USAA Personal Injury Protection Class Action Settlement

A settlement has been reached in a class action lawsuit involving reductions to health care bills submitted for payment under the personal injury protection (“PIP”) coverage of Washington auto insurance policies issued by several USAA companies.

The reductions at issue in the USAA class action lawsuit were based on the companies’ use of a computerized bill review process to determine the reasonableness of health care fees based on provider charges for the same treatment in the same geographic area. According to the class action lawsuit, the USAA companies failed to pay the full amount of health care bills submitted to them under the PIP coverages of their Washington auto insurance policies.

Named defendants of the USAA class action lawsuit include United Services Automobile Association (USAA), USAA Casualty Insurance Company, USAA General Indemnity Company and Garrison Property and Casualty Insurance Company.

The USAA companies deny any wrongdoing and maintain that they complied with their obligations under Washington law. However, they have agreed to settle the class action lawsuit to avoid the expense, uncertainty and delay of continued litigation.

The USAA class action settlement received final approval on Sept. 11, 2015.

Who’s Eligible

The Class consists of two Subclasses: the Provider Subclass and the Insured Subclass.

Provider Subclass: The Provider Subclass includes all Washington health care service providers and billing providers (1) who billed for and/or provided medical, health care, or rehabilitation services, or medication or equipment, to a Person who was insured under the Personal Injury Protection (“PIP”) coverage of a Washington automobile insurance policy issued by one of the USAA Entities and (2) who submitted or had submitted on their behalf to the USAA Entities bills for such services or products pursuant to the PIP coverage of that insurance policy, and (3) the USAA Entities paid less than the full amount of the charges billed, and (4) the bill was reduced by an RF-prefix, RF_1-prefix, or RF_2-prefix Reason Code from October 3, 2008 through May 29, 2015.

Insured Subclass: The Insured Subclass includes all Persons (1) who were insured under the Personal Injury Protection (“PIP”) coverage of a Washington automobile insurance policy issued by any of the USAA Entities; (2) who received medical, health care, or rehabilitation services, or medication or equipment, from one or more members of the Provider Subclass; (3) who made a claim under the PIP coverage of that policy; (4) who submitted (or whose health care provider submitted) to the USAA Entities a bill for such services or products; and (5) who had that bill reduced by an RF-prefix, RF_1-prefix, RF_2-prefix Reason Code from October 3, 2008 through May 29, 2015.

Potential Award

Varies.

Proof of Purchase

N/A. Class Members must submit a timely and valid Claim Form, signed under the penalty of perjury that all of the information provided is true to the best of their knowledge, information and belief.

Claim Form

Claim Form Deadline

12/10/2015

Case Name

MySpine, et al. v. USAA, Case No. 12-2-32635, in the Superior Court of the State of Washington, King County

Final Hearing

9/11/2015

Settlement Website

www.MySpineSettlement.com

Claims Administrator

MySpine v. USAA Settlement Administrator
P.O. Box 3614
Minneapolis, MN 55403-0614
1-866-346-8468
mail@MySpineSettlement.com

Class Counsel

David E. Breskin
Daniel F. Johnson
Roger M. Townsend
BRESKIN JOHNSON & TOWNSEND PLLC

Defense Counsel

SCHIFF HARDIN LLP