Close Close
Popular Financial Topics Discover relevant content from across the suite of ALM legal publications From the Industry More content from ThinkAdvisor and select sponsors Investment Advisor Issue Gallery Read digital editions of Investment Advisor Magazine Tax Facts Get clear, current, and reliable answers to pressing tax questions
Luminaries Awards
ThinkAdvisor

Life Health > Health Insurance > Health Insurance

Insurer Settles Over Student Health Claims

X
Your article was successfully shared with the contacts you provided.

A carrier has agreed to pay $5.1 million to reimburse 73,000 college plan members for a portion of their out-of-network claims costs.

Aetna Inc., Hartford, negotiated with settlement agreement with officials in the New York state attorney general’s office.

The agreement affects students at about 200 colleges, New York officials say.

New York officials allege that an Aetna unit, Aetna Student Health, used out-of-date reimbursement rates when pricing out-of-network claims between 1998 and April 1, 2008.

Aetna will issue the settlement payments to the students themselves in some cases and to the students’ doctors in other cases, officials say.

An Aetna representative says the reimbursement problems were the result of a subsidiary accidentally using the old version of a pricing database, rather than the latest version, and that it brought the problems to the attention of state authorities.

The agreement with New York state involves no fines or other penalties, the Aetna representative says.


NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.