Eligible Class Members

If certified, eligible Class Members are:

Eligible Class Members include - “Providers” (any person or entity that provides healthcare services in the United States, including but not limited to a physician, group practice, or facility) who currently provide or provided healthcare services, equipment or supplies to any patient who was insured by, or who was a “Member” (any individual enrolled in or covered by a commercial health benefit product, including employees, their spouses and dependants, beneficiaries,
and ERISA participants) of or a beneficiary of, any plan administered by any Settling Individual Blue Plan during the “Class Period” (July 24, 2008 through October 4, 2024) (the “Provider Class”).

This definition excludes: (1) Providers owned or employed exclusively by a Native American tribe or the federal government (including the Federal Employee Program) or Providers that exclusively provided services, equipment or supplies to members of or participants in Medicare, Medicaid or the Federal Employee
Health Benefits Programs; (2) Providers that exclusively provide or provided.

• Prescription drugs
• Durable medical equipment
• Medical devices
• Supplies or services provided in an independent clinical laboratory
• Services, equipment or supplies covered by standalone dental or vision insurance

If you fall within the exclusions for only a portion of the Class Period you may be able to recover from this settlement.

*Please note that there is an approximate $2.67 billion settlement for individuals, insured groups and self-funded accounts that purchased or were enrolled in a Blue Cross or Blue Shield health insurance or administrative services plan. Additional information regarding that “Subscriber Class” settlement is available upon request.

Case History

A class action lawsuit was filed on the behalf of the Provider Class alleging the Defendants conspired to restrain trade and monopolize the markets in which they operate in violation of U.S. federal antitrust laws. In 2013, the lawsuit was consolidated in the Northern District of Alabama. Since then, the Provider Class has entered into a settlement with the Defendants for a total amount of approximately $2.8 billion. The settlement is pending final approval. The settlement funds (less
any expenses and fees) will be distributed to the Provider Class if and when the Court grants final approval of the settlement and a claims process is completed. The filing deadline is July 29, 2025.

Definition of “Defendants”: 1) Blue Cross Blue Shield Association and 2) Individual Blue Plans (primary licensees, including controlled affiliate licensees) that settled with the Provider Class (contact FRS for a list of licensees).