Insurance class action settlements
Class action settlements over insurance premiums, policies, and claims practices.
Insurance settlements by the numbers
A settlement fund is the total a defendant agreed to pay, not what any one claimant receives — most funds are divided among everyone who files. Settlements are negotiated agreements, and defendants typically deny wrongdoing rather than being found liable.
The 11 settlements in this category that publish a fund, grouped by size. Most cluster low and a few are very large — which is why the headline figure above is a median rather than an average.
| Fund size | Settlements | Share | |
|---|---|---|---|
| Under $1M | 0 | 0% | |
| $1M – $5M | 2 | 18% | |
| $5M – $25M | 5 | 45% | |
| $25M – $100M | 0 | 0% | |
| $100M and up | 4 | 36% |
A fund is the total a defendant agreed to pay, not an individual payout.
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Anthem Grandfathered Rx Settlement
Anthem denied coverage for brand name (single source) prescription drugs and/or applied a deductible to these drugs under certain grandfathered health plans, resulting in out-of-pocket expenses for members and charging some members an $8,850 deductible. The California Department of Insurance required Anthem to settle this matter.
Up to $8,850
LADR Surgery Settlement
Aetna Life Insurance Company denied coverage for single-level lumbar artificial disc replacement (L-ADR) surgeries, claiming they were experimental or investigational. The settlement requires Aetna to reconsider coverage decisions and provide relief to members who were wrongly denied.
Up to $55,000
Insurance cases in litigation
Filed and being fought in court. These are allegations — there is no settlement, no claim form and no payout yet.
Allstate Insurance Company Class Action
A proposed class action has been filed against Allstate Insurance Company. The specific allegations are not available from the docket metadata provided, but the case appears to involve insurance-related claims brought on behalf of policyholders or account holders.
Bell v. Texas Windstorm Insurance Association RICO Class Action
A proposed class action against Texas Windstorm Insurance Association and related defendants, filed under RICO (Racketeer Influenced and Corrupt Organizations Act) alleging allegedly corrupt or deceptive practices. The complaint names multiple defendants including claims service entities, suggesting potential allegations related to improper insurance claims handling or related misconduct affecting policyholders. The specific factual allegations cannot be determined from the docket entries alone.
Abramson v. Ashia Life and Health Insurance TCPA Class Action
A proposed class action alleging that Ashia Life and Health Insurance LLC violated the Telephone Consumer Protection Act (TCPA), apparently through unauthorized or non-compliant telephone communications to consumers regarding insurance products or services.
Folkner v. Assurance America Managing General Agency
A proposed class action filed against Assurance America Managing General Agency, LLC concerning an alleged contract dispute. The complaint includes a notice letter as an exhibit, suggesting claims potentially related to insurance coverage, policy terms, or benefits management affecting ordinary policyholders or account holders.
Griffin v. Clover Health Investments Class Action
A proposed class action has been filed against Clover Health Investments, Corp. alleging claims arising from a contract dispute. The complaint, filed by Thomas Griffin, seeks to represent a class of individuals, though the specific nature of the contractual claims and the class definition are not detailed in the available docket entries.
Closed to new claims
Past the filing deadline — kept so you can look up what a case was about and what it paid.
State Farm Total Loss Litigation
State Farm Mutual Automobile Ins. Co. allegedly paid its insureds in Arkansas less than the actual cash value of their total loss vehicles. A settlement has been reached with total payments of $15,583,700 available to the entire settlement class.
Paid Pro rata percentage of the Typical Negotiation Adjustment for covered total loss claims
ALFA Mutual Insurance Company Total Loss Settlement
ALFA Mutual Insurance Company allegedly failed to fully reimburse settlement class members for taxes and title/registration transfer fees ("Purchasing Fees") on their total loss auto insurance claims. The defendant denies all liability, including that it failed to fully pay taxes on all total loss claims.
Paid Up to $24
State Farm Auto Insurance Settlement
State Farm allegedly breached its auto insurance policies by failing to pay full purchasing fees for total loss claims, including Alabama state and county sales taxes, ad valorem taxes and fees, and license/tag/school fees. State Farm denies any fault or wrongdoing.
Paid Up to $20.50
Schwartz v. State Farm Uninsured Motorist Coverage Settlement
State Farm is accused of violating New Mexico law in its sale of the underinsured motorist (UIM) component of Uninsured and Unknown Motorist Coverage (U Coverage). State Farm denies the allegations and disputes that it violated New Mexico law, but has agreed to settle the case.
Berton v Aetna Infertility Coverage Settlement
Aetna allegedly denied equal insurance coverage for infertility treatment (IUI, ICI) to LGBTQ+ individuals seeking to get pregnant. While straight couples only needed to attest to 12 months of frequent intercourse to qualify as infertile and receive coverage, LGBTQ+ individuals had to pay out-of-pocket for up to 12 cycles of artificial insemination first to qualify for coverage. Aetna denies wrongdoing and no final court ruling has been made.
Paid $5,714.29–$10,000
Thompson v. Travelers Indemnity Company PIP Settlement
Travelers allegedly wrongfully failed to pay the full Personal Injury Protection (PIP) coverage limit to New Jersey insureds by reducing PIP coverage limits for deductibles and copayments. Defendants deny all allegations of wrongdoing.
Paid From $70
Vega v. Metropolitan Direct Property and Casualty Insurance Company Settlement
Metropolitan Direct allegedly reduced or "offset" underinsured motorist (UM/UIM) claims by the amount insureds received from the at-fault driver's insurer. The settlement provides refunds to affected policyholders and those who purchased UM/UIM coverage during the class period.
Paid Up to $25,000
Soleil and Hammonds v. Hartford Insurance Company UIM Settlement
Hartford collected premiums for underinsured motorist (UIM) automobile insurance coverage that was allegedly illusory, misleading, or inadequate. The defendants improperly applied offsets from UIM claims for amounts already paid by liable parties in automobile accidents.
Crutcher v. Liberty Mutual Insurance UIM Settlement
Liberty Mutual and Safeco allegedly reduced or "offset" underinsured motorist (UIM) claims by the amount paid by at-fault drivers in accidents between October 2010 and March 2022. The company is settling the class action by paying $6.5 million to affected policyholders and providing partial premium refunds to those who purchased UM/UIM coverage during the class period.
Paid Underinsured motorist claimants receive cash payment; UM/UIM policy holders receive partial premium refund
Smith v. AAA Interinsurance Exchange UIM Settlement
AAA (Interinsurance Exchange of the Automobile Club) reduced or "offset" underinsured motorist (UIM) insurance claims by the amount insureds received from the at-fault driver's insurer, and sold UM/UIM coverage during the class period. The settlement provides refunds and payments to affected policyholders.
Paid Up to $25,000
Mamboleo v Pacific Life Insurance Company - PDX Policy Settlement
Pacific Life Insurance Company sold Pacific Discovery Xelerator indexed universal life insurance policies (PDX Policies) in California between 2017 and 2019. The plaintiff claims the marketing materials and illustrations used to sell these policies were misleading. Pacific Life denies any violation of law or harm to policyowners.
Paid Settlement provides an increase to Accumulated Value in the fixed account of PDX Policies that remain in-force, or three years of free term life insurance for terminated policies if the insured is still alive.
Pregon v. State Farm Fire and Casualty Company Settlement
State Farm allegedly improperly depreciated labor and other non-material costs when calculating actual cash value (ACV) payments for structural damage claims to Missouri policyholders. State Farm denies all allegations and contends that policyholders received everything they were entitled to under their policies.
Lucero v Nationwide Settlement
Nationwide allegedly failed to properly advise New Mexico insureds that underinsured motorist (UIM) claims are required by law to be reduced by amounts received from the at-fault driver's insurer. Plaintiff alleges breaches of contract, negligence, unjust enrichment, breach of good faith and fair dealing, and violations of New Mexico's Unfair Trade Practices Act. Defendants deny all allegations and maintain they complied with policy terms and applicable law.
Paid Up to $25,000
Young America Insurance Co. & Loya Insurance Co. UIM Coverage Settlement
Young America Insurance Company and Loya Insurance Company allegedly violated New Mexico law by failing to disclose the limitations of or misrepresenting the value of underinsured motorist (UIM) coverage. The companies also allegedly applied offsets to UIM benefits based on the insurance coverage limits of third parties responsible for bodily injuries or property damage.
Paid UIM claim readjustment and potentially additional UIM benefits for eligible class members; UM/UIM premium refunds for eligible policyholders
Georgia Pathway Class Action Settlement
BCBS-GA misrepresented its healthcare provider network to consumers who purchased individual or family Pathway health insurance plans beginning November 2015, and improperly required Pathway members to obtain referrals to see specialists in 2019. BCBS-GA denies no wrongdoing and agreed to this settlement to avoid further litigation.
Paid Distribution based on Qualifying Billed Charges; amount depends on individual out-of-network claim denials and referral-related issues
Peck v. Progressive UM/UIM Coverage Settlement
Progressive charged premiums for stacked Uninsured/Underinsured Motorist (UM/UIM) coverage on single vehicle automobile policies. The settlement provides a process for eligible insureds to receive automatic payments or submit claims for monetary compensation.
No Joke v. West Bend Mutual Insurance Settlement
West Bend Mutual Insurance Company allegedly improperly deducted Nonmaterial Depreciation when adjusting certain Structural Loss insurance claims for policyholders in Illinois, Kentucky, Missouri, Ohio, Tennessee, Virginia, and Wisconsin.
E.S. v. Regence BlueShield Hearing Aid Coverage Settlement
Two individuals sued Regence BlueShield and Cambia Health Solutions, alleging that Regence excluded hearing aids and related services from certain Washington health plans, violating the law. Regence settled by agreeing to pay $3 million to reimburse class members for uncovered hearing aid expenses from October 2014 through December 2025.
Anthem Residential Treatment Coverage Denial Settlement
Anthem denied claims for residential treatment coverage for mental health conditions and substance use disorders, allegedly using medical necessity criteria that were more restrictive than accepted standards of care and the terms of health benefit plans. Anthem denies the allegations but settled to avoid litigation costs and uncertainty.
Paid Amount depends on how many class members submit claims and will likely not be full reimbursement of out-of-pocket expenses. Class members who do not submit claims receive a nominal payment.
Lyman v. Auto Club Family Insurance Company Settlement
Auto Club Family Insurance Co. allegedly improperly deducted certain types of depreciation (called "Nonmaterial Depreciation") when adjusting structural damage insurance claims for Missouri homeowners. The settlement provides payments to those affected between June 5, 2012 and August 12, 2025.
Paid From $25
Hall Depreciation Settlement - American Family Mutual Insurance
American Family Mutual Insurance Company allegedly improperly deducted Nonmaterial Depreciation when adjusting certain structural loss insurance claims in Wisconsin. The settlement resolves whether these deductions were appropriate.
Martin v. American Family Mutual Insurance Depreciation Settlement
American Family Mutual Insurance Company allegedly improperly deducted nonmaterial depreciation when adjusting certain structural loss insurance claims in Illinois. The settlement resolves whether the defendant properly handled these depreciation deductions.
Zubia v. American Family Insurance Depreciation Settlement
American Family Mutual Insurance Company and Homesite Insurance Company allegedly improperly deducted Nonmaterial Depreciation when adjusting certain structural loss insurance claims in Arizona.
American Family Mutual Insurance Structural Damage Claims Settlement
American Family Mutual Insurance Company is accused of improperly deducting nonmaterial depreciation when adjusting certain structural loss insurance claims in Missouri. The company has reached a proposed settlement to resolve this class action dispute.