Health Net PPO Out-of-Network Provider 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 dispute concerning the providers for Health Net’s individual and family Preferred Provider Organization (PPO) plans. The complaint alleges that Health Net made misrepresentation and omissions about the providers included in its networks. The company’s HMO plans, EPO plans, HSP plans, and employer-provided plans are not included in this settlement. 

Docket Number:


Company: Health Net of California, Inc.

Filing Deadline: June 25, 2018

Class Period: January 1, 2014 to December 31, 2014

Objection Deadline: June 25, 2018

Exclusion Deadline: June 25, 2018

Final Approval Hearing: July 12, 2018

Proof of Purchase:

You must provide documentation of your out-of-pocket expenses. See the claim form at http://www.networksettlement.com/docs/claim_form.pdf for further details.


You may be eligible if

  • You were enrolled in a Health Net individual or family PPO plan
  • In 2014, and
  • You received services from an out-of-network provider,
  • For which you or the provider previously submitted claims to Health Net.

You are not eligible if you had an HMO, EPO, or HSP plan, or if your plan was provider by your employer. You are also not eligible if you did not pay more out-of-pocket for the medical services that you received than you would have paid for an in-network provider. 

Typical Settlement Amount:

You may receive 100% of all out-of-pocket expenses for losses you incurred in 2014 because of confusion about which providers were included in the network. Hospital, facility, and lab charges are not included. For further details, see the claim form and the Notice at http://www.networksettlement.com/docs/notice.pdf.

Total Settlement Amount: Unknown

Class Representative Proposed Incentive Fee:


Law Firms:
Consumer Watchdog
Shernoff Bidart Echeverria Bentley LLP
The Arns Law Firm

Claim Form: Health Net PPO Settlement Claim Form

Case Name: Rebecca Lehman, et al. v. Health Net of California, Inc., et al.

Settlement Website: Health Net PPO Settlement Website

Claims Administrator:
Garden City Group

Claims Administrator Contact Information:

Lehman v. Health Net of California Inc.
c/o GCG
P.O. Box 10573
Dublin, Ohio 43017-7273

Tags: Health Insurance, Inaccurate Information about Provider Network, Your Health