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Federal Contractor Misconduct Database (FCMD)

The federal government routinely awards contracts to companies with histories of misconduct, including contract fraud and other violations. POGO believes that providing this website will help to improve contracting decisions and increase public knowledge of how the government spends billions of taxpayer dollars each year. Read more…

Mendoza v. Health Net of California (Denial of Coverage)

Robert Mendoza and Kalana Penner filed a lawsuit alleging Health Net’s denial of their medical insurance claims violated state law. Mendoza and Penner had severe medical conditions that required surgical treatment. Both plaintiffs’ treating physicians recommended a specific procedure for which Health Net denied coverage on the basis that they were not medically necessary. The plaintiffs claim that Health Net’s criteria for medical necessity contravene the standards set forth by California law.

Misconduct Type
Consumer Affairs
Enforcement Agency
Non-Governmental
Contracting Party
None
Court Type
Civil
Disposition
Pending
Date of Complaint
9/12/2012
Contractors Involved Penalty
Total
Health Net, Inc. $0
Further Information Released
Complaint 9/12/2012

Federal Contractor Misconduct Database