Geico auto claims underpayment class action settlement

Geico agreed to a class action lawsuit settlement to resolve claims it misinterpreted no-fault auto insurance, resulting in underpayment on certain claims.

The Geico auto claims underdpayment settlement benefits Florida healthcare providers who, during the class period, submitted a claim for reimbursement to a no-fault insurance policy of which Geico paid 80%, adding code “BA” to the explanations of benefits or review. Applicable policies include Florida motor vehicle insurance policies from Geico which contain a no-fault policy endorsement, indicated by endorsements such as “FLPIP (01-13),” “FLPIP (07-15)” and “FLPIP (01-18).”

Applicable class periods vary depending on which Geico insurance company issued the relevant policies:

• Geico Indemnity Co.: June 15, 2017, to May 31, 2022
• Geico General Insurance Co.: May 7, 2014, to May 31, 2022
• Geico Casualty Co.: June 15, 2017, to May 31, 2022
• Government Employees Insurance Co.: June 15, 2017, to May 31, 2022

Geico is an insurance company that provides insurance policies for drivers, business owners, homeowners and more. Some of Geico’s automotive insurance policies have personal injury protection (PIP) terms, which help pay for medical expenses resulting from a car accident.

Plaintiffs in the Geico class action lawsuit accused the insurer of misinterpreting the terms of its personal injury protection policies. As a result, Geico allegedly underpaid healthcare providers at a rate of 80% payment per claim. The PIP class action lawsuit argues providers should receive 100% payment for these claims.

One plaintiff allegedly provided chiropractic services to a Geico insured in 2016 after the woman was in a car crash. However, upon submitting the claim to Geico, the plaintiff claims only $140 of the $175 billed amount was paid. 

According to the Geico PIP class action lawsuit, this payment policy violates Florida state law.

Geico hasn’t admitted any wrongdoing but agreed to resolve these claims with a class action lawsuit settlement.

Under the terms of the settlement, class members can receive a readjustment of their claims to reimburse the 20% of the claim originally unpaid by Geico. 

Class members are also eligible for an enhanced payment of 10% of these payments and $9 per submitted claim form as additional benefits from the Geico insurance lawsuit settlement.

The deadline for exclusion and objection is Aug. 15, 2022. 

The final approval hearing for the Geico auto claims underdpayment  settlement is scheduled for Dec. 2, 2022. Class members are not required to attend this hearing, but have until Nov. 2, 2022, to send their notice to appear if they do wish to speak to the court about the settlement.

In order to receive a claim from the Geico insurance lawsuit settlement, class members must submit a valid claim form by Nov. 28, 2022. Multiple claim forms may be required if providers rendered treatment to different insureds from different accidents.

Who’s Eligible

The settlement benefits Florida healthcare providers who, during the class period, submitted a claim for reimbursement to a no-fault insurance policy of which Geico paid 80%, adding code “BA” to the explanations of benefits or review. Applicable policies include Florida motor vehicle insurance policies from Geico which contain a no-fault policy endorsement, indicated by endorsements such as “FLPIP (01-13),” “FLPIP (07-15)” and “FLPIP (01-18).”

Potential Award

Varies

Proof of Purchase

Available supporting documents, such as an Explanation of Benefit (EOB) or Explanation of Review (EOR) (if available) should also be submitted with the Settlement Claim Form.

Claim Form

NOTE: If you do not qualify for this settlement do NOT file a claim.

Remember: you are submitting your claim under penalty of perjury. You are also harming other eligible Class Members by submitting a fraudulent claim. If you’re unsure if you qualify, please read the FAQ section of the Settlement Administrator’s website to ensure you meet all standards (Top Class Actions is not a Settlement Administrator). If you don’t qualify for this settlement, check out our database of other open class action settlements you may be eligible for.

Claim Form Deadline

11/28/2022

Case Name

Randy Rosenberg, D.C., P.A., v. GEICO General Insurance Co., Case No. 19-cv-61422-AMC, in the U.S. District Court for the Southern District of Florida

Final Hearing

12/02/2022

Settlement Website

FLBilledAmountSettlement.com

Claims Administrator

Rosenberg v. GEICO General Insurance Company
c/o JND Legal Administration
PO Box 91222
Seattle, WA 98111
info@FLBilledAmountSettlement.com
855-606-0783

Class Counsel

Edward Zebersky
Michael T. Lewenz
Mark S. Fistos
ZEBERSKY PAYNE SHAW LEWENZ LLP

Alec Schultz
HIGERS GRABEN PLLC

Defense Counsel

John P. Marino
SMITH GAMBRELL & RUSSELL LLP