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.

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
​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. 

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. For providers regarding medical services provided before December 1, 2011, contact the Receiver using the “Contact Us” form.. You may also call the Florida Department of Financial Services at 1-800-882-3054.

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 or by calling 1-800-882-3054 or 850-413-3081.
If your address has changed since December 1, 2011, please visit our Instruction Sheet for Name and Address Change​ 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.

Frequently Asked Questions

I am an Agent who owes unearned commission. Where should I send the payment?
Payments made prior to October 12, 2021 should be sent to the following address: 
Division of Rehabilitation & Liquidation
P.O. Box 865694
Orlando, FL 32886-5694 
Effective October 12, 2021 payments should be sent to the following address: 
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.

DateTitleSize
03/31/2022Financial Statement219K
12/31/2021Financial Statement217K
09/30/2021Financial Statement194K
06/30/2021Financial Statement 187K
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
09/21/2021Order Approving Final Claims Report, Claims Distribution Report and Distribution Accounting and Authorizing Distribution525K
09/17/2021Order Approving Department's Motion for Approval of Final Claims Report, Distribution Report and Distribution Accounting, and for Order Authorizing Distribution522K
08/23/2021Department's Motion for Approval of Final Claims Report, Distribution Report and Distribution Accounting, and for Order Authorizing Distribution395K
08/23/2021Department's Motion for Order Approving Final Claims Report, Claims Distribution Report, Distribution Accounting Statement, and Authorizing Distribution190K
03/30/2021Order Approving Federal Release357K
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
12/09/2015Order Approving Receiver's First Interim Claims Report and Recommendations On Claims605K
12/09/2015Receiver's Motion for Approval of First Interim Claims Report and Recommendation on Claims367K
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
10/08/2021Notice Regarding Time Sensitive Distribution Checks38K
12/05/2011Notice To Medical Providers127K
11/28/2011Aviso a los Miembros315K
11/22/2011Your Health & Drug Plan Coverage Is Changing Right Now73K
11/22/2011Notice to Members Regarding Liquidation172K
10/05/2011Aviso a los Proveedores de Servicios Medicos266K

 

Other

DateTitleSize
06/29/2021W-9 Request Letter651K
09/22/2020Insolvency Report148K