CHECK MY STANDING

You have standing to bring a complaint if you are a “Plaintiff” or “Insurer” as those terms are defined in the Final Judgment and as duplicated below.

You are a “Plaintiff” for purposes of submitting a complaint to the Compliance Monitor if you are one of the following: UFCW & Employers Benefit Trust; a Class Member (as defined below); or the State of California.

 

  • You are a Class Member if you meet the following definition:

 

  • All self-funded payors that (1) are citizens of California for purposes of 28 U.S.C. § 1332(d) or arms of the State of California and (2) compensated Sutter for general acute care hospital services or ancillary products: At any time between January 1, 2003 and July 25, 2016 at prices set by contracts between Sutter and Aetna; At any time between January 1, 2003 and December 31, 2016 at prices set by contracts between Sutter and Anthem; At any time between January 1, 2003 and June 25, 2016 at prices set by contracts between Sutter and Blue Shield; At any time between January 1, 2003 and April 30, 2016 at prices set by contracts between Sutter and Cigna; or At any time between January 1, 2003 and June 30, 2016 at prices set by contracts between Sutter and United Healthcare/PacifiCare.

 

  • You are a self-funded payor if you are an entity (such as an employer, healthcare benefit trust, union benefit trust or California government entity) that funds a health plan for your employees or members. You are a self-funded payor if you offer your employees or members a self-funded health plan, even if you also offer them a fully-insured health plan. You are a self-funded payor regardless of whether your self-funded plan is administered by a health insurance company or a third-party administrator.

 

  • You are a citizen of California if you are a self-funded payor and (a) you are organized under the laws of California, or (b) you have your principal place of business in California. To be a member of the Class, you must have been a California citizen on the date the case was filed, April 7, 2014. If you were a California citizen on that date, you are a Class Member even if you were not a California citizen after that date.

 

  • You compensated Sutter for general acute care hospital services or ancillary products if you paid Sutter for health care provided to your health plan members or enrollees by a Sutter general acute care hospital. If you had the contractual obligation to pay Sutter for such services (either directly or indirectly through an insurance company (e.g., Blue Shield), third-party administrator, or other third party), you are considered the one to have compensated Sutter, even if another entity (such as a parent company or affiliate) paid Sutter on your behalf.

 

  • You are not a Class Member if you timely opted out of the Class after it was certified by the Court. The Court’s deadline to opt out was June 11, 2018.

 

  • You are an “Insurer” for purposes of submitting a complaint to the Compliance Monitor if you are one of the following California licensed health care service plans and insurers: Aetna Health of California, Inc.; Aetna Health Management; Aetna Life Insurance Company; Anthem Blue Cross, Inc./Blue Cross of California; California Physicians’ Service (d/b/a Blue Shield of California); UnitedHealthcare Insurance Company; UnitedHealthcare of California; Cigna HealthCare of California, Inc.; Cigna Health and Life Insurance Company; and Health Net of California, Inc.