Universal Electronics Inc.

Thank you for your email. Our Patient Business Services supervisor contacted the member on April 10, and resolved the billing issue. Please let us know if we can assist further. Thank you

Initial Business Response /* (1000, 5, 2015/11/27) */
The member contacted the health plan directly on 10/23/ A written resolution was sent on 11/21/directly to the member which stated:
When you contacted us, you submitted a request for:
A prorated refund in the amount of $for
your October premium
We carefully reviewed your records and other relevant information to come to our decision and we are denying your requestWe do want you to understand why we came to this decision and have explained it below
We denied your request for a refund because after careful review, it was determined that your request is not a covered Health Plan benefitPlease refer to page in your Kaiser Permanente for Individuals and Families (KPIF) Bronze Plan Evidence of Coverage which states:
"If you are enrolled directly with Kaiser PermanenteYou *** terminate your membership by sending written notice, signed by the Subscriber, to the address belowYour membership will terminate at 11:p.mon the last day of the month in which we receive your noticeAlso, you must include with your notice all amounts payable related to this Membership Agreement and Evidence of Coverage, including Premiums, for the period prior to your termination date."
Per your Membership Agreement, it is your contractual obligation to pay all premiums for the period you are a member with Kaiser Permanente
____________
The Revdex.com has no govening authority over California Health Plans The letter sent to the member states the appeals right if they do not agree with thi decision Therefore, complaint was addressed timely with the health plan and Revdex.com can use this information to close case
Initial Consumer Rebuttal /* (3000, 7, 2015/12/01) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I did not receive a prorated refund and a financial hardship request was denied againI will never use Kaiser Permanente in the future, unless they refund $Providing refunds is not impossible, except that Kaiser is too greedy for more profit
Final Business Response /* (4000, 9, 2015/12/02) */
As you will read, the health plan provided a detailed response to the member's request of why the denial (completed on the weblink) We have completed this case and it should be closed, It is unfortunate the member is not satisfied The contract is specific related to terminationand refund of premiums We must follow the contract
please call case thank you
Final Consumer Response /* (4200, 11, 2015/12/03) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Kaiser's inflexible policy is unfair and I did not actually agree to all terms of its contractI had no other health insurance plan to accept because they are all too expensive, so I chose the cheapest and most corruptI will not pay for Kaiser Permanente plans ever again

Thank you for your email. Our Member Services consultant spoke with the member on May 21, and addressed her concerns. Please let us know if we can assist further. Thank you

Initial Business Response /* (1000, 5, 2015/08/24) */
The member filed a grievence directly with the Health PlanThe health plan has responded in writing on two occasions (on 6/and 8/12)_ Based on the request for waiver of feesThe decision was based on the member's plan benefits and should
refer to the letters sent
The Revdex.com is not a governing body over California Health PlanThe letter sent to member explains the rights for further appeal
If this complaint is not related to: A refund in the amount of $XXX for *** received on x/x, 2015, at the Kaiser Permanente XXX Medical Center Surgery Departmentplease contact us backIf it is, this appeal has been responded to
Initial Consumer Rebuttal /* (3000, 7, 2015/08/26) */
(The consumer indicated he/she DID NOT accept the response from the business.)
This complaint is not related to the over payment of $The grievance was due to a hernia I had at the incision area of my initial surgeryI've paid that in full but thought I shouldn't have because if she did it right the first time it should't have happenedI now have a second hernia a few inches away from the first and have surgery planned for 9/I paid and in AprilThe was the total amount of the billMy statements never showed the applied to my accountThe told me they never received it and to fax proof, in which I didOn 6/Kaiser supervisor *** said I would be receiving a refund and I still have not received it
Final Consumer Response /* (3000, 21, 2015/11/05) */
They are getting this wrongThis is a separate incidentThey denied any wrong doing for my initial surgery which I acceptedAnd I've paid for my 1st and 2nd hernia operationThe issue was an overpayment of $and the supervisor informed me I would be receiving a refund at the end of JulyI sent you my bank statements showing you the charged my credit cardI have never received a credit to my accountIt was an overpayment

Thank you for forwarding this concernA representative will follow up with the member directly regarding his case, and a written response will be provided to him within days

Initial Business Response /* (1000, 5, 2015/11/27) */
The member contacted the health plan directly on 10/23/A written resolution was sent on 11/21/directly to the member which stated:
When you contacted us, you submitted a request for:
A prorated refund in the amount of $for
your October premium
We carefully reviewed your records and other relevant information to come to our decision and we are denying your requestWe do want you to understand why we came to this decision and have explained it below
We denied your request for a refund because after careful review, it was determined that your request is not a covered Health Plan benefitPlease refer to page in your Kaiser Permanente for Individuals and Families (KPIF) Bronze Plan Evidence of Coverage which states:
"If you are enrolled directly with Kaiser PermanenteYou *** terminate your membership by sending written notice, signed by the Subscriber, to the address belowYour membership will terminate at 11:p.mon the last day of the month in which we receive your noticeAlso, you must include with your notice all amounts payable related to this Membership Agreement and Evidence of Coverage, including Premiums, for the period prior to your termination date."
Per your Membership Agreement, it is your contractual obligation to pay all premiums for the period you are a member with Kaiser Permanente
____________
The Revdex.com has no govening authority over California Health PlansThe letter sent to the member states the appeals right if they do not agree with thi decisionTherefore, complaint was addressed timely with the health plan and Revdex.com can use this information to close case
Initial Consumer Rebuttal /* (3000, 7, 2015/12/01) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I did not receive a prorated refund and a financial hardship request was denied againI will never use Kaiser Permanente in the future, unless they refund $Providing refunds is not impossible, except that Kaiser is too greedy for more profit
Final Business Response /* (4000, 9, 2015/12/02) */
As you will read, the health plan provided a detailed response to the member's request of why the denial (completed on the weblink)We have completed this case and it should be closed, It is unfortunate the member is not satisfiedThe contract is specific related to terminationand refund of premiumsWe must follow the contract
please call case thank you
Final Consumer Response /* (4200, 11, 2015/12/03) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Kaiser's inflexible policy is unfair and I did not actually agree to all terms of its contractI had no other health insurance plan to accept because they are all too expensive, so I chose the cheapest and most corruptI will not pay for Kaiser Permanente plans ever again

Thank you for your email. I've forwarded this issue to our Member Services department for investigation. Our Member Services team will contact the member directly to resolve. Thank you

Initial Business Response /* (1000, 5, 2016/01/06) */
The member filed directly with the heath plan on 1/3/ The complaint was received and case opened The response will be sent to the member up to days from date of receipt
Initial Consumer Rebuttal /* (2000, 7, 2016/01/20) */
(The
consumer indicated he/she ACCEPTED the response from the business.)
Kaiser has provided some additional test results, and now the life insurance company is reopening and reevaluating our applicationsHowever, we do not yet know whether the delay in providing the test results has adversely affected our premiums or otherwise put our applications at risk of rejectionWe *** reopen the complaint, or file a new one, once we have learned the final outcome from the life insurance company

Thank you for your email. Our Patient Business Services supervisor contacted the member on April 10, and resolved the billing issue. Please let us know if we can assist further. Thank you

Complaint: ***I am rejecting this response because: I would like the billing issue completely resolved and the amount owed fixed before closing the complaint with Revdex.com.Sincerely,Lina ***

Kaiser Permanente Health Plan California responded in writing to the member on July 29, 2016.

Kaiser Permanente Health Plan California responded in writing to the member on July 29,

Initial Business Response /* (1000, 5, 2015/09/18) */
The member filed directly with the Health Plan on 9/15/and the case has been opened for resolution We will resolved up to days from date of receipt
Initial Consumer Rebuttal /* (3000, 7, 2015/09/21) */
(The consumer indicated he/she
DID NOT accept the response from the business.)
My complaint was against Kaiser as a business, not as a current customer aloneKaiser makes it nearly impossible to contact them as a businessThe difference is that at the Revdex.com they must contend with public, not just a private discussion where their policies and personel ruleThey are here once again refusing to deal in a public open forum instead of on their terms in privateThis reply then is non-responsive and evasiveMy complaint was that they invaded my private life under pretense of medical careThis reply doubles down on that practice and so is absolutely the inverse of what is wanted
Final Business Response /* (4000, 9, 2015/09/23) */
The member's complaint was filed on 9/ We made contact on 9/ The case will be reviewed and closed up to days from receipt of complaint The close date of case is no later than 10/13/ At this time the case is still open so no resolution can be published on Revdex.com for an open caseStill under investigation

Thank you for your email.? I've forwarded this issue to our Member Services department for investigation.? ? Our Member Services team will contact the member directly to resolve.? Thank you

Initial Business Response /* (1000, 5, 2016/01/22) */
The health plan is in receipt of the complaintWe have up to days to respond to the member from date of receiptCase will be opened today

Thank you for your email.? Our Member Services consultant spoke with the member on May 21, and addressed her concerns.? Please let us know if we can assist further.? Thank you

Thank you for forwarding this concern. A representative will follow up with the member directly regarding his case, and a written response will be provided to him within 30 days.

Initial Business Response /* (1000, 5, 2015/08/24) */
The member filed a grievence directly with the Health Plan The health plan has responded in writing on two occasions (on 6/and 8/12)_ Based on the request for waiver of fees The decision was based on the member's plan benefits and should
refer to the letters sent
The Revdex.com is not a governing body over California Health PlanThe letter sent to member explains the rights for further appeal
If this complaint is not related to: A refund in the amount of $XXX for [redacted] received on x/x, 2015, at the Kaiser Permanente XXX Medical Center Surgery Departmentplease contact us back If it is, this appeal has been responded to
Initial Consumer Rebuttal /* (3000, 7, 2015/08/26) */
(The consumer indicated he/she DID NOT accept the response from the business.)
This complaint is not related to the over payment of $The grievance was due to a hernia I had at the incision area of my initial surgery I've paid that in full but thought I shouldn't have because if she did it right the first time it should't have happened I now have a second hernia a few inches away from the first and have surgery planned for 9/I paid and in AprilThe was the total amount of the billMy statements never showed the applied to my accountThe told me they never received it and to fax proof, in which I didOn 6/Kaiser supervisor [redacted] said I would be receiving a refund and I still have not received it
Final Consumer Response /* (3000, 21, 2015/11/05) */
They are getting this wrongThis is a separate incidentThey denied any wrong doing for my initial surgery which I acceptedAnd I've paid for my 1st and 2nd hernia operationThe issue was an overpayment of $and the supervisor informed me I would be receiving a refund at the end of JulyI sent you my bank statements showing you the charged my credit cardI have never received a credit to my accountIt was an overpayment

Initial Business Response /* (1000, 5, 2015/09/18) */
The member filed directly with the Health Plan on 9/15/15 and the case has been opened for resolution. We will resolved up to 30 days from date of receipt.
Initial Consumer Rebuttal /* (3000, 7, 2015/09/21) */
(The consumer indicated he/she...

DID NOT accept the response from the business.)
My complaint was against Kaiser as a business, not as a current customer alone. Kaiser makes it nearly impossible to contact them as a business. The difference is that at the Revdex.com they must contend with public, not just a private discussion where their policies and personel rule. They are here once again refusing to deal in a public open forum instead of on their terms in private. This reply then is non-responsive and evasive. My complaint was that they invaded my private life under pretense of medical care. This reply doubles down on that practice and so is absolutely the inverse of what is wanted.
Final Business Response /* (4000, 9, 2015/09/23) */
The member's complaint was filed on 9/15. We made contact on 9/19. The case will be reviewed and closed up to 30 days from receipt of complaint. The close date of case is no later than 10/13/15. At this time the case is still open so no resolution can be published on Revdex.com for an open case. Still under investigation.

Initial Business Response /* (1000, 5, 2015/12/02) */
The Health Plan is in receipt of this issue As of receive date today 12/2/15, the health plan has opened a complaint case and we have, under CA regulation, up to days to respondTherefore, before 12/31/a written response will be
provided to the member
Initial Consumer Rebuttal /* (3000, 7, 2015/12/04) */
(The consumer indicated he/she DID NOT accept the response from the business.)
It is non-responsive
Final Business Response /* (4000, 9, 2015/12/07) */
As stated above, case is received and under investigation with due date of 12/31/or prior
Final Consumer Response /* (4200, 11, 2015/12/10) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Again, unacceptable response