WellPoint/Anthem Settlement Information

The following documents will help you understand your rights under the WellPoint/Anthem Settlement Agreement

Pertinent information:

The WellPoint/Anthem Settlement became effective September 28, 2006.
Physicians who submitted a proof of claim form to WellPoint/Anthem may expect payment in early 2007. We do not yet know the amounts that the settlement will pay individual class members.

Questions about the settlement may be directed to Whately Drake & Kallas, L.L.C., at (866) 809-8003.

Compliance dispute facilitator (CDF)
Physicians may consider filing a “compliance dispute” if prohibited clauses are contained in a health plan’s contract or if the health plan fails to adhere to the terms of its settlement. After the dispute is deemed valid by the CDF, the CDF will act as the physician’s representative unless the physician or Signatory Medical Society, acting on the physician’s behalf, elects to employ separate counsel.  Below is the contact information for the WellPoint CDF:

Cameron C. Staples
Neuburt Pepe & Monteith, PC
195 Church St.
New Haven, CT 06510
Phone: (203) 821-2000
Fax: (203) 821-2009

To learn more about foundations created by the settlements, please go to the Physicians Foundation Web site.

How the WellPoint, Inc./Anthem Settlement Agreement helps the physician practice flyer (prepared by AMA) contains a summary of the key business practices mandated in the WellPoint, Inc., Settlement. Since contracts provided by WellPoint to physicians in its provider network must conform to the Settlement, physicians are encouraged to review their contracts to ensure they are receiving available protections.

• WellPoint Health Networks, Inc./Anthem, Inc. Settlement Fund Procedure
• Mailed Notice of Proposed Settlement with List of Subsidiary Corporations
• Anthem/WellPoint Settlement Step-by-Step Compliance Dispute Procedure
• Instructions for Filing WellPoint/Anthem Claim Form
• WellPoint/Anthem Claim Form

This summary has been prepared by the American Medical Association (AMA) Private Sector Advocacy unit from information provided to the AMA.

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