Edwards v Horizon Blue Cross Blue Shield of New Jersey

United States District Court For The District Of New Jersey
Case No: 08-6160 (KM)

PROPOSED SETTLEMENT


If you were or are a licensed ambulatory surgical center located in New Jersey that provided out-of-network services to any Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) member between October 1, 2004 and December 31, 2014, this pending Class Action may affect you


A settlement has been reached with Horizon Blue Cross Blue Shield of New Jersey (“Horizon”) in a class action lawsuit claiming that certain of Horizon’s reimbursements to out-of-network ambulatory surgical centers during the Class Period were insufficient. Horizon denies the claims in the lawsuit. The parties have agreed to settle the dispute to avoid the cost and risk of a trial.

The Class is comprised of any and all licensed ASCs located in New Jersey, individually and as assignees of Horizon members, that provided Out-of-Network Services to any Horizon member during the Class Period, and that are in the “SEHP Subclass” or the “Navigant Subclass” or both.  The SEHP Subclass includes all Class Members that Horizon and Class Counsel have determined were under-reimbursed for SEHP Claims from October 2004 through June 2008.  The Navigant Subclass includes all Class Members that the Class Representative contends, but Horizon disputes, could have been under-reimbursed for Navigant Claims from October 2004 through December 2014.

Full copies of the Settlement Agreement and certain other important papers relating to the Settlement are available on the Documents Page. In addition, if you have questions regarding the Notice or the Settlement, please contact Class Counsel, Bruce H. Nagel at Nagel Rice, LLP, 103 Eisenhower Parkway, Roseland, New Jersey 07068, (973) 618-0400, bnagel@nagelrice.com. 
This website is authorized by the Court, supervised by counsel and controlled by the Settlement Administrator approved by the Court. This is the only authorized website for this case.

Documents

Please read for a full explanation of the settlement and your options and all applicable timelines.

Important Dates

  • Exclusion Deadline.

    Thursday, June 14, 2018 You must complete and mail your request for exclusion form so that it is postmarked no later than Thursday, June 14, 2018.
  • Objection Deadline.

    Thursday, June 14, 2018 You must mail your objection(s) and/or notice of intent to appear at the Settlement Hearing so that it/they are postmarked no later than Thursday, June 14, 2018.
  • Settlement Hearing Date.

    Friday, June 29, 2018 The Settlement Hearing is scheduled for Friday, June 29, 2018, at 10 a.m. United States District Court, Martin Luther King, Jr. Federal Building & U.S. Courthouse, 50 Walnut Street, Newark, New Jersey 07101. Please check this website for updates.

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