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.”

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.