Health Funds Suing Elevance for Alleged Overpayments Lose Round

Elevance Health Inc. and related subsidiaries defeated a lawsuit by Connecticut health funds that say the companies caused them to overpay for medical services.

The plaintiffs, trustees of a pair of health funds covering unionized workers, didn’t show that the Elevance defendants could be liable as plan fiduciaries under the Employee Retirement Income Security Act, the US District Court for the District of Connecticut said. The trustees accuse Elevance of causing their plans to pay inflated rates for medical services, but these legal theories are “related to a contract by which Defendants are bound” and don’t suggest that the companies ...