$120M Settlement Covers Class Actions Against Aetna Over Out-of-Network Payments

PHILADELPHIA—Aetna Inc. will pay up to $120 million to resolve multiple class actions by subscribers, providers, and state medical associations alleging the insurer improperly used flawed third-party databases to systematically and uniformly underpay out-of-network providers, a proposed settlement filed Dec. 7 in a federal court in New Jersey says (Aetna UCR Litigation, In re).

The proposed nationwide class action settlement filed in U.S. District Court for the District of New Jersey calls for Aetna to pay a guaranteed amount of $60 million into a general settlement fund, and up to $60 million into a separate fund to be ...