Rebecca Lehman, et al. vs. Health Net of California, Inc., et al., Los Angeles Superior Court Case No. BC567361

www.NetworkSettlement.com

Important Update:

On November 8, 2018, the Court granted final approval of the Settlement. At this time, it is expected that payments to all Class Members that have submitted valid Claims will be mailed on March 4, 2019.

If you filed a claim but your claim was denied, or if you disagree with the amount of your Settlement Check, you have a right to appeal this decision. To appeal this decision, please complete the Appeal Form that was included with your Settlement Check or Denial Letter. A copy of the Appeal Form can also be found here.

Overview

If you were enrolled in an individual or family Health Net Preferred Provider Organization (“PPO”) health plan in 2014 and received out-of-network care, you may be entitled to a payment under a class action settlement.

A settlement has been proposed in a lawsuit against Health Net of California, Inc. and Health Net Life Insurance Company (“Health Net”) alleging Health Net misrepresented which medical providers were participating in its individual and family plans’ networks. Under the settlement:

  • Actions to Ensure Provider List Accuracy: Health Net has taken and will continue to take actions to ensure the accuracy of the information in its medical provider directories.
  • Disclosures Regarding Coverage: Health Net will make certain disclosures designed to assist consumers’ understanding of their coverage and support access to care.
  • Protections Against Unexpected Out-of-Network Charges: Under the settlement, consistent with Insurance Code section 10133.15(q) and Health and Safety Code section 1367.27(q), Health Net agrees to treat any out-of-network provider as in-network for billing purposes if that provider is represented as in-network by Health Net and a member relies on that network status when seeking medical services.
  • Claims Process: The settlement will also provide payments, from an uncapped fund, to California residents who were enrolled in Health Net individual and family PPO plans who had out-of-pocket expenses in 2014 caused by the representation of an out-of-network medical professional as in-network.
    • YOUR LEGAL RIGHTS AND OPTIONS IN THIS SETTLEMENT
    SUBMIT A CLAIM FORM The only way to get a payment. The Claims Administrator has mailed claims forms. The deadline to complete and return the claim form has passed.
    EXCLUDE YOURSELF (“Opt-Out”) You will not receive a payment or other benefits under this settlement. This is the only option that allows you to be part of any other lawsuit against Health Net relating to the legal issues in this Action and the only option through which you can seek a recovery for damages (such as for personal injuries or emotional distress) other than the cost of the out-of-network treatment. The deadline to opt-out has passed.
    OBJECT You may write to the Court about why you do not like the settlement. The deadline to Object has passed.
    DO NOTHING If you do not submit a claim form and do not Opt-Out, you will receive no payment and you will not be able bring a lawsuit against Health Net about the legal issues in this Action for losses incurred in 2014.

    Additional Information

    If you have reviewed the information in the settlement Notice and on this website, and you have additional questions, you can contact GCG by calling toll-free 1 (888) 264-1304, or by mail at the address below: Lehman v. Health Net of California, Inc. c/o GCG P.O. Box 10573 Dublin, Ohio 43017-7273

    Si necesita asistencia en Español, por favor llame al 1 (888) 264-1304.