An amended complaint to a class-action lawsuit alleges that Cigna is improperly refusing to apply obligated discounts for medical services.

The complaint in U.S. District Court in Connecticut adds state law claims by the American Medical Association, the Medical Society of New Jersey and the Washington State Medical Association to the ERISA claims previously asserted by three individuals. Cigna's actions caused physicians to be underpaid and damaged the patient-physician relationship, according to the associations.

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