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Health Net Class Action Litigation

SETTLEMENT UPDATE: By Order dated March 3, 2015, the Honorable Faith S. Hochberg, United States District Court Judge for the District of New Jersey, approved the Amendment to the Health Net Settlement. The Amendment is discussed in the February 2015: Health Net Settlement Update, which is available on the Documents tab of this website.

You qualify for participation in the Settlement if at least one of the following applies:

- You are, or were, from April 1, 1997 to August 31, 2004, a subscriber or beneficiary in any large or small employer plan, other than in a New Jersey small employer plan, who received medical services or supplies (including, inter alia, surgery, anesthesia, and the like) from an out-of-network provider and for whom Health Net made reimbursement determinations less than the providers’ actual charge (The McCoy Class);

- You are, or were, from July 1, 1995 to August 31, 2004, a subscriber or beneficiary of any New Jersey small employer plan, who received medical services from an out-of-network provider and for whom Health Net made reimbursement determinations less than the providers’ actual charge (The Wachtel Class);

- You are, or were, from September 1, 2004 through July 31, 2007, a member in any large or small employer plan insured or administered by Health Net, and subject to ERISA, who received medical services or supplies (including, inter alia, surgery, anesthesia, and the like) from an out-of-network provider and received reimbursement of less than the provider’s billed charge (The Scharfman ERISA Class); or

- You are, or were, from September 1, 2004 through July 31, 2007, a member in any large or small employer plan, or any individual and family plan, insured or administered by Health Net, who received medical services or supplies (including, inter alia, surgery, anesthesia, and the like) from an out-of-network provider and received reimbursement of less than the provider’s billed charge that was determined by Health Net, Guardian or a third party vendor applying Health Net’s out-of-network claims practices, including the use of Ingenix data (The Scharfman RICO Class).

Status of the Litigation

Amendment to Settlement Agreement

SETTLEMENT UPDATE: By Order dated March 3, 2015, the Honorable Faith S. Hochberg, United States District Court Judge for the District of New Jersey, approved the Amendment to the Health Net Settlement. The Amendment is discussed in the February 2015: Health Net Settlement Update, which is available on the Documents tab of this website.

Deadline Dates

  • Exclusions: February 24, 2015
  • Objections: February 24, 2015
  • Hearing date: March 3, 2015
  • File date: April 10, 2015

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