SEATTLE, Jan. 12, 2015 (GLOBE NEWSWIRE) -- Attorney Advertising -- Keller Rohrback L.L.P. is currently investigating whether a recent court ruling could allow additional people enrolled in health care plans administered by UnitedHealthcare Insurance Company to bring claims for failing to pay them the full amount they were owed for health care services.
The ruling is part of a larger health care trend. Consumers are increasingly aware of health costs, and take steps to obtain the benefits and services that they pay for and were promised. As researchers at the Robert Wood Johnson Foundation recently found, consumers now often know, "practically to the penny," what they spend on premiums, deductibles, and co-pays each month.
The ruling came last month, as part of an ongoing lawsuit against UnitedHealthcare. That lawsuit focuses on the payment of benefits to people who are eligible for Medicare but also have secondary coverage through a private employer- or union-sponsored health plan. Keller Rohrback brought the suit on behalf of Marianne Gates, a participant in a plan administered by UnitedHealthcare.
In last month's ruling, following a favorable opinion for Ms. Gates in the Second Circuit Court of Appeals, Judge Katherine B. Forrest of the U.S. District Court in Manhattan rejected UnitedHealthcare's misinterpretation of its healthcare plan, under which participants may have received impermissibly low reimbursements for medical services.
"The court ruled that UnitedHealthcare has been misapplying its own plan," said attorney David Preminger. "UnitedHealthcare's faulty interpretation caused it to reimburse participants at a lower level than it should have. Under federal law, plan beneficiaries may be able to claim the rest of the reimbursements they should have been receiving all along."
The ruling could affect anyone who is enrolled in a plan administered by UnitedHealthcare, in particular Choice Plus Plans or HDHP HSA Plans, is eligible for or enrolled in Medicare, and who has received services from a healthcare provider who has opted out of Medicare. If any such people have questions about whether they have a potential claim, they should contact paralegal Phil Lewis at 800-776-6044 or via email at firstname.lastname@example.org. You can learn more about Keller Rohrback's pension and healthcare-plan litigation here. The lawsuit in which the recent ruling was made is titled Gates v. United Healthcare Insurance Co., No. 11-cv-3487 (S.D.N.Y.).
Keller Rohrback is one of America's leading law firms handling employee benefit litigation. The firm is committed to helping employees and retirees protect their benefits. Our attorneys have extensive experience litigating cases involving welfare benefit plans and defined-contribution and defined-benefit pension plans. In addition, Keller Rohrback is recognized as one of the premier firms litigating breach of fiduciary duty claims against employers for losses to 401(k) plans caused by imprudent investment in company stock.
Source:Keller Rohrback L.L.P.