Kraft Panel Sues Aetna for Health Plan Missteps, Claims Data

Kraft Heinz Co.'s employee benefits committee accused Aetna Life Insurance Co. of mismanaging its health and dental plans by pocketing undisclosed fees and paying millions of dollars worth of claims that shouldn’t have been approved.

Aetna, which served as the third-party claims administrator Kraft’s plans, approved false, fraudulent, and improper claims, including thousands of duplicative claims, through an automatic process that involved no human review, Kraft said. Kraft asked Aetna to turn over its claims data in 2021 so it could investigate these matters, and the company responded by producing only “self-selected” and incomplete data, Kraft alleged.

Aetna is ...