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Case ID: 2501 | Insurance | 12/10/2003
The parties have reached a tentative $630,000 settlement in a class action against Educators Mutual Life Insurance Company on behalf of all persons who allege that. since September 1, 1998, the company reduced benefit payments for anesthesia services in violation of its contract with them. The action seeks compensatory damages to reimburse policyholders. Claims must be filed on or before August 8, 2003, to be considered valid.
Under the terms of settlement, the class will include all persons whose anesthesia bills were paid in part but not in full under a policy of medical insurance with Educators at any time since September 1, 1998, due to the "reasonable and customary charge" provision of the Educators policy. That provision obligated Educators to pay "reasonable and customary" charges for anesthesia services, and defined "reasonable and customary" as a charge that is not higher than the usual charge for medically necessary treatment and supplies provided in the same geographical area. The action alleged that Educators refused to pay benefits in violation of that provision. Excluded from the class are holders of PPO policies whose anesthesia services were provided by an in-panel provider. The settlement will not be effective until the court grants it final approval. The court has scheduled a hearing on the matter for October 3, 2003. At Lawcash.com, it is our goal to keep you informed about important legal cases, class actions and settlements. Our lawyers offer free legal evaluations in tort cases, class actions, personal injury, and other lawsuits because we are dedicated to helping you resolve your legal complaints. Other Insurance Cases of Interest Toni Swain Orrill, a New Orleans resident whose house was severely damaged in Hurricane Katrina, filed a class action suit against American International Group (AIG) and its subsidiary, Audubon. The suit charges that the company has failed to help its policyholders who are in desperate need of assistance after the hurricane. A class action, which apparently covers all U.S. residents, has been filed against insurance giant Farmers Insurance Company, Inc. and its parent, Farmers Group, Inc., on behalf of consumers who, since November 5, 1998, purchased either an automotive or a homeowner's insurance policy with Farmers and later was given a rate increase due to Farmers' alleged utilization of credit reports without the consumer's consent or knowledge. The action is brought under the federal Fair Credit Reporting Act and the Arkansas unfair trade practices law and seeks actual damages, statutory and punitive damages and declaratory relief.
The parties have reached a nationwide $2.3+ million final settlement in an action filed against Imperial Premium Finance, Inc. and related entities on behalf of persons who financed an insurance policy with Imperial between June 7, 1996, and February 2, 2004. The action alleged that Imperial kept money returned by insurance companies that was actually intended for policyholders, in violation of state insurance law. Persons eligible to take part in the settlement should contact attorneys for the class as soon as possible. Many single parents who work for a living struggle to make ends meet, due to circumstances completely beyond their control. A class action has been filed against Ron Ross, director of the Nebraska Department of Health and Human Services, on behalf of Nebraskans who are single parents and who were removed from Medicaid in 2002 during a special budget-cutting session of the Nebraska legislature, alleging that they were denied the Transitional Medical Assistance (TMA) allowed by federal law. A recent appeals court ruling has reinstated the parents' Medicaid payments until the resolution of the TMA issue. A class action has been filed against the Hartford Financial Services Group (NYSE: HIG) and certain of its officers and directors by stockholders who purchased the company’s common stock between November 5, 2003 and October 13, 2004. The action claims that the defendants violated federal securities laws by issuing a series of material misrepresentations to the market over this time period, thereby artificially inflating the price of the company’s securities. The stockholders seek to recover compensatory damages for the loss of value of their stock. A class action has been filed against American Investors Life Insurance Company on behalf of senior citizens in California who were sold expensive annuity policies that allegedly offer no benefit payouts for at least ten years. The suit alleges that the company has engaged in unfair business practices by improperly targeting the marketing and sale of these annuities to senior citizens.
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