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McCarthy, et al. v. California Physicians’ Service d/b/a Blue Shield of California, Los Angeles Superior Court Case No. BC558549

Consumer Watchdog has filed a class-action lawsuit on behalf of hundreds of thousands of California consumers against Blue Shield for misrepresenting its physician and hospital networks in order to boost sales during the Affordable Care Act’s first ‘open enrollment period’ that ended on March 31, 2014.

Additionally, the lawsuit alleges that Blue Shield violated California laws by:

  • Subjecting consumers to inadequate networks of physicians and hospitals, causing delays and interruptions in accessing needed health care;
  • Failing to provide any proof of insurance for two to three months, preventing patients from using their health service plans or forcing them to pay out-of-pocket for covered services; and
  • Subjecting consumers to exceedingly long wait times, regularly lasting several hours, on customer service telephone lines when consumers called to address these problems and misrepresentations.

The lawsuit seeks to require Blue Shield to establish sufficient provider networks and administer health plans in compliance with California law, and demands reimbursement of money paid by consumers as a result of Blue Shield’s illegal acts.

Download the lawsuit here.

Read the press release announcing the lawsuit here.

Watch KABC, KCAL and KNBC coverage of Consumer Watchdog’s press conference announcing the lawsuit.