I'm a litigation reporter for Connecticut Law Tribune, covering litigation wins, verdict news, settlements, interesting cases, etc. Contact me with tips at [email protected].
The insurer did not give an explanation for the reversal of coverage for a midwife, leaving a couple with no recourse after exhausting all processes within the claims processing, including a formal appeal, which was denied.
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna participated in a "fraudulent scheme" that overcharged its members, says the complaint.
Though the drug chains have not admitted to wrongdoing, CVS would pay $5 billion while Walgreens would pay $5.7 billion to states and local governments for opioid crisis abatement and remediation programs.
Employers claim that the health care company, now known as Elevance Health, breached its fiduciary duties under ERISA because they were denied access to plan claims due to mismanagement of funds.
"Our priority, our duty should be to Connecticut families and residents and small businesses, to protect them to make sure they don't have to pay more for health insurance and health care than they have to," Attorney General William Tong said. "And to ask, and to even require, the health insurance companies here today to do all they can to really serve their customers and not just extract as much as they can."