Please be advised that the objection and exclusion deadline has been extended to March 7, 2014, pursuant to the Court’s March 4, 2014 Order. To view this Order you can click on the Documents tab.
Welcome to the Horizon Blue Cross Blue Shield of New Jersey (“Horizon BCBSNJ”) UCR Class Action Settlement website. This website provides you with information regarding the proposed settlement of the Horizon BCBSNJ out-of-network reimbursement class action in the United States District Court for the District of New Jersey, Case No. 09-00571 (Cathleen McDonough, Barry Helfmann, Psy.D. and the New Jersey Psychological Association, individually and behalf of all other similarly situated individuals, Consolidated Plaintiffs, v. Horizon Healthcare Services, Inc., d/b/a Horizon Blue Cross Blue Shield of New Jersey)(the “Actions”). This website provides only a summary of the Settlement and your rights. To review the full Notice click on the documents tab.
If you fit within the description of the Settlement Class described below, your legal rights may be affected. Please review the information contained on this website carefully.
The proposed Settlement Class is comprised of two subclasses, a “Subscriber Subclass” and a “Provider Subclass.”
The “Subscriber Subclass” includes both subscribers and their covered dependents who, at any time from February 9, 2003 through the Preliminary Approval Date of December 4, 2013, (i) were enrolled in a health benefits plan issued by Horizon BCBSNJ that included an out-of-network benefit, and (ii) received a Covered Service or Supply from an Out-of-Network Health Care Provider or Provider Group.
The “Provider Subclass” includes persons or entities who, at any time from February 9, 2003 through the Preliminary Approval Date of December 4, 2013, (i) were Out-of-Network Health Care Providers or Provider Groups who are not, or are not comprised of, licensed medical doctors or doctors of osteopathy; (ii) provided Covered Services or Supplies to Horizon BCBSNJ Subscribers; and (iii) were paid less than their billed amount for these Covered Services or Supplies.
This website is authorized by the Court, supervised by counsel and controlled by
Heffler Claims, the Settlement Administrator approved by the Court. This is the
only authorized website for this Settlement.
For more information please call