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ARTICLE · 23 MAY 2024

District Court Dismisses Class Action Seeking Wilderness Therapy Benefits

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A federal district court rebuffed putative class claims alleging that Cigna Health and Life Insurance Co. and two of the plans it administered violated the Mental Health Parity...

United StatesLitigation, Mediation & Arbitration
Sydney Juliano
Sydney Juliano
Jennifer Rigterink
Jennifer Rigterink
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A federal district court rebuffed putative class claims alleging that Cigna Health and Life Insurance Co. and two of the plans it administered violated the Mental Health Parity and Addiction Equity Act of 2008 ("MHPAEA") by denying coverage for wilderness therapy. S.F. v. CIGNA Health & Life Ins. Co., 2024 WL 1912359 (D. Utah May 1, 2024).

Cigna, the third-party administrator for the two employer-sponsored plans at issue, denied coverage for certain treatment provided through wilderness therapy programs on the ground that they fell within the plans' exclusions of "experimental, investigational, and unproven services." Plan participants filed a putative class action against Cigna and the plans, claiming, among other things, that the coverage denials violated MHPAEA based on plaintiffs' allegations that the plans would not deny coverage for treatment provided in analogous medical/surgical settings, such as skilled nursing facilities or similar inpatient treatment

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