SCRANTON – A retired New York City police officer now residing in Pennsylvania alleges an indemnity insurer deceived plan members with its out-of-network coverage.
Steven Plavin filed a complaint on behalf of all others similarly situated on Aug. 16 in the U.S. District Court for the Middle District of Pennsylvania against Group Health Inc. alleging unjust enrichment and other counts.
According to the complaint, the plaintiff alleges that he and class members were injured by the defendant's practice of denying out-of-network coverage and became personally responsible for the amounts due to health care providers.
The plaintiff holds Group Health Inc. responsible because the defendant allegedly misled consumers regarding the out-of-network coverage it provided and the rates of reimbursement.
The plaintiff requests a trial by jury and seeks compensatory damages, restitution, disgorgement, statutory damages, actual damages, treble damages, court costs, interest and any further relief the court grants. He is represented by Bill Carmody and Arun Subramanian of Susman Godfrey LLP in New York.
U.S. District Court for the Middle District of Pennsylvania case number 3:17-cv-01462-RDM