Medscape March 3, 2025
A lawsuit brought forth by a group of cancer patients could spell trouble for health insurers, according to legal experts.
The plaintiffs claim an insurer violated federal law when it abruptly terminated their coverage in late 2022 following a corporate acquisition.
“This case involves a situation none of us hopes to ever be in — having coverage terminated while receiving payment for an ongoing claim,” according to the class action complaint that alleges violations of the Employee Retirement Income Security Act (ERISA) by health plans.
In the lawsuit, filed in late 2024, the patients allege that the sudden coverage termination runs afoul of ERISA, and they want their coverage restored. Specifically, the plaintiffs allege that their health insurers, acting as...