Analysis

UnitedHealth Fights 'Game-Changer' ERISA Class Action Loss

Law360 (November 25, 2020, 6:16 PM EST) -- 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.

The UnitedHealth Group unit asked a California federal judge on Nov. 20 to stay portions of his Nov. 3 remedies order while the company appeals it in the Ninth Circuit. UBH is also appealing the underlying 2019 decision that the company's coverage guidelines were inconsistent with generally accepted standards of care, resulting in thousands of...

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