the claim has been properly assigned, the Receiver's records will be permanently changed and the claimant will no longer have any title, interest or rights to the claim including future mailings and distributions if they occur. The forms required to assign the claim are available aquí.
Do I have health care coverage now that the company is in liquidation?
All health care coverage with QHP cancelled as of the date of liquidation, December 1, 2011.
As arranged by CMS, all of QHP’s Medicare Advantage members with prescription drug coverage are being enrolled in a different stand-alone prescription drug plan, Florida Wal-Mart Preferred, administered by Humana Insurance Company, effective December 1, 2011. For medical benefits, all members are being returned to Original Medicare effective December 1, 2011.
For Receivership Information
For general information about the receivership process or for providers calling regarding medical services provided before December 1, 2011, detailed information is available on the Receiver’s website at www.myfloridacfo.com/division/Receiver. You may also call the Florida Department of Financial Services at 1-800-882-3054 or contact the Receiver using the “Contáctenos” form on the Receiver’s website.
For Medicare Information
Consumers needing more information regarding Medicare or regarding continued health care coverage from December 1, 2011 should visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227). Consumers may also contact the Florida State Health Insurance Program (SHINE) at 1-800-963-5337 for more information in their counties or the Agency for Health Care Administration (AHCA) at 1-888-419-3456 for assistance paying Medicare premiums, deductibles and coinsurance.
Información sobre Prueba de Reclamación
The Receiver mailed Proof of Claim forms to all known claimants in August, 2012. The Claim Filing Deadline for filing Proof of Claim Forms timely was November 16, 2012. Due to a Claims Bar Date ordered by the Court, any claims submitted to the Receiver and received after April 23, 2019 will not be processed. You may contact the Receiver by using the "Contáctenos" form on the Receiver's website, www.myfloridacfo.com/division/Receiver or by calling 1-800-882-3054 or 850-413-3081.
If your address has changed since December 1, 2011, please go to the Receiver's website, www.myfloridacfo.com/division/Receiver, click on Name and Address Change on the left side of the screen and follow the instructions. You will need to complete this process before requesting a new form. If you mail in the change of address request after the Receiver has mailed Proof of Claim forms, a new form will be mailed to you at the new address.
Once all Proof of Claim forms have been received and evaluated, claims will be divided by priority class as defined in Section 631.271, Florida Statutes. With approval of the Court, Notices of Determination will be mailed to all known claimants identifying the amount of claim they filed and the recommended amount as adjudicated by the Receiver. Each claimant has the right to object to the recommended amount if not in agreement with the amount. Objections received after the established deadline are not considered.
Once all objections have been resolved, all legal issues resolved and all possible assets collected, the Receiver will recommend to the Court a distribution plan based upon available monies in the estate. Once the Court approves the plan, claimants will be paid according to Class, starting with Class 1 and continuing as far as monies are available. This process could take several years to complete.
Claims Filing Bar Date
Court Ordered Claims Filing Bar Date Established. No new claims will be accepted by the Receiver effective April 23, 2019. See Documentos Relacionados to review Motion and Order.
I am an Agent who owes unearned commission. Where should I send the payment?
Payments made prior to October 12, 2021 should be sent to the following address:Division of Rehabilitation & LiquidationEffective October 12, 2021 payments should be sent to the following address:
P.O. Box 865694
Orlando, FL 32886-5694For Standard Payments Only:
State of Florida
Division of Rehabilitation & Liquidation
P.O. Box 946694
Atlanta, GA 30394-6694For Express Payments Only:
Lockbox Services - #0865694
State of Florida
Division of Rehabilitation & Liquidation
3585 Atlanta Ave.
Hapeville, GA 30354
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
Documentos de la Corte
Notificaciones
Fecha Título Tamaño 12/05/2011 Notice To Medical Providers 127K 11/28/2011 Aviso a los Miembros 315K 11/22/2011 Notice to Members Regarding Liquidation 172K 11/22/2011 Your Health & Drug Plan Coverage Is Changing Right Now 73K 10/05/2011 Aviso a los Proveedores de Servicios Medicos 266K
Otros
Fecha Título Tamaño 06/29/2021 W-9 Request Letter 651K