A few days before Christmas, I received a letter from Anthem cancelling my dental insurance "because we did not receive your full premium payment on time. We're sorry but we're unable to reinstate your policy."
This was surprising since I had been a customer for about two years and regularly paid my premiums near month-end. I checked my records at Bank of America's Billpay service and saw that I had not missed any payments, the most recent being on November 28th, about as expected.
I thought that this would be easy to clear-up and called "Customer Service" on December 26th. This proved quite difficult After much frustration, I got through to someone called Apocalipsis Castaneda, a polite person who spoke very poor English. (By email, he is known as al48174.) I patiently sent him screen shots of my bank records showing my regular payments and confirmation numbers, and he created a case number IC8026593. He later left me voice messages which were not understandable. I followed up on January 4th and 5th asking him to contact me by email and asking for a status report, but heard nothing further from him ever again.
On January 8th, I again braved the moronic "Customer Service" torture gantlet and eventually spoke with someone named Janissa Resare. She was also very polite and seemed to be well-meaning, but was very hard to understand verbally. I explained the situation and sent her my payment records. On January 9th, she asked me by email to supply copies of my checks, and I explained again that the electronic payments did not involve checks, but that I had already supplied confirmation numbers related to my payments. I also sent her copies of my bank statements showing the debits to my account in favor of Anthem Dental. On January 17, I asked for an update having heard nothing further on this.
On January 18th, Janissa informed me that everything was straightened out and that I should make the January payment. On January 18th, I informed her that I had remitted my premium through Billpay. Later that day, I received am email from Anthem threatening to cancel the account that they had just reinstated. I informed Janissa and asked her to insure that my payment had been received. On January 22, I received this amazing response: "I do really apologize for that; I will be working on for your payment that you have made. I will be requesting again to E&B to track your payment. So, please don't process it through BillPay anymore because it will not route to Anthem directly. You can call us every month to process the payment or use anthem.com to process the payment. Thank you!"
The next day I expressed my frustration and confusion after checking details on the Anthem website and observing its accounting chaos. As an experienced businessman, a CPA, and a former finance professor, I told her that I was seeing signs of severe operational and internal control weaknesses that should be reported to the authorities. With that, Janissa disappeared from view.
At this point, I was determined to cancel my policy. I braved "Customer Service" once more and eventually spoke to someone named Gilbert (al24928), who was polite but a poor English speaker. I asked him to cancel my policy and sent him a record of my payment for January. I also told him that I was treated by my dentist on January 4th and expected to have my claim paid. Gilbert responded, "we have already initiated a request to cancel your plan. You will be receiving update through your mail or email once your plan is already cancelled." I never heard from Gilbert again. I then established a new policy with Delta Dental.
Finally, I received a letter from Anthem telling me that my payment was past due and threatening to cancel my account. I emailed Gilbert and the others I had spoken with on February 24th alerting them to this situation, but never heard back.
It seems clear that Anthem's business systems and internal controls are seriously flawed, and I wonder why they are allowed to be in business. read more