Cigna LocalPlus Class Action Settlement
Cigna LocalPlus members who received a balance bill from an out-of-network provider incorrectly listed as in-network.
Settlement Closed
Who’s Eligible
You are eligible if you meet all of these criteria:
- You were covered by a Cigna LocalPlus plan.
- You received medical treatment from an out-of-network provider.
- Cigna’s Explanation of Benefits (EOB) incorrectly stated the provider was ‘in-network’.
- You received a balance bill from the provider for the unpaid portion.
Eligible States
Claim Deadline
What You Need to Do to Get Paid
Online: Visit the official website and click ‘Submit Claim’. You will need to upload digital copies of your balance bill.
Mail: Download the paper claim form from the website. Fill it out and mail it along with your proof to: Cigna LocalPlus Settlement Administrator 1650 Arch Street, Suite 2210 Philadelphia, PA 19103
You must provide proof of a ‘balance bill’ from your medical provider. This bill must show the difference between what the provider charged and what Cigna paid. You must also show proof you paid it or sign a statement saying you will use the money to pay it.
Settlement Payout
You may receive up to the full amount of your balance bill. If the total valid claims exceed the $300,000 cash fund, your payment will be a proportional share (pro rata) of the fund.
The $5.71 million settlement value is divided as follows:Injunctive Relief: $4.64 million (Value of Cigna agreeing not to reprocess certain claims)Cash Fund: $300,000 (For direct payments to claimants)Lawyer Fees: Up to $750,000Service Awards: $20,000 (For the people who sued)
Background of the Lawsuit
The lawsuit alleges that Cigna incorrectly identified certain out-of-network doctors as ‘in-network’ for members of its LocalPlus plans. Because of this error, Cigna allegedly paid the doctors less than they expected, and the doctors then sent ‘balance bills’ to the patients for the difference. The plaintiffs claim this violated federal laws governing employee benefits.
Frequently Asked Questions
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What documents do I need to file a claim?
How much money will I get?
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Settlement Administrator
Case Details
Listing Information
Discussion
Disclaimer
The information on this website is free to access and provided for general educational and informational purposes only. It is not legal advice. We summarise settlement information from official notices, court documents, settlement websites, administrators, and other primary sources where available.
Settlement details and deadlines may change. Always refer to the official settlement website or consult a licensed attorney for advice specific to your situation.
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