December 07, 2020
United Behavioral Health shouldn't be allowed to table its compliance with a court order to reprocess roughly 67,000 insurance claims while appealing its loss in a challenge to its claim decision-making process, a class of UBH patients told a California federal court.
December 04, 2020
One U.S. Supreme Court ruling gave workers plenty of time to sue over benefit issues, while another limited the circumstances under which they could do so. Meanwhile, lower courts questioned single-stock funds' appropriateness for 401(k) plans and sharply rebuked health insurers who use improper guidelines to deny treatment requests. Here, Â鶹´«Ã½360 looks at the five biggest benefits decisions of 2020.Â
December 03, 2020
UnitedHealth Group Inc.'s behavioral health unit appealed its loss in a blockbuster case over coverage guidelines to the Ninth Circuit on Thursday, looking to nix orders that its guidelines were improper and that it must reprocess roughly 67,000 claims for behavioral health treatments administered using the guidelines.
November 25, 2020
United Behavioral Health is fighting a first-of-its-kind court order to reprocess 67,000 claims after a judge nixed the insurer's guidelines for covering behavioral health treatment, in a case that has huge implications for the future of Employee Retirement Income Security Act class actions over treatment denials.
November 03, 2020
A UnitedHealth Group Inc. subsidiary must reprocess insurance claims on behalf of a certified class of more than 50,000 plan holders, a California magistrate judge ordered on Tuesday, after finding it violated the Employee Retirement Income Security Act by denying coverage for mental health and substance abuse treatment.
May 06, 2019
United Behavioral Health has asked a California federal judge to break up the 50,000-member class of patients suing it over mental health and substance abuse treatment coverage guidelines that were found to violate the Employee Retirement Income Security Act. Â
March 05, 2019
A UnitedHealth Group unit's internal guidelines for mental health and substance abuse coverage ignored generally accepted standards of care and focused on "crisis stabilization" while leaving patients stranded over the long term, a California federal magistrate judge said Tuesday.
October 16, 2017
A California federal magistrate judge overseeing claims that UnitedHealth Group improperly denied coverage for mental health and substance abuse treatment told class members at the start of their bench trial Monday that he's "just some dumb judge" who would need expert testimony on coverage guidelines to give him "a road map" for their case.
September 19, 2016
A California federal judge on Monday certified a class of UnitedHealth Group Inc. health plan participants accusing the company of improperly denying mental health and substance abuse treatments in violation of the Employee Retirement Income Security Act, saying the claims shared common factors worthy of classwide adjudication.
April 29, 2016
A UnitedHealth Group Inc. unit on Thursday asked a California federal judge not to certify a class of plan holders who say they were improperly denied mental health and substance abuse treatments in violation of ERISA, as each claim would need to be handled on an individual level.