United To Settle ERISA, Other Claims Over Tiered Mental Health Reimbursements

Mealey's (August 16, 2021, 11:04 AM EDT) -- NEW YORK — A health insurance company accused of violating federal laws, including the Employee Retirement Income Security Act and the Affordable Care Act (ACA), and New York state laws by using a tiered reimbursement policy for certain out-of-network (ONET) mental health services has agreed to not reinstate the policy and pay $10 million to settle the claims brought on behalf of a class, the Department of Labor and the people of New York, the plaintiffs write in a motion seeking preliminary approval filed on Aug. 11 in a federal court in New York....