Image of building facade of UnitedHealthCare According to the complaint, if the level of care provided in a day exceeded United Behavioral Health’s standards, it denied all of that day’s services. (Photo: Shutterstock)

United Behavioral Health is back in court again. The company, which administers UnitedHealth Group’s substance abuse care benefits and mental health care benefits for employer-sponsored health plans, is being sued over its coverage policies.

“This case arises from UBH’s deliberate development of policies designed to reduce the number and value of claims UBH would approve, thereby serving the financial interests of UBH, its affiliates and the employer plan sponsors they consider their customers,” according to the complaint. “The UBH policies at issue in this case all disregard or directly flout the terms of the plaintiffs’ plans and were developed to serve UBH’s interests and those of its plan sponsor customers rather than those of the plan members. As a result, the policies all breach the fiduciary duties UBH owes to all ERISA plan members, including plaintiffs.”

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