Kirby v. BCBS-GA Georgia Pathway Class Action Settlement
This settlement is closed to new claims — the deadline was February 26, 2026. You can still see what it was about and follow the case in court below. Looking for money you can still claim? Browse open settlements →
What happened
BCBS-GA allegedly misrepresented its healthcare provider network to consumers who purchased individual or family Pathway health insurance plans beginning in November 2015, and improperly required Pathway members to obtain referrals from a primary care physician to see specialists in the 2019 plan year. The defendant denies no wrongdoing; both sides agreed to settle before any judgment.
Do you qualify?
Non-excluded Georgia residents who were enrolled in a BCBS-GA Pathway Plan between January 1, 2016, and December 31, 2022.
How to file
Settlement Class Members in BCBS-GA's records with Qualifying Billed Charges (non-covered charges for out-of-network denials or out-of-network issues) could submit a Claim Form by February 26, 2026. Those not in records could also submit claims with proof of qualifying charges. No proof of purchase is required for members already in the company's records.
New to class actions?
This summary was generated from public settlement documents and may contain errors. Confirm eligibility, deadlines, and payment terms on the official settlement website before filing. ClaimWatch is not a law firm and this is not legal advice. Filing a claim is free.
More insurance settlements
View all →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.
Up to $20.50
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.
Up to $24
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.
Pro rata percentage of the Typical Negotiation Adjustment for covered total loss claims
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