Protecting the Rights of Consumers
For Over 25 Years
|
By
Edelman Combs Latturner & Goodwin, LLC
On August 18, 2020, the United States District Court for the Central District of Illinois certified a class in an action brought under the Employee Retirement Income Security Act, 29 U.S.C. § 1132 (“ERISA”), by a retired employee of Defendant State Farm Mutual Automobile Insurance Company for benefits under the State Farm Insurance Companies Health Reimbursement Arrangement Plan for United States Eligible Individuals.
The Plan represented on an online portal that a list of particular medical services would be eligible for reimbursement, effective on or about January 1, 2019. Over 250 retirees contracted with medical providers for the listed benefits and submitted claims that were denied. About February 1, 2019, State Farm changed the posted list to one that was much narrower and claimed the January posting was an error. We filed suit on behalf of one of the retirees.
The court certified a class of "all participants and beneficiaries of the State Farm Insurance Companies Health Reimbursement Arrangement Plan for United States Eligible Individuals who presented claims for services covered under Exhibit A [the January 1, 2019 posted list], and either received those services in January of 2019 or began a course of treatment in January 2019, which claims were not paid." The case is King v. State Farm Mutual Automobile Insurance Co., 1:19cv1120.