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Caring for Montanans Illegal Subrogation Claim Montana Class Action

This class action concerns an argument over who gets the proceeds from a lawsuit over a failed hip replacement. It brings suit against Health Care Service Corporation and Caring for Montanans, Inc., formerly known as Blue Cross and Blue Shield of Montana, Inc., which the complaint refers to, collectively, as Blue Cross. Blue Cross claims  Read more

Illustration of a Whole Hip Replacement

BCBS of Illinois LGBTQ Discrimination in Infertility Treatments Illinois Class Action

Do health insurance policies cover fertility treatments? And if so, do LGBTQ individuals have an equal right to receive them? This class action alleges that Health Care Service Corporation, which does business as Blue Cross and Blue Shield of Illinois (BCBSIL), discriminates against LGBTQ people, because it imposes more onerous and expensive prerequisites on them  Read more

In Vitro Fertilization

Blue Cross Denial of Coverage for Mental Health Treatment Class Action

This class action concerns parity—the requirement that mental health treatment be addressed in an equal manner to physical illness, under the federal Mental Health Parity and Addiction Equity Act. The case brings suit against insurer Blue Cross and Blue Shield of Texas for its denial of benefits for the plaintiff’s son at a residential treatment  Read more

Blue Cross Blue Shield of Texas Name and Logos

BCBS of New Mexico Improper Denials of Care New Mexico Class Action

Health insurance companies may refuse to authorize novel or unproven treatments, or procedures that don’t meet their guidelines. However, the complaint for this class action alleges that Blue Cross and Blue Shield of New Mexico, a company of Health Care Service Corporation, routinely refuses patients services and forces them to go through appeal processes, to  Read more

BCBS of New Mexico Name and Logos

Aetna Denies Insureds L-ADR Surgery Class Action

At issue in this class action are certain policies of the health insurance offered by Aetna Life Insurance Company. The complaint alleges that Aetna will not pay for its insureds to have lumbar artificial disc replacement (L-ADR) surgery, alleging that it is “experimental and investigational.” But the complaint claims that this is not true, that  Read more

ActivL Artificial Disk in Place in Spine

Ryder Noncompliant COBRA Notice Class Action

When employees leave a larger company that provided them with health insurance, they have the choice of continuing that insurance coverage for a limited period of time. This is permitted by the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). The complaint for this class action alleges that, in order to save money, Ryder System,  Read more

A Ryder Truck

General Motors Inadequate COBRA Notice Class Action

This class action against General Motors, LLC (GM) has nothing to do with automobiles. Instead, it brings suit under the Employee Retirement Income Security Act (ERISA). It alleges that GM did not give employees who participated in its General Motors Health Care Program Plan adequate notice that they could continue their health insurance coverage, after  Read more

Desk Surface with COBRA Info

United, Data iSight “Arbitrary” Payments to Surgical Assists Texas Class Action

This Texas class action brings suit against United Healthcare Insurance Company and Multiplan, Inc., which does business as Data iSight (DIS), concerning the rates it pays for surgical assist services under plans governed by the Employee Retirement Income Security Act (ERISA). The complaint alleges that the companies make arbitrary and sometimes inadequate payments to surgical  Read more

Surgery in Progress

United Healthcare Mental Health Parity Settlement

This settlement resolves four class actions against a group of insurance companies, including UnitedHealth Group, Inc., UnitedHealthcare Insurance Company, Oxford Health Insurance, Inc., and others. The complaints alleged that the companies improperly reduced the benefits permitted for behavioral health services under a Tiered Reimbursement Policy, and also denied some patients coverage under a behavioral health  Read more

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Unified Life Insurance Claims Underpayment Settlement

Unified Life Insurance Company is paying more than $10 million to settle a class action alleging it underpaid insureds’ claims under short-term medical insurance policies issued between 2014 and 2017. The complaint alleged that the underpayments occurred because of the use of Data iSight, and that the claims were below the level of payment required  Read more

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