Health Republic Insurance of New York

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

Thank you for your correspondence concerning premium payments remitted for health insurance coverageHealth Republic Insurance of New York (“Health Republic”) hereby responds to the complaint filed by the member via the Revdex.com (“Revdex.com”), which the Revdex.com relayed to Health Republic on
January **, 2016. Health Republic can confirm that a refund of premium payments totaling $was issued to the member by check on January **, 2016, to the Saugerties address listed on fileIf the member fails to receive the refund check within (15) business days, they are advised to contact *** referencing the captioned Revdex.com case number.Respectfully,Member SolutionsHealth Republic Insurance of New York

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely, *** ***

At this time, I have been contacted directly by Health Republic Insurance of NY regarding complaint ID ***, however my complaint has NOT been resolved
because:
They still have not paid out on all the claimsI still had to have numerous conversations with themAnd I still have not gotten a call from anyone who actually has the power to fix anything.
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

*** *** ** *** ** *** *** ***
*** *** *** ***
Dear Sir/Madam:Thank you for your inquiry in connection with the captioned complaint, Health Republic Insurance of New York (“Health Republic”) hereby responds to complaint ID ***, which the RevDex.com (“Revdex.com”) sent to us on January **, 2015.Health Republic can confirm that the member was an active subscriber with us for plan year However, he elected to terminate his policy in favor of that offered by an alternate carrier in December, 2014. At this time however, we had already processed the Annual Enrollment transaction from the New York State of Health; accordingly, premium payments were drafted for deduction by us on December **, These payments were later voided by the member’s financial institution on January **, as ineligible for deductionOutreach was performed to the member and it was confirmed that the funds were never received by Health RepublicThe member’s coverage has been effectively terminated 12/**/14.We trust this solution satisfactorily addresses the member’s concernsHealth Republic apologizes for the inconvenience experienced by the member.Sincerely,Health Republic Insurance of New York

Revdex.com:At this time, my complaint, ID *** regarding Health Republic Insurance of New York Corphas been resolved
(By clicking "OK", your complaint will be closed as
Resolved.)
Sincerely,*** ***

*** ** *** *** *** *** *** *** *** *** ** *** *** *** * *** *** *** *** * * *** *** *** *** *** *** *** ***Dear Sir/Madam:Thank you for your inquiry in connection with the above referenced complaint ID
Health Republic Insurance of New York (“Health Republic”) hereby responds to complaint ID ***, received on July **, by the Revdex.com (“Revdex.com”).In review, the member’s claim was received by Health Republic in January for dates of service 7/*/2014-12/**/In February and March 2015, the documents were received but could not be printed due to email formatting errorsIn April the member was contacted and informed of this, in which she emailed againThe claim was processed in May 2015, and the member was informed a check has been sentHowever the information provided was incorrectDue to a processing error, the payment processed against the wrong account. In further review, the check issued was put on a stop pay, and the original claim in question dated 7/*/2014-12/**/had denied due to timely filing in errorThis claim has been sent for reprocessingThe member has been outreached and informed of this information on 8/*/Health Republic will be in contact with the member upon completion of the claimThe recently submitted medical claim with various service dates, has been received and sent for processing as of 7/**/2015. Health Republic apologizes to the member for the inconvenience experienced

Good Afternoon,
I am trying to respond to a complaint filed
against Health Republic Insurance of NY. I just want it to be known that the member’s coverage was terminated by Health Republic on 3/**
Thanks,
*** ***

Dear Sir/Madam: Thank you for your inquiry in connection with the captioned complaint, Health Republic Insurance of New York (“Health Republic”) hereby responds to the complaint ID
***, received by the Revdex.com (“Revdex.com”), which Revdex.com relayed to the Respondent on December *, Health Republic confirmed that, on November **, 2014, we received the member’s initial binder cover payment to effectuate his policy for the month of December, 2014, however, due to a data management issue, which has since been addressed, the member’s file failed to trigger the necessary effectuation mechanism which would have resulted in the generation and issuing of member ID cards; for this Health Republic offers its sincerest apologyIn view of the fact that the grievance, as detailed by the member, is legitimate we have authorized a premium credit for the month of December, Accordingly, the member will not be required to pay the premium for the month of December and the premium payments that have been allocated against his account to date have been reallocated, such that the member is now paid through to January **, The member is partially paid through for February, 2015, but will be required to remit the outstanding balance of $to satisfy that month’s premium commitment in fullWe trust this solution addresses the member’s concernsAgain, Health Republic apologizes for the inconvenience experienced, as we continue to work toward a more accurate and timely transaction process to ensure these issues do not recurRespectfully, Health Republic Insurance of New York

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***. Please note that the company's response during the months prior to my complaint was nonexistentI am disappointed that the company did not treat this
matter as a priority until the Revdex.com was contacted, and one wonders how many people, who may be unaware of the Revdex.com, are waiting for the same refund, and how much of this money the company currently holds This resolution is satisfactory to me and the matter has been resolved.
Sincerely,
*** ***

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Dear *** ***:
Freelancers Health Service Corporation, d/b/a Health Republic Insurance of New York (the “Respondent”) hereby responds to the complaint filed by *** ***-***, (the “Complainant”) received by the Revdex.com (“Revdex.com”), which Revdex.com relayed to the Respondent on April **,
COMPLAINT FACTS
According to the complaint, on February *, 2014, the Complainant and her Husband enrolled for insurance coverage with Health Republic for an effective date of March *, 2014;
On February **, 2014, having not received the first Invoice to make a payment on account, the Complainant contacted a Member Service Representative (“MSR”) of Health Republic, and was informed that the Respondent could not locate her account, but that Health Republic would look into the issue;
On March *, 2014, the Invoice for March, 2014, arrived in the mail, and the Complainant made a payment on account, thereby effectuating her policy;
On March *, 2014, the payment on account of the first month’s premium cleared Health Republic’s account, and was consequently deducted from the Complainant’s account;
The Complainant was informed by a MSR that ID Cards would not be issued until the payment was clearedHowever, notwithstanding that the payment cleared the Complainant was still not issued ID Cards
As a direct result of Health Republic’s failure to issue ID Cards, the Complainant was unable to access the full spectrum of benefits guaranteed by her coverage;
The Complainant has made several attempts to resolve her concerns with Respondent’s MSRs, all without avail; and
As a result of the matters raised in paragraphs through hereof, the Complainant filed this complaint with the Revdex.com (“Revdex.com”)
RESPONSE
The following is a timeline describing the matter and the steps Respondent took to ensure satisfactory resolution and communication thereof
On April **, Respondent received the Complaint from *** *** (***, Revdex.com)
On April **, 2014, Respondent began its internal review and escalated this Complaint with Respondent’s *** *** team, which confirmed that member enrolled in the Essential Care Platinum plan, effective March *, 2014, through to termination on March **, 2014;
On April **, 2014, Health Republic’s Billing and Enrollment Team confirmed that the Complainant’s payment had been received and allocated against the Complainant’s account on March *, 2014;
On April **, 2014, Health Republic’s vendor-partner (POMCO), confirmed that the member’s ID Cards were mailed on March **, 2014, thereby confirming the Complainant’s allegation that she was unable to access benefits for the greater part of the month of March; and
On April **, 2014, Health Republic received confirmation from the Billing Department that Complainant’s full refund for the month of March was processed

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

Revdex.com:
At this time, my complaint, ID *** regarding Health Republic Insurance of NY has been resolved
(By clicking "OK", your complaint will be closed as Resolved.)
Sincerely,
*** ***-***

*** ** ***
*** *** ***
*** *** *** ***
** *** *** *** * *** ***
*** *** * * ***
*** *** ** *** ** *** *** ***
*** *** *** ***Dear Sir/Madam:Thank you for your inquiry in
connection with the captioned complaint, Health Republic Insurance of New York (“Health Republic”) hereby responds to complaint ID ***, received by the Revdex.com (“Revdex.com”), which Revdex.com relayed to us on March **, 2015. The member enrolled for a policy of insurance with Health Republic, through the New York State of Health (“Exchange”), effective, January *, According to the member, Health Republic did not correctly cancel his policy for benefit year or properly process his renewal transactionFurther, he was billed for January and February, 2015, under a policy that was not issued to him by the Exchange, which he inadvertently paid premiums againstAdditionally, the member indicates that he has been unable to access the benefits of his coverage in 2015, although he has submitted paymentTherefore, the member is seeking a refund of his previously deducted premium payments for January and February, 2015.Health Republic can advise that after coordinating with the Exchange and further outreach to the member, we have modified to his effective date for plan year 2015, such that it is effective, April *, 2015, as requestedAccordingly, the member’s prior policy premium payments, in the total amount of $530.28, have been reallocated to align with his new effective dateConsequently, the member now has a credit balance of $The member has been contacted in confirmation of his updated enrollment dateAdditionally the member now has full access to the benefits available under his policy of insurance.Health Republic sincerely apologizes for any inconvenience experienced by the member as a result of this issueHowever, as the foregoing honors the member’s request we trust this will meet the member’s satisfaction.Respectfully, *** *** ***
*** *** ***
*** *** *** ** *** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# ***, and have determined that my complaint has NOT been resolved because:
There is no way to log into an account on the website to see the update of my claimsThere is no phone number to call, and no correspondence with the companyThe claims that have not been paid are going to collections soon if they do not payThey should not be on hold, as they have been processing for NINE MONTHS
In order for the Revdex.com to appropriately process your response, you MUST answer the question above
Sincerely,
*** ***

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to me and the matter has been resolved
Sincerely,
*** ***

Thank you for your correspondence concerning premium payments remitted for health insurance coverageHealth Republic Insurance of New York (“Health Republic”) hereby responds to the complaint filed
by the member via the Revdex.com (“Revdex.com”), which the Revdex.com relayed to Health Republic on January **, Health Republic can confirm that a refund of premium payments totaling $was issued to the member by check on January **, 2016, to the Riverhead address listed on fileIf the member fails to receive the refund check within (15) business days, they are advised to contact *** referencing the captioned Revdex.com case numberRespectfully, Member Solutions Health Republic Insurance of New York

Dear Sir/Madam: Thank you for your inquiry in connection with the captioned complaint, Health Republic Insurance of New York (“Health Republic”) hereby responds to the complaint ID
***, received by the Revdex.com (“Revdex.com”), which Revdex.com relayed to the Respondent on January *, Health Republic confirms that the member originally directed the termination of the policy referenced by way of facsimile transmission on September **, Subsequently, the member requested to be reinstated and per her request we have since reinstated the member as a participant within her group, effective, November *, All associated billing has been updated to support the changes madeHealth Republic can confirm that the member has been advised of the changes and can expect her new member ID cards shortlyHealth Republic apologizes for the inconvenience and trust this solution satisfactorily addresses the member’s concernsSincerely, Health Republic Insurance of New York