QUALITY HEALTH PLANS, INC


    Company Information

  • Company Demographic Information
    Name of Company:
    QUALITY HEALTH PLANS, INC
    Case Number:2011 CA 002245
    Guaranty Association:
    None
    Type of Coverage:
    Health Maintenance Organization
    State of Domicile:
    Florida
    Status of Receivership:
    Liquidation
    Important Receivership Dates
    Date of Rehabilitation:
    November 16, 2011
    Date of Liquidation:
    December 01, 2011
    Policy Cancellation Date:December 01, 2011
    Claims Filing Deadline:
    November 16, 2012
    Objection Deadline:
    January 29, 2016


  • Notice of Receivership

    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.


  • Background Information

    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 received a Proof of Claim form, please click here 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 is January 29, 2016.  All objections must be filed in writing to both the Division and to the Clerk of Court.  All objections must be RECEIVED on or before the deadline date.  Objections received after the deadline will not be considered.  It is 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 is July 13, 2016.  All objections must be filed in writing to both the Division and to the Clerk of Court.  All objections must be RECEIVED on or before the deadline date.  Objections received after the deadline will not be considered.  It is recommended that objections be sent by certified mail, return receipt requested.  



  • Assignment of Claims

  • Assignment of Claims

    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 here.



  • Coverage Information

  • 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.



  • Contact Information

  • 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 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 “Contact Us” 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.



  • Proof of Claim Information

  • Proof of Claim Information

    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 "Contact Us" form on the Receiver's website, www.myfloridacfo.com/division/Receiver or by calling 1-800-882-3054 (Florida only) 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 Information

  • 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 Related Documents to review Motion and Order.



  • Financial Statements

  • The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.

    DateTitleSize
    03/31/2021Financial Statement192K
    12/31/2020Financial Statement531K
    09/30/2020Financial Statement612K
    06/30/2020Financial Statement175K
    03/31/2020Financial Statement117K
    12/31/2019Financial Statement187K
    09/30/2019Financial Statement191K
    06/30/2019Financial Statement1,252K
    03/31/2019Financial Statement192K
    12/31/2018Financial Statement193K
    09/30/2018Financial Statement185K
    06/30/2018Financial Statement435K
    03/31/2018Financial Statement104K
    12/31/2017Financial Statement438K
    09/30/2017Financial Statement434K
    06/30/2017Financial Statement466K
    03/31/2017Financial Statement467K
    12/31/2016Financial Statement466K
    09/30/2016Financial Statement49K
    06/30/2016Financial Statement44K
    03/31/2016Financial Statement44K
    12/31/2015Financial Statement44K
    09/30/2015Financial Statement42K
    06/30/2015Financial Statement96K
    03/31/2015Financial Statement96K
    12/31/2014Financial Statement44K
    09/30/2014Financial Statement46K
    06/30/2014Financial Statement45K
    03/31/2014Financial Statement45K
    12/31/2013Financial Statement46K
    09/30/2013Financial Statement58K
    06/30/2013Financial Statement56K
    03/31/2013Financial Statement58K
    12/31/2012Financial Statement56K
    09/30/2012Financial Statement57K
    06/30/2012Financial Statement52K
    03/31/2012Financial Statement43K
    12/31/2011Financial Statement47K

     



  • The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.

    Court Documents

    DateTitleSize
    04/23/2019Order Granting DFS Motion for Court to Set Claims Bar Date558K
    04/22/2019DFS's Motion For Court to Set Claims Bar Date 04.22.19714K
    06/13/2016Order Approving Receiver's Second Interim Claims Report and Recommendation on Claims427K
    06/07/2016Receiver's Motion For Approval of Second Interim Claims Report and Recommendation on Claims441K
    12/09/2015Receiver's Motion for Approval of First Interim Claims Report and Recommendation on Claims367K
    12/09/2015Order Approving Receiver's First Interim Claims Report and Recommendations On Claims605K
    11/22/2011Order Granting Receiver's Motion To Establish Claims Procedure and Filing Deadline35K
    11/16/2011Order Granting Receiver's Motion for Modification and Ordering Liquidation of Quality Health Plans, Inc.145K
    10/17/2011Order Appointing the Florida Department of Financial Services as Receiver61K
    08/25/2011Order to Show Cause, Injunction, and Notice of Automatic Stay53K
    08/17/2011Florida Department of Financial Services Petition for Order to Show Cause, Injunction, and Notice of Automatic Stay for Purposes of Liquidation and Request for Expedited Hearing2,226K

     

    Notices

    DateTitleSize
    12/05/2011Notice To Medical Providers127K
    11/28/2011Aviso a los Miembros315K
    11/22/2011Notice to Members Regarding Liquidation172K
    11/22/2011Your Health & Drug Plan Coverage Is Changing Right Now73K
    10/05/2011Aviso a los Proveedores de Servicios Medicos266K

     



DIVISION DIRECTOR

Toma Wilkerson


Division of Rehabilitation and Liquidation
325 John Knox Road
Atrium Building, Suite 101
Tallahassee, FL 32303

1-800-882-3054

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