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Benefits June 13, 2001
HMOs Claim Partial Legal Victory
June 13, 2001 (PLANSPONSOR.com) - A set of lawsuits,
accusing HMOs of fraudulently using financial incentives to
limit medical care, was partially dismissed by a federal
judge in Florida
Reported by Camilla Klein
US District Judge Federico Moreno tossed out claims by plan members that insurance companies violated federal civil racketeering laws and violated ERISA, but denied Humana Inc.’s motion to dismiss racketeering claims in one of the cases, saying the plaintiffs have established valid complaints.
The judge’s order, which involves motions to drop seven separate lawsuits against HMO operators Humana, Aetna Inc., Cigna Corp., and UnitedHealth Group Inc. among others, allows plaintiffs to reargue parts of the lawsuits and file amended suits by June 29.