Welcome to HMO Settlements

Welcome to the HMO Settlements Website! This site serves as a source for information about the Settlements reached between representatives of over 900,000 physicians, state and county medical societies with the Blue Cross Blue Shield Association and over 90% of the Blue Cross Blue Shield health plans in the Love, et al, v. Blue Cross Blue Shield Association, et al,litigation, and with Aetna, CIGNA, Health Net Inc., Prudential Insurance Company of America, Anthem Inc./WellPoint, and Humana Inc. in the In re Managed Care Litigation.

Latest News and Updates on the Settlements

• Final Order of Approval issued by Court in Blue Cross Blue Shield Settlement. On April 19th, 2008, Judge Moreno, of the US District Court for the Southern District of Florida, gave final approval to the Blue Cross Blue Shield Settlement in the action Love, et al. v. Blue Cross Blue Shield Ass’n, et al. View the order.
• NEW: Preliminary Settlement Agreement Reached with Capital. View the Order Preliminarily Approving the Settlement or visit the Capital settlement page of the website for further details.
• NEW: Highmark Settlement Gains Final Approval. View the order.
• Second Blue Cross Claim Form Mailed Regarding Highmark Settlement
  Starting early December, physician practices received Notices, Claim Forms and Claim Instructions for a second settlement in the Love case with Highmark Blue Cross Blue Shield. This $10 million settlement in addition to and separate from the earlier Blue Cross settlement, and covers four additional Blue Cross plans including Highmark Inc., Keystone Health Plan West, Inc., Highmark West Virginia, Inc. (d/b/a Mountain State Blue Cross Blue Shield) and Parker Benefits, Inc. (d/b/a Super Blue HMO). These completed proof of claim forms must be postmarked no later than February 27, 2008. To opt out of the settlement, the settlement administrator must receive the opt-out form by January 14, 2008. Please note that you are eligible to participate in both settlements. All physicians who provided services to any Blue Cross plan can participate in this settlement. If physicians have done business with any of the Highmark plans, they could qualify for an increased share of the settlement. In order to qualify for up to 5 or 10 times the base amount, the practice must calculate its gross receipts from the five plans listed above.
• Highmark Update: Please be advised that a motion has been granted to move the Fairness Hearing date from January 31, 2008, to February 11, 2008 at 9:30am. THIS DOES NOT AFFECT ANY OF THE OTHER DATES IN THE NOTICE (i.e., claim filing deadline, opt out deadline and objection deadline).
• Highmark Settlement Note: Due to a typographical error, the AAPP Foundation and the American Psychoanalytic Foundation were inadvertently excluded from the list of charitable organizations list on page 4 of the Claim Form Instructions. If you would like to donate your proceeds from the settlement fund to either of these foundations, please indicate the number for the foundation of your choice on your claim form and the settlement administrator will honor your request.
  50. AAPP Foundation
  51. American Psychoanalytic Foundation
• CIGNA Settlement Agreement Ended September 4th. What does this mean for you now? Find out...
• United Healthcare Dismissal Upheld:
  The U.S. Court of Appeals for the 11th Circuit in Atlanta has upheld the previous summary judgment ruling dismissing the federal RICO lawsuits against UnitedHealth Group. The previous dismissal was based primarily on technical grounds. Societies with actions in state court and arbitrations will now consider whether to proceed pursuing those actions. View the Court's Decision.