|
Search
Search through the thousands of lawsuits, complaints and recalls on our site.
 |
Case ID: 2704 | Insurance | 09/08/2004
Judgment has been entered against United HealthCare Services, Inc. and its insurer-sibling HealthCare Insurance Company on behalf of participants in pharmacy benefit plans governed by the federal Employee Retirement Income Security Act and administered by United. The action asks United to provide reimbursement for drug overcharges that occurred when the plan administrator failed to pass on its negotiated prices to participants. Monetary damages will not be distributed until all proceedings have been finalized and all possible appeals have been exhausted.
The judgment states that United unreasonably interpreted its Employee Retirement Income Security Act-governed benefit plans to require plan participants to pay the full retail cost of their prescription drugs even when the price of the drugs as negotiated by United--usually lower than the retail amount--was less than the participants owed as a copayment. The court found that when a prescription drug cost is less than a participant's copayment, the participant should only have to pay the lesser negotiated cost set under United's contract with various pharmacies. Under United's plans, participants and subscribers should have been entitled to pay the lesser of a fixed dollar copay or the "prescription drug cost," which was defined as the plans' contracted reimbursement rate with the pharmacy. Contrary to this, whenever the negotiated rate was lower than the copay, United's computers routinely told pharmacists that the appropriate charge was full retail. In many cases, the court found that a drug's full cost exceeded the copayment, although the drug's negotiated cost was less than the copayment. In February 2002, the district court certified the case as a class action. In that decision, the court noted that over one million subscribers may have been affected by United's practice. 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 It's bad enough to think that your insurance adjuster's bonuses may be based on his or her ability to get you to accept less than your claim is worth--worse to think that a machine may actually be calling the shots. The class has been certified in an action filed against Allstate Insurance Company on behalf of New Mexicans who allege that the company misuses a computer program named Colossus to settle their bodily injury claims for sums lower than those offered by any other insurance company, effectively cheating them in violation of New Mexico consumer protection and insurance law.
A class-action lawsuit involving more than 2,200 physicians will be allowed to proceed after a Jackson County judge denied three insurance companies' request for arbitration. The theory of diminished value asserts that buyers choosing between two otherwise equal vehicles will select one that has not been previously damaged and repaired, even where the repairs to the other vehicle were first-rate. The parties have reached a tentative $1.725 million settlement in an action filed against Southern General Insurance Company on behalf all persons insured under an automobile insurance policy issued in Georgia by the company who made a claim for damage to their vehicle under their collision or comprehensive coverage for a loss that occurred between June 12, 1997, and February 13, 2002, or under their uninsured motorist coverage for a loss that occurred between June 12, 1999, and February 13, 2002. Though there is no claims deadline at this time, persons eligible to take part in the settlement who have not received a notification letter should act as soon as possible to alert the company of their eligibility.
Riders are peddled by insurance companies to provide extra coverage for specific events or circumstances. Ten related class actions have been filed against Southwestern Life Insurance Company on behalf of all U.S. purchasers of Southwestern Life policies that included child rider coverage. The actions allege that Southwestern Life breached its contracts with class members, committed fraud, and was negligent in its representations about the child riders that it sold.
A class action lawsuit has been filed in the Southern District of New York against Lenox Hill Hospital. The case involves violations of the Employee Retirement Income Security Act (ERISA). No additional information about the substance of the allegations is available at this time. Classactionamerica.com will monitor this case and provide additional details as soon as they become available. A class action lawsuit has been filed in the Western District Court of Washington against Prudential Insurance for violations of. Class members seek compensatory damages, punitive damages, and damages under the Washington State Consumer Protection Act as well as for costs and attorneys' fees pursuant to the litigation. |
IT'S FREE
|
© 2000 - 2008 Copyright. All rights reserved nola3, llc.
