How To Serve Legal Papers on Empire Blue Cross Blue Shield

This article will provide guidance on how to serve legal papers on Emipre Blue Cross Blue Shield (Anthem). Anthem, Inc. is a health insurance company in the United States. The entity is the Blue Cross Blue Shield Association’s biggest for-profit managed healthcare business. The business has about forty million members as of 2018. Previous to 2014, the company was known as WellPoint, Inc. The business was established in 2004 when WellPoint, headquartered in California, and Anthem, located in Indianapolis, merged after the acquisition of numerous health insurance companies by both corporations. In California, where it serves about one million members as Anthem Blue Cross, the business is the biggest health insurer. It is known in New York as Empire Blue Cross Blue Shield and in ten other states as Anthem Blue Cross and Blue Shield. Click Here for Frequently Asked Questions About Process Servers!

BACKGROUND ON EMPIRE BLUE CROSS BLUE SHIELD ANTHEM

Blue Cross Blue Shield Association (BCBSA) is a federation of thirty-five United States health insurance undertakings providing health insurance to more than a hundred million people in the United States. The merging of its two namesake organizations was established in 1982: Blue Cross was established in 1929 and in 1960. Blue Shield was formed in 1939 and the Blue Shield Association in 1948. Click here for information on How To Identify A Good Process Service Agency

The group is known as the ‘Association’ in the health insurance business and has two offices, one in Chicago and the other in Washington, D.C. BCBSA controls access for the United States and more than 170 other countries to Blue Cross and Blue Shield trademarks and names, which it then licenses for some exclusive geographical regions to associated businesses. The BCBSA handles communication between its members and the operational policies which must be licensed. This allows each BCBSA business to provide domestic insurance coverage even if it only operates in its specified service region. Click here for information on How Rush Process Service Can Expedite Your Case.

The Blue Cross and Blue Shield insurance businesses are licensed, independent from, and historically mutually exclusive of an association, providing insurance policies under one or both Association trademarks within specified areas. Blue Cross Blue Shield insurers in all U.S. states provide some kind of health insurance coverage. They also serve as Medicare administrators in several states or areas of the United States. Click here for information on How Service of Process Ensures A Solid Foundation.

The Blue Cross Blue Shield Federal Employee Program is a national option for U.S. federal government workers and retirees under the Federal Employer Health Benefits Program (FEHB) and has been part of FEHB since FEHB was launched in 1960. The FEP is the biggest insurer of federal workers and the world’s largest single health plan organization with more than five million members. Click here for information on How Process Servers Protect Your Rights: Myths Debunked

Empire Health Choice HMO, Inc., Empire HealthChoice Assurance, Inc., and HealthPlus HP, LLC are independent licensees of the Blue Cross Blue Shield Association. Empire BlueCross BlueShield (Empire) is the trade name of Empire HealthChoice Assurance, Inc., and Empire Blue Cross Blue Shield HMO is the trade name of Empire HealthChoice HMO, Inc., independent licensees of the Blue Cross Blue Shield Association, serving residents and businesses in the twenty-eight eastern and southeastern counties of New York State.

ADHERENCE TO HIPAA RULES

The Health Insurance Portability and Accountability Act of 1996 was a law enacted at the federal level creating national standards for disclosure of sensitive patient information. This prevented information from being disclosed without the patient’s consent. The act itself covers health insurance coverage for workers and their families [Title I of HIPAA,] national identifiers and electronic health care transaction provisions [Title II,] guidelines for pre-tax medical spending accounts[Title III], health insurance reform, including individuals with pre-existing conditions and those seeking continued coverage. Title IV], and Title V governs company-owned life insurance policies.

HIPAA is a critical law because it guarantees the sustainability and accessibility of healthcare programs. It establishes the basis for healthcare in the United States and prohibits the indiscriminate trading of medical data. Because healthcare is a need, it also pre-empts state law to guarantee consistency in the country’s medical laws [unless the state has more stringent medical standards].

HIPAA is a federal law that governs a broad range of medical services. It sets regulations governing healthcare services, as well as standards for technology and record-keeping. The latter is relevant to health insurance and billing companies, as well as health maintenance organizations, with penalties for noncompliance.

HIPAA PRIVACY RULE

Medical identity theft has been a major issue in the healthcare sector. Consequently, the HIPAA Privacy Rule was enacted by the US Department of Health and Human Services and addresses the use and disclosure of information to patients. Entities that are responsible for the same and are subject to the Privacy Rule are called ‘covered entities’ and are required to comply with the standards laid down for the protection of healthcare information.

Primarily, a balance is struck in the Privacy Rule between the protection of individual health information as well as ensuring data is sourced for high-quality healthcare. The Rule does not lay down rigid and impermeable rules insofar as each individual seeking care requires diversity in their treatment but provides standards for covered entities as well as the rights of the individuals themselves. The HIPAA Privacy Rule is sustained by national regulations for the use and disclosure of Protected Health Information (PHI) in healthcare treatment, payment, and operations by covered entities.

Protected Health Information is information that can be connected to the individual through certain identifiers which can include: name, Social Security number (SSN), driver’s license, state identification card, account, credit/debit card, passport, or alien registration numbers — among other items. However, this does not include publicly available information that is lawfully made available to the general public from federal, state, or local government records or widely distributed media.

The entity can only share personal information externally only where federal and state law allows or requires it. The entity must ensure that the access, use, and disclosure of Protected Health Information adhere only to what is strictly, as well as applicable law. It must be known that any claim concerning privacy should be specifically served to Anthem’s Privacy Office.

WHAT DOES THE EMPIRE BLUE CROSS BLUE SHIELD

ANTHEM DO

Commercial & Specialty Business, Government Business, and Other Miscellaneous Activity are the three major segments of Anthem. The Commercial & Specialty Business and Government Business segments offer a diverse portfolio of managed care products, including PPOs, HMOs, traditional indemnity benefits, and point-of-sale (POS) plans, and also a multitude of hybrid benefits plans, such as CDHPs, hospital-only, and limited benefit products.

A. Commercial & Specialty Business is composed of the Local Group, National Accounts, Individual, and Specialty companies. These business units offer fully insured healthcare products, and provide a greater range of self-financed customers with managed healthcare services, including claims handling, underwriting, stoppage insurance, acting services, provider network access, medical cost management, disease management, wellness, and other administrative services, and provide a range of financial products and services.

B, The government business sector includes Medicare and Medicaid companies, National Government Services or NGS services, and FEP®-related federal government services. Medicaid makes federal matching money available to all nations to assist medically eligible individuals, primarily those with limited income who meet other government requirements. Medicaid is intended to allow individual states to select their own eligibility criteria, benefits packages, payment rates, and program administration by wide federal standards. Medicare customers are eligible individuals with 65 or older age and who have registered with Medicare Advantage or Medicare Supplements, certain handicapped persons under 65, or members of all ages with kidney disease.

SUBSIDIARIES EMPIRE BLUE CROSS BLUE SHIELD ANTHEM

HOW TO SERVE LEGAL PAPERS ON ANTHEM BLUE CROSS FOUNDATION, L.L.C.

Anthem Blue Cross Foundation’s place of formation is in Delaware, although the business is located in New York. Anthem Blue Cross Foundation registered itself on 20^th August 2010, predominantly in the business of Aircraft Engine and Engine Parts Manufacturing as a limited liability company for purposes of Process Service.

The Anthem Blue Cross and Blue Shield Foundation an independent license holder of the Blue Cross and Blue Shield Association supports Anthem’s business goal of improvement of individuals’ and families’ health and well-being in the communities served by Anthem Blue Cross and Blue Shield. The Fund concentrates its financing on strategic projects that address and provide creative solutions to the problems of health care, as well as the promotion of healthy generations, a multi-generation effort that focuses on particular disease states and medical disorders. These include the first quarter of pregnancy, low birth weight, cardiac morbidity rates, long-term activities that reduce obesity and promote physical activity, the incidence of diabetes among adult populations, pneumococcal adult and influenza immunizations, and a stop of smoking. The foundation also administers the Associate Giving program of the business, which gives 50 percent of its associated campaign commitments and its Community Service Volunteer Time Off and Dollars for Doers. ANTHEM is THE Anthem Insurance Companies, Inc. registered trademark. The names and emblems of the Blue Cross and the Blue Shield are recognized Blue Cross and Blue Shield Association trademarks. The entity retains CT Corporation as its registered agent.

For New York purposes, if the LLC is established in another state it is recognized in New York as a foreign LLC. In other words, foreign does not imply alien. It implies that the company was established by the legislation of another state. On the other hand, a domestic LLC is established in the state in which it does business. This terminology is prevalent in the United States.

According to the New York LLC Law, any foreign company must be registered with New York, if they are ‘transacting business’ or ‘doing business in New York for New York City Process Service. As with other jurisdictions, the New York LLC Act does not explicitly define either ‘commercial transactions’ or ‘commercial transactions’ about international registrations.

However, State rules regulating the collection of state sales tax in international businesses offer some clarity. Under these rules, a company must be physically present in the state—or associated with it—to be obliged to collect state sales tax on sales to its citizens for purposes of the New York City Process Service.

HOW TO SERVE LEGAL PAPERS ON ANTHEM HEALTH CAREERS, LLC

Anthem Health Careers, LLC is a subsidiary group of the Anthem Corporation and filed for incorporation with the Department of State on September 14^th, 2007 in the county of Suffolk. The entity itself is classified as a Domestic Limited Liability Company that falls under New York jurisdiction for New York City Process Service guidelines to be used.

New York City Process Service needs to be rendered by the Secretary of State as an agent of a domestic limited company. However, Anthem Health Careers, LLC retains a registered agent on record, such that New York City Process Service may be forwarded from the Department of State. Consequently, New York City Process Service can be sufficiently done by personally delivering to and leaving with the Secretary of State duplicate copies of such New York City Process Service with the statutory fee, at the Albany office of the Department of State. The Department of State then needs to send one of these copies by certified mail to New York City Process Service with the return receipt requested, to the Anthem Health Careers address on file in the Department of State.

HOW TO SERVE LEGAL PAPERS ON ANTHEM PREMIUM SERVICES CORP.

Anthem Premium Services Corp registered with the New York Department of State on 7^th December 2001. Since Anthem Premium Services Corp was thus formed in New York and Queens County, the entity qualifies as a domestic business corporation and will have New York City Process Service levied upon it. The United States Department of State is under an obligation to send the New York City Process Service documents that it has received to the entity. If it is required, the Department of State may receive New York City Process Service on behalf of the organization.

By New York law, New York City Process Service on a registered agent may be performed by serving the person or entity by delivering a summons. In this instance, the agent’s involvement in the process essentially presumes that the agent stands in as a defendant and thus satisfies the New York City Process Service. However, New York City Process Service may also be provided by a higher officer. While this service usually necessitates two copies of the New York City Process Service being served on the New York Secretary of State or anyone authorized by them, an individual may perform this service if they are serving one copy to the New York Secretary of State or anyone authorized by them. If an entity accepts New York City Process Service on their behalf, the Department of State will send the package to their offices via mail. In any event, the Department of State may undertake a process for this New York City Process Service in the State of New York, identifying designated officials who are ranked highly to receive New York City Process Service.

HOW TO SERVE LEGAL PAPERS ON ANTHEM MEDICAL HEALTHCARE, P.C.

Anthem Medical Healthcare, P.C. is an entity of the Anthem Corporation established with the Department of State of New York relatively recently, having its initial filing completed on 10th May 2010. The entity is entirely New York-based, filing for incorporation in Suffolk County for New York City Process Service.

Anthem Medical Healthcare, P.C. is thus a domestic professional service corporation entirely coming under New York jurisdiction and requiring the corporation to adhere to the rules of New York City Process Service. A business corporation may be formed by filing a Certificate of Incorporation under Section 1503 of the Business Corporation Law. This entity retains The Corporation as a registered agent to accept New York City Process Service on its behalf, New York City Process Service on the corporation is often complete when the Secretary of State is served. The Secretary of State then will send one of these copies by certified mail for New York City Process Service to the corporation, with Anthem Medical Healthcare, P.C. Inc. itself supplying the address while providing the Certificate of Incorporation which is on file in the Department of State.

A professional corporation is composed of several kinds of professionals, including physicians, attorneys, architects, accountants, engineers, and psychologists. Professionals seeking to incorporate their practice may do so in the majority of states by establishing a professional corporation or a professional service company.

A professional service corporation is distinct from a professional corporation in that the former is formed by particular Internal Revenue Service rules (IRS.) Professional corporations must be organized in the state in which the professionals do business. While ordinary companies exempt shareholders from personal responsibility, professional corporations enable professionals to benefit from the benefits of corporations while restricting their liability in specific circumstances.

DOMESTIC COVERAGE AREAS:

INTERNATIONAL COVERAGE AREAS:

OFFICE LOCATIONS

New York: (212) 203-8001 – 590 Madison Avenue, 21st Floor, New York, New York 10022
Brooklyn: (347) 983-5436 – 300 Cadman Plaza West, 12th Floor, Brooklyn, New York 11201
Queens: (646) 357-3005 – 118-35 Queens Blvd, Suite 400, Forest Hills, New York 11375
Long Island: (516) 208-4577 – 626 RXR Plaza, 6th Floor, Uniondale, New York 11556
Westchester: (914) 414-0877 – 50 Main Street, 10th Floor, White Plains, New York 10606
Connecticut: (203) 489-2940 – 500 West Putnam Avenue, Suite 400, Greenwich, Connecticut 06830
New Jersey: (201) 630-0114 – 101 Hudson Street, 21 Floor, Jersey City, New Jersey 07302
Washington DC: (202) 655-4450 – 1101 Pennsylvania Avenue, Suite 300, Washington DC 20004

FOR ASSISTANCE SERVING LEGAL PAPERS ON EMPIRE BLUE CROSS BLUE SHIELD

Pick up the phone and call Toll-Free (800) 774-6922 or click the service you want to purchase. Our dedicated team of professionals is ready to assist you. We can handle all your process service needs; no job is too small or too large!

Contact us for more information about our process-serving agency. We are ready to provide service of process to all our clients globally from our offices in New York, Brooklyn, Queens, Long Island, Westchester, New Jersey, Connecticut, and Washington, D.C.

“Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction, and skillful execution; it represents the wise choice of many alternatives”– Foster, William A

Sources

1. ‘Health Insurer Wellpoint Switches Name To Anthem’. San Diego Union-Tribune, 2021, https://www.sandiegouniontribune.com/sdut-health-insurer-wellpoint-switches-name-to-anthem-2014dec03-story.html.

2. Writer, DIANE LEVICK; Courant Staff. ‘BLUE CROSS, ANTHEM MERGE.’ Courant.com, 19 Sept. 2018, www.courant.com/news/connecticut/hc-xpm-1997-08-02-9708020019-story.html.

3. The headquarters is in Chicago on 225 North Michigan Avenue in the Illinois Centre.

4. Bizjournals.com, www.bizjournals.com/louisville/stories/1999/07/12/daily7.html.

5. Mathews, Anna Wilde, and Brent Kendall. “Antitrust Rulings Put Chill on Health-Insurance Mergers.” The Wall Street Journal, Dow Jones & Company, 15 Feb. 2017, www.wsj.com/articles/cigna-calls-off-merger-with-anthem-1487104016.

6. King, Michael W. “Health Care Efficiencies: American Journal of Law & Medicine.” Cambridge Core, Cambridge University Press, 6 Jan. 2021, www.cambridge.org/core/journals/american-journal-of-law-and-medicine/article/health-care-efficiencies/FE2F04AB0EEE0EA0798022F4C0CD4592.

7. Privacy.Office@anthem.com.

8. Anthem assesses the suitability of the reportable segments on a regular basis, especially in light of organizational changes, mergers, and acquisitions activity, and changing laws and regulations

9. C T CORPORATION SYSTEM

Address:28 LIBERTY ST., NEW YORK, NY, United States, 10005

10. DOS ID:3567894

11. NY LLC L § 303 (2012) § 303. Service of process on limited liability companies.

12. THE LLC, C/O JEAN MARIE BRAAT

Address:31 BRIDLE PATH, WESTHAMPTON BEACH, NY, United States, 11978

13. This authorized individual may also be the deputy, or any person authorized by the secretary of state to receive such service

14. DOS Process (Address to which DOS will mail process if accepted on behalf of the entity)

HE LLC, C/O JEAN MARIE BRAAT

Address:31 BRIDLE PATH, WESTHAMPTON BEACH, NY, United States, 11978

15. C/O DEBRA FINE

Address:33-21 157TH ST., FLUSHING, NY, United States, 11354

16. Chief Executive Officer’s Name and Address

Name: DEBRA S FINE

Address:33-21 157TH ST, FLUSHING, NY, United States, 11354

17. THE CORPORATION

Address:205 SMITHTOWN BLVD, NESCONSET, NY, United States, 11767