Health Insurance
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
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
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
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
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
Carefirst BlueChoice Coverage for IVF Embryo Thawing Maryland Class Action
If Carefirst BlueChoice, Inc. insurance policies in Maryland must cover in-vitro fertilizations (IVF), what aspects of this procedure must they pay for? The complaint for this class action alleges that Carefirst is refusing to cover embryo thawing, which the complaint calls “an essential component of most IVF cycles.” Read more
Blue Cross Blue Shield Antitrust Settlement
Blue Cross Blue Shield Association and settling individual Blue plans have come to a $2.67 billion agreement to settle class actions alleging that Blue Cross Blue Shield companies agreed not to compete with each other and to limit competition among themselves in sales and administration of health insurance. The complaints alleged that the companies violated Read more
Envision Healthcare Anesthesia Charges Arizona Settlement
Envision Healthcare Corporation, EmCare, Inc., and Anesthesia Physicians of Arizona, PC are settling a class action that centers on billing for anesthesia services. The complaint alleged that the companies violated the Arizona Consumer Fraud Act because they did not provide sufficient information about their identity, network status, and fees, and then charged patients excessive rates. Read more
Aetna Health Plans Won’t Cover PBRT Cancer Treatment Class Action
Health plans do not cover all treatments that might be offered for an illness. This class action takes up the fact that certain health plans administered by Aetna Life Insurance Company and offered by the School Board of Pinellas County does not cover Proton Beam Radiation Therapy (PBRT) as a treatment for cancer. Aetna claims Read more
Aliera, Unity, Trinity “Health Care Sharing Ministries” Kentucky Class Action
When is insurance not insurance? This class action brings suit against the Aliera Companies, Inc., Trinity Healthshare, Inc. and OneShare Health, which formerly did business as Unity Healthshare, LLC for selling healthcare plans that the companies claim are not health insurance. It alleges that, while there are indeed things known as “Health Care Sharing Ministries Read more
