What is the procedure for receiving payment of claims for services rendered or debt owed prior to February 1, 2000, the liquidation date of SunStar?
Claims such as these are referred to as pre-insolvency claims. Claims for services or goods provided prior to the insolvency of SunStar must be filed with the Receiver on the Receiver's
proof of claim form in order to be considered for payment. The Receiver has sent
proof of claim forms to all known subscribers, medical providers, and other creditors of SunStar. The deadline for filing claims in the SunStar receivership proceeding was Friday, 11:59 p.m. on February 2, 2001.
The procedure for the filing and evaluation of claims in a receivership is set out in Part I,
Chapter 631, Florida Statutes. Assuming there are sufficient assets in the receivership, the Receiver will evaluate claims in order of
their priority as set out in Section 631.271, Florida Statutes. This statute establishes a system of priorities in paying claims. When
the evaluation process has been completed, the Receiver will file a report with the Court setting out our recommendations as to the
amounts, if any, which should be allowed on each of the claims evaluated. Notice of the Receiver's recommendations and the deadline for
filing any objections to the recommendations will then be provided to the claimants. It is unlikely that claimants will receive any
correspondence or other communication from the Receiver until that time unless the Receiver has questions regarding the claim that has
been filed. This is because the Receiver is trying to minimize the claims' processing costs in order to maximize any potential
distribution to the claimants.
During the claims evaluation period, the Receiver also commences litigation and/or takes whatever
other action is necessary to collect and maximize the assets of the receivership estate. Please note: it may be several years before
distributions, if any, are made in this receivership. Distributions of assets are made on a pro rata basis in accordance with the
priority of claims set out in Section 631.271, Florida Statutes. Those whose claims fall into lower priorities are paid only if there
is money left after paying the higher priority claims. It is too early in the receivership process for the Receiver to provide any
estimate as to the timing and/or the pro rata percentage of the distributions, if any, which may be made in this receivership.
Where should I report a new claim?
Please report any claims directly to the Receiver by email using the "Contact Us"
form. Alternately, you may contact the Department of Financial Services at 850-413-3081
.
I am a medical provider who has provided services following the insolvency of SunStar Health
Plan, Inc. Where should I submit my bill for services rendered?
For services provided to commercial subscribers on and after the insolvency date of February 1,
2000, submit your bills to the following:
FLHMOCAP
c/o Administrative Services, Inc.
Post Office Box 839000
Miami, FL 33283-9000
Can Providers seek payment from former subscribers for debt owed by SunStar?
No. Under Section 641.315, Florida Statutes (1999) and/or Section 641.3154, Florida Statutes
(2000), HMO members are not liable to any provider of health care services for any services covered by the HMO. Additionally, health
care providers and their representatives are prohibited from attempting to collect payment from the HMO members for such services.
If you are contacted by a health care provider for such payment, you should inform the provider
of this law. If the provider or his representative continues to pressure you for payment, please contact the Receiver using the
"Contact Us" form. Alternately, you may contact the Receiver at 850-413-3081
. Although
the Receiver cannot represent you against the provider, we can assist you in informing the provider of the relevant laws.
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CONSUMER HELPLINE 1-800-882-3054
Division of Rehabilitation and
Liquidation · 2020 Capital Circle SE Alexander Bldg Ste
340 · Tallahassee, FL 32301-0110
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