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Federal Judge Approves $2.4 Million Settlement Against Cigna

December 05, 2013

PHILADELPHIA (December 5, 2013) -- A U.S. District Court judge has given preliminary approval to a $2.4 million class action lawsuit brought against Cigna for improperly denying coverage for applied behavior analysis (ABA) for autism as "experimental."  

Judge Juan R. Sanchez scheduled a hearing for February 9 to finalize the settlement which was brought by Kristopher Churchill on behalf of Cigna policyholders nationwide who were denied ABA coverage since 2004. An estimated 350 to 400 families will be able to seek reimbursement under the settlement.

The settlement was announced in Top Class

Cigna agreed to produce a list of all individuals who were enrolled in a Cigna health plan and submitted claims for ABA treatment for autism since Nov. 24, 2004 that were denied because Cigna deemed the therapy “investigative or experimental.” Under the proposed settlement, Cigna also will provide a list of all individuals enrolled in the NetApp Medical plan whose coverage or rider provided by Cigna for ABA was denied since July 1, 2011.