Negron v. Cigna Health and Life Insurance Company

Negron v. Cigna Health and Life Insurance Company

Plaintiffs are suing Cigna Health and Life Insurance Company and OptumRx, Inc., in the District of Connecticut, on behalf of a class of patients who purchased prescription drugs pursuant to a Cigna plan, alleging that Cigna and Optum engaged in a fraudulent and deceptive scheme to artificially inflate the prices of prescription drugs. Specifically, under the relevant health plans, the cost shares (copayments, coinsurance, and deductible payments) paid by patients should be based on the amount actually paid to pharmacies. Cigna and Optum are alleged to have secretly calculated cost shares using an inflated price causing patients to overpay and, in many instances, pay more than the pharmacies were actually paid. Plaintiffs allege that Defendants’ conduct violates the Employee Retirement Income Security Act of 1974 (ERISA) and the Racketeering Influenced and Corrupt Organizations Act (RICO).

Class: Certain participants in Cigna health plans who were overcharged for prescription drugs.

Status: The court issued an order granting partial summary judgement for Defendants on March 27, 2023.

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