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CareFirst Comprehensive Lactation Support Settlement

Settlement Structure: Claims Made

Active: Closed

Closed Settlement Statement:

According to court documents, the claim submission deadline has passed. Please contact the claims administrator if you have any questions.

Case Summary:

This settlement resolves a class action against CareFirst, Inc., Group Hospitalization and Medical Services, Inc., CareFirst of Maryland, Inc., and CareFirst BlueChoice, Inc. The complaint alleged that health plans of these companies did not properly cover comprehensive lactation support and counseling services (CLS) as required by the Affordable Care Act (ACA). In particular, the complaint alleged that the companies did not provide access to in-network trained providers of CLS and did not properly handle claims for CLS as preventative claims.

Docket Number:

1:16-cv- 02162 (USDC DC

Company: CareFirst Inc.

Filing Deadline: July 8, 2019

Class Period: August 1, 2012 to August 31, 2018

Objection Deadline: March 11, 2019

Exclusion Deadline: March 11, 2019

Final Approval Hearing: April 9, 2019

Proof of Purchase:

If you received a pink form and do not want to make changes, you only need a claimant number and confirmation code. If you wish to make changes or fill out a blank form, you will need documentation of your claims and file the claim form by mail.

Eligibility:

You may be eligible if you are or were a particpant or beneficiary of a non-grandfathered health plan that was sold, underwritten, or administered by CareFirst, Inc., Group Hospitalization and Medical Services, Inc., CareFirst of Maryland, Inc., or CareFirst BlueChoice, Inc. who did not receive full coverage or reimbursment for CLS services received between August 1, 2012 and August 31, 2018. 

You are not eligible if you were insured under a federal employee health plan or a grandfathered health plan. The settlement does not apply to breastfeeding supplies and equipment, such as breast pumps.

Typical Settlement Amount:

Varies. Cash payment equal to total amount you paid out-of-pocket as copayments or co-insurance and had applied to your deductible. For exceptions and details, see the Notice at http://www.carefirstbreastfeedingsupportclassaction.com/documents/Long%20Form%20Notice.pdf.

Total Settlement Amount: Unknown

Class Representative Proposed Incentive Fee:

$2,500

Claim Form: CareFirst Comprehensive Lactation Support Settlement Claim Form

Case Name: Lindsay Ferrer, Amy Haddad and Sarah Sorscher, et al. v. CareFirst, Inc., et al.

Settlement Website: CareFirst Comprehensive Lactation Support Settlement Website

Claims Administrator:
Angeion Group

Claims Administrator Contact Information:

Ferrer, et al. v. CareFirst Inc., et al
CareFirst ACA Settlement Claims Administrator
PO Box 58116
1500 John F Kennedy Blvd, Ste. C31
Philadelphia, PA 19102
Questions@CareFirstBreastfeedingSupportClassAction.com
1-855-441-2329

Tags: Health Insurance, Incomplete payment of benefits due, Insurance, Nonpayment of Benefits