The following documents will help you understand your rights under the WellPoint/Anthem Settlement Agreement. (PDF files requires Adobe® Reader®.
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How the WellPoint, Inc./Anthem Settlement Agreement helps the physician practice flyer (PDF, 207KB) contains a summary of the key business practices mandated in the WellPoint, Inc., Settlement. Since contracts provided by WellPoint to physicians in its provider network must conform to the Settlement, physicians are encouraged to review their contracts to ensure they are receiving available protections.
Pertinent information:
Date settlement reached by parties: July 11, 2005
Final approval date: September 28, 2006
Value of settlements: In excess of $448 million
Retrospective relief: $140 million
- $135 million to Settlement Fund
- $5 million to Foundation
Prospective relief: $250 million
The WellPoint/Anthem Settlement became effective September 28, 2006.
The WellPoint/Anthem checks were distributed on November 17, 2006 to physicians who submitted proof of claim forms. The payout, as a result of WellPoint's Settlement, resulted in a distribution of over $134,017,000 to physicians.
Questions about the settlement may be directed to Whately Drake & Kallas, L.L.C., at (866) 809-8003.
Compliance dispute facilitator (CDF)
Physicians may consider filing a “compliance dispute” if prohibited clauses are contained in a health plan’s contract or if the health plan fails to adhere to the terms of its settlement. After the dispute is deemed valid by the CDF, the CDF will act as the physician’s representative unless the physician or Signatory Medical Society, acting on the physician’s behalf, elects to employ separate counsel. Below is the contact information for the WellPoint CDF:
Cameron C. Staples
Neuburt Pepe & Monteith, PC
195 Church St.
New Haven, CT 06510
Phone: (203) 821-2000
Fax: (203) 821-2009
To learn more about foundations created by the settlements, please go to the Physicians Foundation Web site.
WellPoint Health Networks, Inc./Anthem, Inc. Settlement Fund Procedure (PDF, 21KB)
Mailed Notice of Proposed Settlement with List of Subsidiary Corporations (PDF, 53KB)
Anthem/WellPoint Settlement Step-by-Step Compliance Dispute Procedure
WellPoint Compliance Dispute Form (PDF, 41KB)
Instructions for Filing WellPoint/Anthem Claim Form (PDF, 32KB)
WellPoint/Anthem Claim Form (PDF, 38KB)
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