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January 2013

Case in Point

Aetna settles allegations it underpaid out-of-network claims

The plaintiffs alleged unpaid benefits, breach of plan provisions, failure to provide accurate plan materials, breach of the fiduciary duties of loyalty and due care, failure to provide full and fair review, and other ERISA violations. They also claimed the defendants violated RICO. The parties settled for up to $120 million. In re: Aetna UCR Litig.

 

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