Cigna Ordered To Pay $13M For Refusal To Cover Claims

Law360, New York (June 1, 2016, 9:54 PM EDT) -- A Texas federal judge awarded a physician-owned hospital more than $13 million in litigation against Cigna, concluding Wednesday that the insurer breached the terms of benefit plans by refusing to cover out-of-network health care services provided by the facility.

U.S. District Judge Kenneth M. Hoyt shot down Cigna Health and Life Insurance Co.’s claims that Humble Surgical Hospital LLC inflated its bills, instead finding for the hospital on its counterclaims, pointing out that the insurer didn’t allege that the facility performed unnecessary medical procedures or performed them negligently....
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Case Title

Connecticut General Life Insurance Company et al v. Humble Surgical Hospital, LLC


Case Number

4:13-cv-03291

Court

Texas Southern

Nature of Suit

370(Other Fraud)

Judge

Judge Kenneth M. Hoyt

Date Filed

November 7, 2013

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