Settlement FAQs

when will blue cross settlement be paid

by Estevan Dickens Published 3 years ago Updated 2 years ago
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What is the settlement amount for Blue Cross Blue Shield?

Blue Cross Blue Shield enrollees can expect payments from $2.67 billion settlement Contact Public Affairs: 360-725-7055 November 2, 2020

What does the Blue Cross Blue Shield settlement mean for Premera?

OLYMPIA, Wash. – A $2.67 billion settlement to resolve antitrust charges against health insurer Blue Cross Blue Shield will result in payments to some consumers of Premera and Regence health plans in Washington.

What was the settlement in the BCBS case?

While the BCBS Companies rejected claims made by the plaintiffs in the case, they agreed to provide monetary payments to eligible individualsand employersand to make some operations changes across the Blue Cross and Blue Shield system. The parties agreed to a settlement to avoid the risk and cost of further litigation.

What is the lawsuit against Blue Cross Blue Shield?

What Is the Lawsuit About? Additionally, plaintiffs claim that the Blue Cross Blue Shield Association and Settling Individual Blue Plans violated antitrust laws that protect consumers from monopolies and price gouging.

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How much money can I get from BCBS settlement?

How much could you receive? It depends on how many people filed claims. If approved, the settlement fund is estimated to be around $1.9 billion after attorney fees and administration costs are deducted.

What is the Second Blue Bid?

What is a Second Blue Bid? Following final approval of the settlement, certain large, self-funded national Employers will be able to request a bid for coverage from a second Settling Individual Blue Plan, in addition to their local Settling Individual Blue Plan.

Where is the Unique ID on BCBS settlement postcard?

If you received a postcard or email notice from the Claims Administrator, your Unique ID was provided to you. If you received a postcard notice, your Unique ID is on the upper left corner of the inside of your postcard. If you received an email notice, the Unique ID was provided toward the top of the email body.

What does it mean when a settlement is in review?

Settlement Review means the evaluation by the Settlement Facility, under Basic Review or Comprehensive Review, of each Unresolved Asbestos Claim or Post-Confirmation Asbestos Liability submitted to the Settlement Facility under the processes and procedures established by the CRP to determine whether a Settlement Offer ...

Did Blue Cross have a settlement with Memorial Hermann?

Memorial Hermann hospital at the Texas Medical Center on July 24, 2019. The Memorial Hermann health system and Blue Cross Blue Shield of Texas on Friday announced that the two parties have reached a contract agreement, allowing nearly 200,000 patients to continue care at Memorial Hermann hospitals.

Is this Blue Cross Blue Shield settlement legit?

Did you stop to wonder if it's legitimate? It is, but it's not any kind of windfall to get too excited about. The proposed settlement resolves claims that Blue Cross Blue Shield companies conspired to limit competition, in turn boosting costs for policyholders. A judge still needs to approve the settlement.

What is a settlement claim ID?

What is it? A unique settlement ID number is exactly what it sounds like: it's a number that a class action settlement administrator uses to identify who each claim belongs to.

What is a unique claim number?

Claim number means a unique identifying code assigned to each claim by the insurer.

How long does it take to get paid after a settlement?

While rough estimates usually put the amount of time to receive settlement money around four to six weeks after a case it settled, the amount of time leading up to settlement will also vary. There are multiple factors to consider when asking how long it takes to get a settlement check.

What is the highest workers comp settlement?

This year, Los Angeles workers' compensation attorney Harry Samarghachian, a partner with Rose Klein & Marias, secured a settlement of $11.3 million for his client who suffered a catastrophic traumatic brain injury. This marked California's largest workers' compensation settlement in history.

How long does it take to cash a settlement check?

You can deposit the settlement check into your bank account and use it any way you wish. It can take about six weeks for you to have the money in your hands. Most law firms issue paper checks to their clients.

Where is my policy number on my insurance card?

Your policy number typically lives at the top of your ID card or insurance document. It's unique to you and it proves that you have coverage. Police officers and insurance agents use this card to verify your coverage. You might need to find this quickly if you get pulled over or find yourself in an accident.

What is the group number on insurance card?

Group number: Identifies your employer plan. Each employer choses a package for their employees based on price, or types of coverage. This is identified through the group number. If you purchased your insurance through the health exchange you might not have a group number.

What does the suitcase on BCBS card mean?

Preferred Provider OrganizationWhen you see the “PPO in a suitcase” logo on the front of the member's ID card, it means that the member has PPO (Preferred Provider Organization) or EPO (Exclusive Provider Organization) benefits available for medical services received within or outside of the United States.

What does BVP mean on insurance card?

BVP. Blood Vessel Prosthesis. Dentistry, Technology, Health. Dentistry, Technology, Health.

What is a settlement with Blue Cross Blue Shield?

Class Representatives (“Plaintiffs”) reached a Settlement on October 16, 2020 with the Blue Cross Blue Shield Association (“BCBSA”) and Settling Individual Blue Plans. BCBSA and Settling Individual Blue Plans are called “Settling Defendants.”. Plaintiffs allege that Settling Defendants violated antitrust laws by entering into an agreement not ...

What is this Settlement about?

This settlement, arising from a class action antitrust lawsuit called In re: Blue Cross Blue Shield Antitrust Litigation MDL 2406, N.D. Ala. Master File No. 2:13-cv-20000-RDP (the “Settlement”), was reached on behalf of individuals and companies that purchased or received health insurance provided or administered by a Blue Cross Blue Shield company. Class Representatives (“Plaintiffs”) reached a Settlement on October 16, 2020 with the Blue Cross Blue Shield Association (“BCBSA”) and Settling Individual Blue Plans. BCBSA and Settling Individual Blue Plans are called “Settling Defendants.”

How do I participate in the Settlement?

To make a claim and receive a payment, you must file a claim form online or by mail postmarked by November 5, 2021. Claims may be submitted online or by mail to:

Who decides whether to approve a settlement?

The Court in charge of this case still has to decide whether to approve the Settlement. Payments will be made if the Court approves the Settlement and after any appeals are resolved. Please be patient.

How did settlement defendants violate antitrust laws?

Plaintiffs allege that Settling Defendants violated antitrust laws by entering into an agreement not to compete with each other and to limit competition among themselves in selling health insurance and administrative services for health insurance. Settling Defendants deny all allegations of wrongdoing and assert that their conduct results in lower healthcare costs and greater access to care for their customers. The Court has not decided who is right or wrong. Instead, Plaintiffs and Settling Defendants have agreed to a Settlement to avoid the risk and cost of further litigation.

How much did the Blue Cross Blue Shield settlement cost?

OLYMPIA, Wash. – A $2.67 billion settlement to resolve antitrust charges against health insurer Blue Cross Blue Shield will result in payments to some consumers of Premera and Regence health plans in Washington.

What states are covered by the Blue Cross Blue Shield settlement?

The settlement signed in U.S. District Court for the Northern District of Alabama affects the 36 Blue Cross Blue Shield insurers nationwide. In Washington, this includes Premera Blue Cross, Regence BlueShield, Regence BlueShield of Oregon, and Regence BlueShield of Idaho, Inc.

Who is the Commissioner of Insurance for Blue Cross Blue Shield?

But Insurance Commissioner Mike Kreidler said the greater benefit will be increased competition among health insurers, especially those in other states that historically have had fewer choices in markets dominated by Blue Cross Blue Shield companies.

How many people does Blue Cross Blue Shield cover?

Blue Cross Blue Shield member companies cover more than 100 million Americans, or roughly a third of the nation’s population.

When is the Blue Cross Blue Shield settlement?

The final hearing on the settlement will be held on October 20, 2021. Multiple different damages classes including fully insured and self-funded plans are eligible to receive payment under the settlement.

When are self funded accounts due for Blue Cross?

Self-Funded Accounts [2] (and their employees) that purchased or were enrolled in a Blue Cross or Blue Shield health insurance or administrative services plan between September 1, 2015 – October 16, 2020.

What is total premiums paid?

The total premiums paid will be the sum of premiums paid for commercial health benefit products (including medical, pharmacy, vision, and dental plans) to any of the defendants for coverage during the class coverage periods described above (pro -rated for the partial months of February 2008 and October 2020). This amount will be calculated based on data provided by the Blue Cross member plans. Claimants will not have to submit any premium data unless it is specifically requested.

What is a proposed settlement?

The Notice of Proposed Settlement was issued to inform employers and individuals who are eligible for payment (the damage class) about the proposed settlement and give them time to decide what action (if any) they wish to take and the deadlines for doing so. If the settlement is approved, class members will be bound by the terms of the settlement unless they affirmatively opt out of the settlement. The following table describes the options these class members have.

When is Notice of Intent due?

Notice of Intent due July 28, 2021. Of note here is the fact that while those who choose to do nothing will not be eligible for payment, it is only when somebody actively opts out of the settlement that they will retain the right to sue and not be bound by the settlement’s terms.

Can an employer ask for settlement information?

Employers may receive questions from their employees about this settlement, including advice on whether to file a claim or requests for information the employee needs to submit as part of their claim submission. While employers do not have any formal obligations to provide any notice/information, it may be helpful to provide some type of notice explaining the settlement to employees and informing them that they may have the right to file their own claims. Employees may also request certain information from employers (e.g., group numbers, policy numbers, coverage dates, etc.) that they need to file their claims. If employers have this information readily available, they may wish to provide it to employees (although again, there is no specific requirement to do so). Employers should be cautious in any communications with employees and should avoid saying or doing anything that appears to dissuade employees from filing their own claims.

What is the proposed settlement for Blue Cross Blue Shield?

The proposed settlement resolves claims that Blue Cross Blue Shield companies conspired to limit competition, in turn boosting costs for policyholders.

How long does it take to fill out a claim form?

Filling out the claim form takes only a few minutes. You will need your insurance subscriber information.

How long is BCBS settlement?

There have been tens of millions of people covered under BCBS plans during the settlement period and the settlement includes 13 years for fully-insured plans (2008-2020). During that time, trillions of dollars of insured premium were paid. Much will depend on the participation and claim filing rates of employers and individuals.

When do BCBS claims have to be posted?

Answer: After the claims period has closed (remember the deadline to file/postmark your claim is November 5, 2021), the settlement claims administrator will create a secure portal on the settlement website and post the year-by-year premiums and/or administrative fees (which form the basis of the claimant’s ultimate distribution) assigned to each claimant, based on data provided by the BCBS plan and any other information gather by the claim administrator through the claim process. While this figure will not represent the claimant’s settlement payment, it will identify the basis for calculating such payment. Claimants will be able to review the paid premium or fees used to calculate their award and can contest those figures and request a correction within 30 days of the secure portal posting.

What is a JND settlement agreement?

Answer: The settlement agreement requires that each BCBS plan provide the settlement claim administrator (JND Legal Administration) with billed premium and fee information and covered lives counts, as well contact information for class members, including a personal identifier (“unique ID”) that will be assigned to each potential claimant.

What is the settlement of a class action lawsuit?

In October of 2020, Blue Cross and Blue Shield (BCBS) companies reached an agreement to settle a class action lawsuit in a case brought by subscribers related to licensing agreements within the BCBS system. While the BCBS Companies rejected claims made by the plaintiffs in the case, they agreed to provide monetary payments to eligible individuals and employers and to make some operations changes across the Blue Cross and Blue Shield system. The parties agreed to a settlement to avoid the risk and cost of further litigation. The settlement terms will be reviewed by the Court on October 20, 2021 to determine if the settlement is fair, reasonable, and adequate.

What entities are eligible to file a claim?

Entities such as multiemployer welfare arrangements (MEWAs), Associations, and Taft Hartley Plans are also eligible to file a claim. BCBS Medical, dental, pharmacy, vision and stop-loss products are included. Enrollment only in a stand-alone vision or dental plan does not qualify for settlement consideration.

What is the phone number for settlement?

In addition, there is a settlement customer service line, (888) 681-1142, that employers or individuals may use to speak to a representative ...

Is a BCBS employee a class member?

Answer: Both employers (i.e. plan sponsors), and employees (but not dependents) covered under group health plans, as well as individuals purchasing BCBS insurance directly, are class members if they purchased or were enrolled in:

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Introduction

Background

  • In 2012, plaintiffs alleged that the Blue Cross Blue Shield Association and its 35 member companies violated the Sherman Antitrust Act by agreeing not to compete in selling health insurance and administration of commercial health benefit products in the United States and Puerto Rico, as well as agreeing to other means of limiting competition in the health insurance …
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Key Provisions of The Settlement

  • Under the terms of the settlement, the Blue Cross Blue Shield Association and its member plans would agree to: 1. Make changes to the way they do business to increase opportunities for competition in the health insurance market; and 2. Allow qualified national self-funded accounts to request a second bid for coverage from a member plan of their choice (“Second Blue Bid”). A…
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Damages Classes

  • The following classes may be eligible for payment from the settlement amount: 1. Individuals that purchased or were enrolled in a Blue Cross or Blue Shield health insurance or administrative services plan between February 7, 2008 – October 16, 2020; 2. Insured Groups (and their employees) that purchased or were enrolled in a Blue Cross or Blue Shie...
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Options For Damage Class Members

  • The Notice of Proposed Settlementwas issued to inform employers and individuals who are eligible for payment (the damage class) about the proposed settlement and give them time to decide what action (if any) they wish to take and the deadlines for doing so. If the settlement is approved, class members will be bound by the terms of the settlement unless they affirmatively …
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What Can/Should Employers do?

  • Employers may receive questions from their employees about this settlement, including advice on whether to file a claim or requests for information the employee needs to submit as part of their claim submission. While employers do not have any formal obligations to provide any notice/information, it may be helpful to provide some type of notice explaining the settlement to …
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Next Steps

  • Next steps for employers who are eligible to file a claim: 1. Decide whether to: 1.1. File Claim 1.1.1. If filing a claim, determine whether to use default assumptions or elect an alternative option for calculating allocation. 1.2. Do Nothing 1.3. Opt Out 1.4. Object 1.5. Speak at Hearing 2. Decide whether to communicate to employees 2.1. If communicating upfront, determine what informati…
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Conclusion

  • It is important for employers to keep in mind that any individual settlement amount is likely to be relatively small – e.g., a few hundred dollars for a large employer, and under $100 for any individual employee. So, while it will be important to understand the allocation methods and the filing options, perspective is needed when determining whether to propose an alternative allocat…
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