US EditionBupa to Pay Millions in Fines for Misleading Thousands of Customers
- Last week, Bupa, Australia’s second-largest private health insurer, apologized for misleading thousands of customers, committing to repay $35 million after a Federal Court ruling found its conduct unconscionable and imposed a $35 million fine.
- Inaccurate instructions, poor staff training, and flawed automated systems caused Bupa's misleading conduct between 2018 and 2023, leading to incorrect claim assessments and customer harm.
- Bupa paid over $14.3 million for more than 4,100 affected claims, with less than 0.02% of assessed customers impacted, highlighting the small scope yet significant consumer harm.
- Following the court ruling, affected customers faced thousands of dollars in out-of-pocket costs and policy upgrades as the ACCC and Bupa seek a $35 million penalty.
- In aiming to prevent recurrence, Bupa pledges major training and service improvements, setting a new transparency benchmark in the health insurance industry following the court’s unconscionable conduct ruling.
21 Articles
21 Articles
Bupa Faces $35 Million Penalty for Misleading Health Insurance Claims
Private health insurer Bupa is facing a proposed $35 million penalty after admitting to misleading thousands of customers about their health insurance entitlements and engaging in unconscionable conduct over five years. The Australian Competition and Consumer Commission (ACCC) has filed proceedings in the Federal Court against Bupa HI Pty Ltd, alleging multiple breaches of Australian Consumer Law. ACCC and Bupa will jointly ask the court to impo…
Bupa agrees to pay millions in fines for misleading thousands of customers
Bupa has apologised and agreed to pay a $35 million fine for misleading thousands of customers over half a decade.The nation's second-biggest private health insurer was taken to court by the Australian Competition and Consumer Commission (ACCC), and has admitted to falsely telling customers they weren't covered for treatment."Bupa... (advised) members they were not entitled to private health insurance benefits for their entire claim, when in fac…
The Courier
'Deeply sorry': major health insurer admits to misleading claim entitlements
Bupa admits misleading customers and faces a $35m fine. Over 5 years, thousands affected in health claims.
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