• Sam Wares

Blue Cross and Blue Shield Subscriber Settlement Misconceptions



Class action settlements are often misunderstood and, in some cases, unclear misconceptions can circulate via news sources or social media channels. Dispelling these misconceptions is essential. One of MCAG’s roles in helping clients optimize their revenue recovery efforts from class action settlements is to clear up any misunderstandings so the filing process is clear and actionable.


It has come to our attention that there are several misconceptions regarding the tentative $2.7 billion antitrust settlement to resolve claims that Blue Cross and Blue Shield’s member companies conspired to limit competition and boost prices for policyholders. Here are the key misunderstandings and the facts to dispel them:


Misconception: No action would be needed by employers.

  • Fact: The proposed settlement agreement states that a class member must submit a claim form in order to receive funds from this settlement. (The image below is from the proposed official settlement notice)

Misconception: Only individual subscribers are eligible to receive compensation.

  • Fact: Both the group plan and individual subscribers (employee) can submit claims to receive compensation.Valid claims submitted by individual subscribers will decrease the amount paid to a group for its claim.

Misconception: Only large self-funded plans are eligible for compensation under this settlement.

  • Fact: The settlement is expected to have net proceeds (after covering legal and admin fees) of approximately $1.78 billion for eligible fully insured plans, and approximately $120 million for self-funded groups.


If you want more information about the Blue Cross Blue Shield Settlement or want to learn more about how MCAG supports our clients with clear and concise information, please give us a call at 1-800-355-0466 or CLICK HERE to complete our contact form and an MCAG representative will respond shortly.
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