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
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.
Distribution
On October 8, 2021, the Department mailed 946 distribution checks for claims that were filed and adjudicated in the QHP receivership. The checks are dated October 4, 2021 and are valid for 90 days from that date. The Department does not anticipate any further distributions to these claimants.
On December 14, 2021, 32 distribution checks were mailed. Thirty checks were new issues and 2 were re-issues. The checks are dated December 8, 2021 and are valid for 90 days from that date.
Proof of Claim Forms
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.
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 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 “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
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
Frequently Asked Questions
I am an Agent who owes unearned commission. Where should I send the payment?
Division of Rehabilitation & LiquidationEffective October 12, 2021 payments should be sent to the following address:
P.O. Box 865694
Orlando, FL 32886-5694
For Standard Payments Only:
State of Florida
Division of Rehabilitation & Liquidation
P.O. Box 946694
Atlanta, GA 30394-6694
For Express Payments Only:
Lockbox Services - #0865694
State of Florida
Division of Rehabilitation & Liquidation
3585 Atlanta Ave.
Hapeville, GA 30354
I have received a Distribution check from the Department. What is this check for?
Distribution checks were mailed on October 8, 2021 regarding claims that were filed and adjudicated in the QHP receivership. A Notice Regarding Time Sensitive Distribution Checks was included with each check. This notice is available in the Notices section below.
This distribution is 100% of the amounts approved for payment to claimants with Class 2, 4, and 5 claims. Claimants with Class 6 claims are approved to receive a pro-rata payment of 14.1642%. Funds in this estate do not allow for a distribution to claimants beyond Class 6. The Department does not anticipate any further distributions in this estate. See the Motion and Order Authorizing Distribution in the Court Documents section below for further detail.
Is there a deadline for cashing the Distribution check or for submitting a request to get a Distribution check reissued?
Yes. The checks are time sensitive and are only valid for the time specified on the front of the check. Payees are strongly encouraged to cash their checks as soon as possible.
A Notice Regarding Time Sensitive Distribution Checks was included with each check. This notice is available in the Notices section below and provides instructions on how to request a reissuance of the check due to a change of name and/or address. All requests to reissue a check, including the required forms and supporting documentation, must be received no later than January 13, 2022, to allow the Department sufficient time to process the requests prior to closing the distribution bank account.
Funds related to any uncashed check after the deadline will be submitted to the Bureau of Unclaimed Property.
Financial Statements
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
Related Documents
The following documents are provided as Adobe Acrobat PDF files and are best viewed using the free Adobe Acrobat reader software.
Court Documents
Notices
| Date | Title | Size |
|---|---|---|
| 10/08/2021 | Notice Regarding Time Sensitive Distribution Checks | 38K |
| 12/05/2011 | Notice To Medical Providers | 127K |
| 11/28/2011 | Aviso a los Miembros | 315K |
| 11/22/2011 | Your Health & Drug Plan Coverage Is Changing Right Now | 73K |
| 11/22/2011 | Notice to Members Regarding Liquidation | 172K |
| 10/05/2011 | Aviso a los Proveedores de Servicios Medicos | 266K |
Other
| Date | Title | Size |
|---|---|---|
| 06/29/2021 | W-9 Request Letter | 651K |