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GEICO Personal Injury Protection Class Action Lawsuit Overview:
- Who: A class action lawsuit filed by healthcare providers who allege GEICO underpaid insurance claims can go ahead, a judge has ruled.
- Why: A federal judge concluded that the plaintiffs adequately defined a Class of healthcare providers who were allegedly underpaid for personal injury protection claims.
- Where: The newly certified Class includes healthcare providers nationwide.
Insurance company GEICO has only been paying 80 percent of personal injury protection charges in cases where it should have been paying the whole amount, a class action lawsuit claims.
The class action complaint against GEICO General Insurance Co — filed by chiropractor Randy Rosenberg in 2019 — was certified last Wednesday by a Florida federal court judge.
The Class is a group of healthcare providers who claim GEICO engaged in a widespread practice of improperly underpaying personal injury protection claims in violation of its policy language.
GEICO Only Partially Pays Personal Injury Protection Claims, Alleges Provider
Rosenberg says GEICO’s policy requires reimbursement of 100 percent of all submitted charges lesser than the amount allowed under its established fee schedule. However, he alleges GEICO has only been paying 80 percent of all claims.
He says, in 2016, he provided chiropractic services to Danielle Russell after she sustained injuries in a car crash.
Russell assigned her benefits under a GEICO insurance policy to Rosenberg to pay for the medical services she received. However, upon treating Russell for her injuries, Rosenberg submitted a bill to GEICO for $175 and was only paid $140.
On Wednesday, U.S. District Judge Aileen M. Cannon said Rosenberg had proven he could find the other members of the Class who were allegedly underpaid through a database of claims records.
“Although GEICO presents a fair challenge to ascertainability, and although the expert opinions on this issue conflict, the court has reviewed the full record and determines that plaintiff’s proposed class is adequately defined and presently ascertainable sufficient to satisfy plaintiff’s burden,” Judge Cannon said.
Meanwhile, last year, GEICO was accused of unfairly profiting off the coronavirus pandemic, raising auto insurance premiums despite the fact there was a huge drop in auto accidents, a class action lawsuit alleges.
Have you got insurance through GEICO? Let us know your experience in the comments!
Rosenberg is represented by Edward H. Zebersky, Mark S. Fistos and Michael T. Lewenz of Zebersky Payne Shaw Lewenz LLP, and Alec H. Schultz of Hilgers Graben PLLC.
The GEICO Personal Injury Class Action Lawsuit is Rosenberg v. Government Employees Insurance Co. et al., Case No. 0:19-cv-61422, in the U.S. District Court for the Southern District of Florida.
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36 thoughts onGEICO Personal Injury Protection Class Action Lawsuit Filed by Healthcare Providers Certified
Geico has failed to accept any of my medical documentation and is refusing to pay them