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Nationwide Insurance Class Action Settlement
By Matt O’Donnell
A federal court has preliminarily approved a class action lawsuit settlement with Nationwide Insurance that resolves allegations it improperly reduced or denied insurance benefits to residents in Delaware. If you submitted personal injury protection (“PIP”) medical expense claims to Nationwide in Delaware between 2004 and 2007, you may be eligible to receive a cash payment. The Nationwide Insurance settlement also includes medical providers whose claims were reduced or denied.
The Nationwide Insurance settlement will resolve a class action lawsuit, entitled Hart v. Nationwide Mutual Fire Insurance Company, that alleges Nationwide improperly reduced or denied insurance benefits for medical services after submitting medical bills to a computer-based bill review audit.
Nationwide Insurance denies any wrongdoing, but has agreed to settle the case to avoid ongoing litigation.
The Nationwide Insurance class action settlement covers all persons, and their medical providers, who: (a) submitted first-party medical expense claims to Nationwide under its Delaware automobile insurance policy No-Fault coverage; (b) had their claim submitted by Nationwide to computer pricing review during the period from September 1, 2004 through December 31, 2007; (c) received payment in an amount less than the submitted medical charges based upon the pricing review of the charges; and (d) received an amount less than the stated policy limits.
If the Judge approves the Nationwide Insurance class action lawsuit settlement, Class Members who submit a claim form by April 21, 2012 with all supporting documentation will be eligible to receive the following class action settlement payments:
Holders of Claim(s) for Medical Expense Benefits: If you are the legal holder of the right to receive medical expense benefits under a No-Fault coverage, you will be eligible to receive a payment calculated as 125% of the difference between the amount of the charges submitted and the amount previously paid by Nationwide for Covered Claims.
Insureds That Have Previously Paid the Difference on Covered Claims: If you are insured by Nationwide and, prior to the distribution of the Class Action Notice, paid your medical providers the difference of the amount of charges and the amount previously paid by Nationwide on Covered Claims, you will be eligible to receive a payment equal to 200% of the amount you paid for the subject Covered Claim charges.
Exhaustion of No-Fault Coverage Limits: Settlement payments will be distributed pro rata if more than one Settlement Payment is due under No-Fault coverage that is exhausted by settlement claims.
Claim forms and more information on your rights in the Nationwide Insurance Class Action Lawsuit Settlement
can be found on the Settlement Administrator’s website, www.HartSettlement.com
Updated January 3, 2012
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