Published
November 27, 2025
Updated
July 26, 2026
The reimbursement-claim deadline passed on January 20, 2026. The official site still describes the settlement as proposed and does not clearly post the final-approval outcome.
Current Status
The reimbursement-claim deadline passed on January 20, 2026. The official site still describes the settlement as proposed and does not clearly post the final-approval outcome.StatusClaims Closed · Approval Update PendingSee the current-status update above.
Claim DeadlineJanuary 20, 2026The claims or election period is closed unless stated otherwise.
Settlement Fund$12.875 millionDeductions and allocation terms apply.
Potential Benefit$100 minimum or pro rata reimbursementEligibility and allocation rules apply.
What Happened?
The lawsuit alleged that Anthem used challenged medical-necessity guidelines when denying residential treatment coverage under certain employer-sponsored health plans. Anthem denied wrongdoing, and the parties reached a settlement.Who Was Covered?
The class includes qualifying ERISA plan members whose residential-treatment requests were denied for lack of medical necessity using the challenged guidelines during the class period, subject to the settlement definition and exclusions.What Benefits Were Available?
Class members were eligible for at least a $100 nominal payment. Those who timely documented qualifying out-of-pocket treatment expenses could seek a pro rata reimbursement payment.How Claims Were Filed
Reimbursement claims and proof had to be submitted by January 20, 2026. Class members who did not seek reimbursement generally did not need to file to receive the nominal benefit.Official information is available at Anthem RTC Criteria Settlement.
Important Dates
• Opt-out and objection deadline: December 19, 2025• Reimbursement claim deadline: January 20, 2026
• Fairness hearing listed by the administrator: January 26, 2026
Settlement Fund and Legal Fees
Notice, administration, legal fees, expenses, benefit payments, and other court-approved deductions are governed by the settlement documents and orders. These amounts can affect individual benefits.Case Information
Collins v. Anthem Inc., Case No. 2:20-cv-01969-FB-SIL, in U.S. District Court for the Eastern District of New York.Official Website: Anthem RTC Criteria Settlement
Sources
• Official settlement, court, or agency information: Anthem RTC Criteria SettlementFor more class actions keep scrolling below.
Settlement Fund
$12.875 million
Case Title
Collins v. Anthem Inc.
Case Number
2:20-cv-01969-FB-SIL
Court
U.S. District Court for the Eastern District of New York
Claim Deadline
January 20, 2026
Status
Claims Closed · Approval Update Pending
Official Website
Anthem RTC Criteria Settlement
