<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"><channel><title><![CDATA[Wellpoint Class Action]]></title><description><![CDATA[Articles]]></description><link>http://www.wellpointclassaction.com/</link><copyright><![CDATA[Copyright Wellpoint Class Action]]></copyright><generator>sNews CMS</generator><item><title><![CDATA[Securities Exchange Act of 1934]]></title><description><![CDATA[  The Securities Exchange Act of 1934   is a law governing what is and is not legal in the secondary trading of securities (stocks, bonds, and debentures). The Act, 48 Stat. 881 (June 6, 1934), codified at 15 U.S.C. § 78a et seq., was a sweeping piece of legislation. The Act and related statutes form the basis of regulation of the financial markets and their participants in the United States. It is commonly referred to as the   "Exchange Act"  , the "'34 Act", and the "Act of '34".
    
Companies raise billions of dollars by issuing securities in what is known as the primary market. Contrasted with the Securities Act of 1933, which regulates these original issues, the   Securities Exchange Act of 1934   regulates the secondary trading of those securities between persons often unrelated to the issuer. Trillions of dollars are made and lost each year through trading in the secondary market.    

While the '33 Act contains an antifraud provision (Section 17), when the '34 Act was enacted, questions remained about the reach of that antifraud provision and whether a private right of action existed for purchasers (meaning that ordinary people, and not just the government, could maintain a lawsuit against the bad actor). As it developed, section 10(b) of the 1934 Act and SEC Rule 10b-5 have sweeping antifraud language. Section 10(b) of the Act (as amended) provides (in part):    

        It shall be unlawful for any person, directly or indirectly, by the use of any means or instrumentality of interstate commerce or of the mails, or of any facility of any national securities exchange   

        (b) To use or employ, in connection with the purchase or sale of any security registered on a national securities exchange or any security not so registered, or any securities-based swap agreement (as defined in section 206B of the Gramm-Leach-Bliley Act), any manipulative or deceptive device or contrivance in contravention of such rules and regulations as the Commission may prescribe as necessary or appropriate in the public interest or for the protection of investors.    

Section 10(b) is codified at 15 U.S.C. § 78j(b).    

It's hard to overstate the breadth and utility of section 10(b,) and Rule 10b-5, in the pursuit of securities litigation. Rule 10b-5 has been employed to cover insider trading cases, but has also been used against companies for price fixing (artificially inflating or depressing stock prices through stock manipulation), bogus company sales to increase stock price, and even a company's failure to communicate relevant information to investors. Many plaintiffs in the securities litigation field plead violations of section 10(b) and Rule 10b-5 as a "catchall" allegation, in addition to violations of the more specific antifraud provisions in the '34 Act.    

Source:   Wikipedia    
Other links:   Securities Exchange Act of 1934  ]]></description><pubDate>Wed, 23 Apr 2008 05:33:52 +0000</pubDate><link>http://www.wellpointclassaction.com/laws/securities-exchange-act-of-1934/</link><guid>http://www.wellpointclassaction.com/laws/securities-exchange-act-of-1934/</guid></item><item><title><![CDATA[Class Action Filed by Schiffrin Barroway Topaz &amp; Kessler, LLP]]></title><description><![CDATA[      RADNOR, Pa., 4/22/2008 -- The following statement was issued  by the law firm of     Schiffrin Barroway Topaz & Kessler    :  

Notice is hereby given that a class action lawsuit was filed in the United States District Court for the Southern District of Indiana on behalf of all   purchasers of securities   of      WellPoint, Inc    . WLP ("WellPoint" or the "Company") from January 23, 2008 through March 10, 2008, inclusive (  the "Class Period"  ).    

If you wish to discuss this action or have any questions concerning this notice or your rights or interests with respect to these matters, please contact     Schiffrin Barroway Topaz & Kessler    , LLP (Darren J. Check, Esq. or Richard A. Maniskas, Esq.) toll free at 1-888-299-7706 or 1-610-667-7706, or via e-mail at   info@sbtklaw.com  .    

The Complaint charges   WellPoint   and certain of its officers and directors with violations of the   Securities Exchange Act of 1934  .   WellPoint   is the largest health benefits company in terms of commercial membership in the United States. More specifically, the Complaint alleges that the Company failed to disclose and misrepresented the following material adverse facts which were known to defendants or recklessly disregarded by them:       
  (1) that the Company's medical costs were rising drastically, while at the same time the Company's reserves for medical costs were understated;   
  (2) that the Company's growth in enrollment was in the less profitable sectors, such as self-funded members and products, and that the Company was not achieving sufficient new enrollment of Fully Insured Members;   
  (3) that the Company's geographic diversity was not able to neutralize the adverse economic factors affecting the Company;   
  (4) that the Company lacked adequate internal and financial controls; and 
  (5) that, as a result of the foregoing, the Company's statements about its financial well-being and future business prospects were lacking in any reasonable basis when made.    

On March 10, 2008, the Company shocked investors when it reduced its full year 2008 growth guidance from 15.3% to between 4% and 8% and stated that this would only occur if net realized gains were about $0.06 per share. Additionally, the Company decreased its first quarter 2008 guidance from $1.44 per share to between $1.16 and $1.26 per share, assuming net realized investment gain of $0.06 per share. The Company admitted that it had incurred higher than expected medical costs and lower than expected Fully Insured enrollment. The Company also blamed is troubles on a changing economic environment.    

Upon the release of this news, the Company's shares declined $18.66 per share, or 28.31 percent, to close on March 11, 2008 at $47.26 per share, on unusually heavy trading volume.    

Plaintiff seeks to recover damages on behalf of class members and is represented by the law firm of     Schiffrin Barroway Topaz & Kessler     which prosecutes class actions in both state and federal courts throughout the country.     Schiffrin Barroway Topaz & Kessler     is a driving force behind corporate governance reform, and has recovered billions of dollars on behalf of institutional and individual investors from the United States and around the world.    

For more information about     Schiffrin Barroway Topaz & Kessler     or to sign up to participate in this action online, please visit   www.sbtklaw.com      

If you are a member of the class described above, you may, not later than May 19, 2008, move the Court to serve as lead plaintiff of the class, if you so choose. A   lead plaintiff   is a representative party that acts on behalf of other class members in directing the litigation. In order to be appointed   lead plaintiff  , the Court must determine that the class member's claim is typical of the claims of other class members, and that the class member will adequately represent the class. Your ability to share in any recovery is not, however, affected by the decision whether or not to serve as a lead plaintiff. Any member of the purported class may move the court to serve as lead plaintiff through counsel of their choice, or may choose to do nothing and remain an absent class member.    

     CONTACT:    Schiffrin Barroway Topaz & Kessler, LLP    
               Darren J. Check, Esq.  
               Richard A. Maniskas, Esq.  
               280 King of Prussia Road  
               Radnor, PA 19087  
               1-888-299-7706 (toll free) or 1-610-667-7706  
               Or by e-mail at   info@sbtklaw.com    
]]></description><pubDate>Wed, 23 Apr 2008 05:08:58 +0000</pubDate><link>http://www.wellpointclassaction.com/home/schiffrin-barroway-topaz-kessler/</link><guid>http://www.wellpointclassaction.com/home/schiffrin-barroway-topaz-kessler/</guid></item><item><title><![CDATA[Liner Yankelevitz Investigates Claims Related to WellPoint&#039;s 401(k)]]></title><description><![CDATA[LOS ANGELES, April 16, 2008 --   Liner Yankelevitz Sunshine & Regenstreif LLP   ("LYS&R") has commenced an investigation relating to   WellPoint, Inc.   ("WellPoint" or the "Company") and potential violations of the Employee Retirement Income Security Act of 1974 ("ERISA"). The investigation focuses on investments in   WellPoint   by the   WellPoint, Inc.   401(k) Retirement Savings Plan (the "Plan").    

LYS&R's investigation focuses on concerns that   WellPoint   and the Plan's fiduciaries may have breached their fiduciary duties of loyalty and prudence to the Plan's participants. A breach may have occurred if the fiduciaries failed to prudently manage the Plan's assets, by among other things, offering   WellPoint   stock as a Plan investment option, requiring participants to invest in the stock, and investing and holding Company contributions in the stock at a time when the stock was not a suitable and appropriate investment option. A breach also may have occurred if the fiduciaries withheld or concealed material information from the Plan's participants with respect to the Company's business, financial results, and operations, thereby encouraging participants and beneficiaries to continue to make and maintain substantial investments of Company stock in the Plan.    

If you are a member of the   WellPoint, Inc.   401(k) Retirement Savings Plan and would like to discuss this matter or provide information relevant to our investigation, you may contact any member of our team toll free at (866) 620-6722, or via e-mail at   classaction@linerlaw.com.  
    
  Liner Yankelevitz Sunshine & Regenstreif LLP   is one of America's leading law firms handling ERISA retirement plan litigation. Our attorneys helped pioneer this field in the Rite-Aid and McKesson ERISA breach of fiduciary duty cases, among the first large-scale ERISA 401(k) cases filed. Visit our website at   www.californiaclassaction.com.
      

CONTACT:   Liner Yankelevitz Sunshine & Regenstreif LLP    

         Media Contact:  
         Laura Shovlowsky  
           (310) 500-3407  
         401K Participant Contact:  
         Ronald Kravitz  
           (866) 620-6722  
         classaction@linerlaw.com  
           www.californiaclassaction.com    
]]></description><pubDate>Fri, 18 Apr 2008 06:34:38 +0000</pubDate><link>http://www.wellpointclassaction.com/home/liner-yankelevitz-investigates-claims-related-to-wellpoints-401k/</link><guid>http://www.wellpointclassaction.com/home/liner-yankelevitz-investigates-claims-related-to-wellpoints-401k/</guid></item><item><title><![CDATA[Kaplan Fox &amp; Kilsheimer LLP  has been investigating WellPoint, Inc.]]></title><description><![CDATA[          New York – March 25, 2008   –     Kaplan Fox & Kilsheimer LLP     (www.kaplanfox.com) has been investigating   WellPoint, Inc.   (“WellPoint” or the “Company”) (NYSE: WLP) for potential violations of the federal securities laws.    Investors   who purchased   WellPoint   common stock between January 23, 2008 and March 10, 2008 (“Class Period”) may be affected.   
A complaint has been filed against   WellPoint   that alleges that, during the Class Period, the Company made false and misleading statements and failed to disclose material facts concerning     WellPoint  ’s   medical costs and medical enrollment levels. In addition, the   defendants   misled the market by issuing false and misleading earnings guidance.
     
When   defendants   disclosed the truth to the market on March 10, 2008, the price of   WellPoint’s   common stock dropped 28.3% to close at $47.26 per share, on volume of more than 54 million shares traded, many times the average daily trading volume for   WellPoint   common stock.    
 
If you purchased   WellPoint   common stock and would like to discuss our investigation, please e-mail us at mail@kaplanfox.com or contact:  
   
Frederic S. Fox  
Joel B. Strauss  
Donald R. Hall  
Jeffrey P. Campisi  
  KAPLAN FOX & KILSHEIMER LLP    
850 Third Avenue, 14th Floor  
New York, New York 10022  
(800) 290-1952  
(212) 687-1980  
Fax: (212) 687-7714  
E-mail address: mail@kaplanfox.com    
 
Laurence D. King  
KAPLAN FOX & KILSHEIMER LLP  
350 Sansome Street, Suite 400  
San Francisco, California  94104  
(415) 772-4700  
Fax:  (415) 772-4707  
E-mail address: mail@kaplanfox.com  
 

]]></description><pubDate>Thu, 10 Apr 2008 01:47:23 +0000</pubDate><link>http://www.wellpointclassaction.com/home/kaplan-fox-kilsheimer-wellpoint/</link><guid>http://www.wellpointclassaction.com/home/kaplan-fox-kilsheimer-wellpoint/</guid></item><item><title><![CDATA[Law Offices of Howard G. Smith Announces Investigation]]></title><description><![CDATA[BENSALEM, Pa., April 7, 2008 --   Law Offices of Howard G.
Smith   announces that it is investigating claims against   WellPoint, Inc.  
(  "WellPoint"   or the "Company")(NYSE: WLP) concerning whether the   WellPoint
Retirement Savings Plan   (the "Plan") imprudently invested in   WellPoint  
stock and whether the Plan's administrators breached their fiduciary duties
to the Plan's participants in violation of the Employee Retirement Income
Security Act of 1974.    
    The investigation concerns whether   WellPoint   and other administrators
of the Plan failed to prudently and loyally manage the Plan's investments
in   WellPoint, Inc.   stock by continuing to offer Company stock when the
stock was no longer a prudent investment for participants' retirement
savings.    

    If you are a current or former employee who participated in, or
continues to participate in, the WellPoint Retirement Savings Plan and have
information or would like to learn more about these claims, please contact    
  Howard G. Smith, Esquire,     
  of Law Offices of Howard G. Smith,     
3070 Bristol Pike, Suite 112,   
Bensalem, Pennsylvania 19020     

by telephone at (215)638-4847,     
Toll-Free at   (888) 638-4847  ,   or by email to
  howardsmithlaw@hotmail.com.  
    
]]></description><pubDate>Tue, 08 Apr 2008 23:44:16 +0000</pubDate><link>http://www.wellpointclassaction.com/home/law-offices-of-howard-g-smith-announces-investigation/</link><guid>http://www.wellpointclassaction.com/home/law-offices-of-howard-g-smith-announces-investigation/</guid></item><item><title><![CDATA[WellPoint Customer Information Exposed]]></title><description><![CDATA[April 08, 2008: 06:17 PM EST  NEW YORK (Associated Press) - Personal information that may have included Social Security numbers and pharmacy or medical data for about 128,000     WellPoint Inc.     customers in several states was exposed online over the past year, the health insurer said Tuesday.  
  
WellPoint,   which has had other data security issues in the past, recently learned about the problem, fixed it and is notifying customers, spokeswoman Shannon Troughton said. The nation's largest health insurer by membership is offering free credit-monitoring services for those customers, but has received no reports of identity theft or credit fraud.    
The latest security lapse stems from two servers maintained by an outside vendor that Troughton declined to identify. The vendor specializes in data management.    

WellPoint had learned early last year that a server was improperly secured, and that information on about 1,350 customers may have been exposed online and was vulnerable to Internet search engines. The insurer fixed that breach quickly, Troughton said.  

But the company recently learned that a second server had problems which exposed information for more than 128,000 customers to Internet access for about a year. That data had some code protection and couldn't be found by people using search engines.    

That problem has been corrected, Troughton said, and the company is working with experts to improve its security. It is still using the same vendor.    
"We're constantly working to fortify and bolster our security," she said.    

WellPoint ran into security problems in October 2006, when someone stole back-up computer tapes containing the personal information of nearly 200,000 members from the office of a Massachusetts vendor.
    
Last year, a compact disc containing unprotected personal data for 75,000 customers went missing while it was being shipped between vendors working for WellPoint subsidiary Empire Blue Cross Blue Shield. The disc was recovered.    

Such problems aren't limited to WellPoint. More than 225 million records for U.S. residents have been exposed due to security problems since 2005, according to the nonprofit Privacy Rights Clearinghouse.    

A National Institutes of Health laptop computer containing medical information on 3,000 patients was stolen in late February.    

Still, a security breach involving nearly 130,000 customers raises significant concerns, said Paul Stephens, the director of policy and advocacy at Privacy Rights.    

"Health information is among the most personal sort of information," he said.    

U.S. representatives Edward Markey of Massachusetts and Rahm Emanuel of Illinois, both Democrats, have introduced a bill in Congress that would establish health information privacy and security standards.    

"We would say there should be a strong federal law that would ensure that there are minimum standards built into these systems when it comes to privacy security and confidentiality," said Mark Bayer, Markey's deputy chief of staff.     
Source:   CNN  ]]></description><pubDate>Tue, 08 Apr 2008 23:28:09 +0000</pubDate><link>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-customer-information-exposed/</link><guid>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-customer-information-exposed/</guid></item><item><title><![CDATA[WellPoint Spent  $1.5M to Lobby in 2007]]></title><description><![CDATA[Health insurer     WellPoint Inc.     spent $1.5 million in 2007 to lobby on funding for Medicare Advantage and the reauthorization of the State Children's Health Insurance Program, or SCHIP, among other issues.  
  
The Indianapolis-based company spent $740,000 in the second half of 2007 to lobby the federal government, according to a disclosure form posted online Feb. 14 by the Senate's public records office.
  
  
  WellPoint   also lobbied on issues related to industrial banks, which may be owned by commercial companies and provide some financial services. The Federal Deposit Insurance Corp. approved WellPoint's application to open an industrial bank in September.  
  

The company lobbied on a range of bills related to health insurance and Medicare. In addition,   WellPoint   lobbied on legislation promoting the use of information technology in the health care industry and bills that would allow for similar, or "follow-on," versions of biotech drugs.  
  

WellPoint spent $740,000 in the first six months of 2007 to lobby on many of the same issues.
  
  
Lobbyists are required to disclose activities that could influence members of the executive and legislative branches, under a federal law enacted in 1995.  
Source:   Forbes      ]]></description><pubDate>Wed, 02 Apr 2008 17:50:18 +0000</pubDate><link>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-spent-15m-to-lobby-in-2007/</link><guid>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-spent-15m-to-lobby-in-2007/</guid></item><item><title><![CDATA[Wellpoint to stop select reimbursements]]></title><description><![CDATA[Health insurer   WellPoint Inc.   will start making hospitals pay for certain medical mistakes by cutting off reimbursement. The insurer announced Wednesday it will not cover costs tied to three major medical errors, so-called "never events" like surgery on the wrong body part. It also may withhold payment for expenses tied to eight other problems triggered by hospital care, including bedsores or infections from a catheter.    

  WellPoint  , the nation's largest health insurer with nearly 35 million members, is the latest payer to crack down on medical mistakes. The federal insurer Medicare has said bedsores and other preventable injuries will affect the level of reimbursement it provides.    

Aetna announced several weeks ago it would no longer pay for "never events," a list of 28 serious and rare medical errors devised by the nonprofit National Quality Forum. Never events are mistakes that should never happen to patients, according to the forum.    

  WellPoint   devised its list to spur improvement in U.S. hospital care, which is "not as high as it needs to be," according to Dr. Sam Nussbaum, the company's chief medical officer.    

"It does not parallel the breathtaking advances in sciences and medicine that we know can make a difference in peoples lives," he said.
    
The insurer will cut off payment if surgery is done on the wrong patient or body part or if the wrong surgery is performed. It also may withhold payments tied to a host of other, more common problems. For instance, WellPoint may deny reimbursement for costs related to an infection caused by a catheter that was not changed frequently enough.    

If WellPoint withholds payment, the hospitals -- not the patients -- would have to absorb the cost.    

"All of our contracts say the patient cannot be billed if our review and assessment says that it was not medically appropriate," Nussbaum said.    

WellPoint put 11 items on its initial quality checklist, but the insurer may expand that as the program develops. It tied the mistakes to reimbursement to ensure the problems receive proper attention from hospital administrators.    

"We just want to make sure this gets the absolute full attention it deserves because at the end of the day peoples lives are at risk," Nussbaum said.    

Mistakes have already grabbed the attention of hospital executives, according to the American Hospital Association, which represents about 5,000 U.S. hospitals. WellPoint's program seems to parallel what the association has already asked hospitals to do, said Nancy Foster, its vice president for quality and patient safety.    

Shares of     Wellpoint     fell 43 cents to $45.98 Wednesday.  

Source:   BusinessWeek
  ]]></description><pubDate>Wed, 02 Apr 2008 17:36:38 +0000</pubDate><link>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-to-stop-select-reimbursements/</link><guid>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-to-stop-select-reimbursements/</guid></item><item><title><![CDATA[Thank you]]></title><description><![CDATA[   Thank you for your submission! Someone will return to you shortly   ]]></description><pubDate>Wed, 02 Apr 2008 16:50:28 +0000</pubDate><link>http://www.wellpointclassaction.com/docs/thank-you/</link><guid>http://www.wellpointclassaction.com/docs/thank-you/</guid></item><item><title><![CDATA[Privacy]]></title><description><![CDATA[  This web site is committed to protecting the privacy of Internet users. Below is information outlining our continued support for the responsible management of consumer information.  
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The lawsuit alleges the Company violated the Securities Exchange Act of 1934 when it issued false and misleading statements to the public concerning medical costs and medical enrollment levels. The lawsuit also alleges the Company misrepresented its future earnings potential.

  
  
Purchasers of     WellPoint     common stock with questions concerning their legal rights are invited to contact      Holzer Holzer & Fistel, LLC     and its attorneys Corey D. Holzer, Esq., Michael I. Fistel, Jr., Esq., or   Marshall P. Dees, Esq.   via email at cholzer@holzerlaw.com,   mfistel@holzerlaw.com  , or   mdees@holzerlaw.com  , or via toll-free telephone at   (888) 508-6832.  
  
  

     Holzer Holzer & Fistel, LLC     is an Atlanta, Georgia law firm that dedicates its practice to vigorous representation of shareholders and investors in litigation nationwide, including shareholder class action and derivative litigation. More information about the firm is available through its website,      www.holzerlaw.com     and upon request from the firm.      Holzer Holzer & Fistel, LLC     has paid for the dissemination of this promotional communication, and Corey D. Holzer is the attorney responsible for its content.
  
  
              
                    
                    
                    
                    
              

              ]]></description><pubDate>Wed, 26 Mar 2008 19:32:27 +0000</pubDate><link>http://www.wellpointclassaction.com/home/holzer-holzer-fistel-llc-announces-shareholder-class-action-against-wellpoint-inc/</link><guid>http://www.wellpointclassaction.com/home/holzer-holzer-fistel-llc-announces-shareholder-class-action-against-wellpoint-inc/</guid></item><item><title><![CDATA[Brower Piven Filed Class Action Against WellPoint, Inc.]]></title><description><![CDATA[BALTIMORE, MD  03/23/08   Brower Piven, A Professional Corporation   announces that a class action lawsuit has been commenced in the United States District Court for the Southern District of Indiana on behalf of purchasers of the common stock of     WellPoint, Inc    . (  "WellPoint"   or the "Company") (NYSE: WLP) between January 23, 2008 and March 10, 2008, inclusive (the "Class Period").
    
The complaint alleges that during the Class Period the Company, and certain of its officers and/or directors, violated federal securities laws by issuing various materially false and misleading statements that had the effect of artificially inflating the market price of the Company's securities and causing Class members to overpay for the securities.
    
No class has yet been certified in the above action. If you are a member of the proposed Class, you may, no later than May 19, 2008, ask the Court to allow you to serve as lead plaintiff for the proposed Class. To serve as a lead plaintiff, you must satisfy certain legal requirements. In making your decision, you should take into account that those with large financial losses resulting from the alleged federal securities law violations are given preference in being appointed lead plaintiff.    

If you have suffered a net loss for all transactions in     WellPoint     securities during the Class Period (including shares or calls purchased during, but retained after, the Class Period or put options sold but not covered until after the Class Period), you may obtain additional information about this lawsuit and your ability to become a lead plaintiff by contacting   Brower Piven   (without obligation or cost to you) at     www.browerpiven.com    , by email at   hoffman@ browerpiven.com,   by calling 410-986-0036, or at     
  Brower Piven,     
The World Trade Center-Baltimore,   
401 East Pratt Street, Suite 2525,   
Baltimore, Maryland 21202.     

Attorneys at   Brower Piven   have combined experience in securities and class action litigation of over 40 years. If you choose to retain counsel, you may retain   Brower Piven  , or you may retain other counsel of your choice.
    
CONTACT:   Brower Piven,   A Professional Corporation Baltimore, Maryland Charles J. Piven 410/986-0036 hoffman@browerpiven.com  

  

  Download PDF  ]]></description><pubDate>Mon, 24 Mar 2008 14:06:04 +0000</pubDate><link>http://www.wellpointclassaction.com/home/brower-piven-filed-class-action-against-wellpoint-inc/</link><guid>http://www.wellpointclassaction.com/home/brower-piven-filed-class-action-against-wellpoint-inc/</guid></item><item><title><![CDATA[Bernard M. Gross, P.C. Filed a Class Action Suit Against WellPoint, Inc]]></title><description><![CDATA[       PHILADELPHIA, 03/19/2008 Law Offices   Bernard M. Gross, P.C.   has commenced a class action lawsuit in the United States District Court, Southern District of Indiana, on behalf of purchasers of the common stock of   WellPoint, Inc  .("WellPoint" or the "Company") (NYSE:WLP) between January 23, 2008 and March 10, 2008, inclusive (the "Class Period"), seeking to pursue remedies under the Securities Exchange Act of 1934. The action is pending before the Honorable Sarah Evans Barker.
    
If you wish to serve as lead plaintiff, you must move the Court no later than May 19, 2008. If you wish to discuss this action or have any questions concerning this notice or your rights or interests, please contact plaintiff's counsel, Deborah R. Gross or Susan R. Gross at 866-561-3600 or 215-561-3600 or via email at   debbie@bernardmgross.com   or   susang@bernardmgross.com  . Any member of the purported class may move the Court to serve as lead plaintiff through counsel of their choice, or may choose to do nothing and remain an absent class member.    

The complaint charges   WellPoint   and certain of its officers and directors with violations of the Federal Securities Laws. WellPoint operates as a commercial health benefits company in the United States. Defendants made false and misleading statements and failed to disclose material facts concerning   WellPoint  's medical costs and medical enrollment levels. In addition, based on these false and misleading statements of current fact, defendants misled the market by issuing false and misleading earnings guidance. Additionally, during the class period, defendant Glasscock sold $6.6 million worth of WellPoint stock.    

In truth, the Company was experiencing significant increases in its medical costs and adverse reserve developments in 2008 which would require increases to WellPoint's medical cost reserve.     WellPoint    's membership growth was weighted more towards the less profitable self-funded products and enrollment in fully insured products was down. As a result of these known facts at the beginning of the Class Period, defendants provided earnings guidance which they knew   WellPoint   would not be able to achieve.    

When defendants disclosed the truth to the market on March 10, 2008, the price of   WellPoint  's common stock dropped 28.3% to close at $47.26, on volume of more than 54 million shares.    

Plaintiff seeks to recover damages on behalf of all those who purchased the common stock of WellPoint (NYSE:WLP) between January 23, 2008 and March 10, 2008. The plaintiff is represented by Law Offices   Bernard M. Gross, P.C.  . The firm has expertise in prosecuting investor class actions and extensive experience in actions involving financial fraud.    

If you wish to discuss this action or have any questions concerning this Notice or rights or interests with respect to these matters,
     

 PLEASE CONTACT:  Law Offices Bernard M. Gross, P.C.   
                  Susan R. Gross, Esq.   
                  Deborah R. Gross, Esq.  
                  Telephone: 866-561-3600 (toll free) or 215-561-3600  
                  E-mail:    susang@bernardmgross.com  
                             debbie@bernardmgross.com  
                  Website:     http://www.bernardmgross.com    


]]></description><pubDate>Sun, 23 Mar 2008 10:36:57 +0000</pubDate><link>http://www.wellpointclassaction.com/home/bernard-m-gross-pc-filed-a-class-action-suit-against-wellpoint-inc/</link><guid>http://www.wellpointclassaction.com/home/bernard-m-gross-pc-filed-a-class-action-suit-against-wellpoint-inc/</guid></item><item><title><![CDATA[Wellpoint]]></title><description><![CDATA[January 23, 2008 and March 10, 2008  
The Complaint charges that WellPoint, a health benefits company, and certain of its officers and directors violated federal securities laws. Specifically, defendants misled the market by issuing false and misleading earnings guidance. When defendants disclosed the truth to the market on March 10, 2008, the price of WellPoint's common stock dropped 28.3% to close at $47.26 per share]]></description><pubDate>Sun, 23 Mar 2008 10:07:56 +0000</pubDate><link>http://www.wellpointclassaction.com/home/wellpoint/</link><guid>http://www.wellpointclassaction.com/home/wellpoint/</guid></item><item><title><![CDATA[Schatz Nobel Izard P.C. Announces Class Action Lawsuit Against WellPoint]]></title><description><![CDATA[      
HARTFORD, Conn., 03/18/2008 The law firm of   Schatz Nobel Izard P.C.  , which has significant experience representing investors in prosecuting claims of securities fraud, announces that a lawsuit seeking class action status has been filed in the United States District Court for the Southern District of Indiana on behalf of all persons who purchased the common stock of   WellPoint  , Inc. ("WellPoint" or the "Company") (NYSE:WLP) between January 23, 2008 and March 10, 2008, inclusive (the "Class Period").      
The Complaint charges that WellPoint, a health benefits company, and certain of its officers and directors violated federal securities laws. Specifically, defendants misled the market by issuing false and misleading earnings guidance. When defendants disclosed the truth to the market on March 10, 2008, the price of WellPoint's common stock dropped 28.3% to close at $47.26 per share.     

If you are a member of the class, you may, no later than May 19, 2008, request that the Court appoint you as lead plaintiff of the class. A lead plaintiff is a class member that acts on behalf of other class members in directing the litigation. Although your ability to share in any recovery is not affected by the decision whether or not to seek appointment as a lead plaintiff, lead plaintiffs make important decisions which could affect the overall recovery for class members. 
    
While   Schatz Nobel Izard P.C.   has not filed a lawsuit against the defendants, to view a copy of the Complaint initiating the class action or for more information about the case, class action cases in general, and your rights, please contact Schatz Nobel Izard P.C. toll-free at (800) 797-5499, or by e-mail at   firm@snilaw.com  , or visit our website:   www.snilaw.com  .     

CONTACT:   Schatz Nobel Izard P.C.    
         Wayne T. Boulton  
         Nancy A. Kulesa  
         (800) 797-5499  
         firm@snilaw.com  
         www.snilaw.com  
]]></description><pubDate>Sun, 23 Mar 2008 09:50:38 +0000</pubDate><link>http://www.wellpointclassaction.com/home/schatz-nobel-izard-pc-announces-class-action-lawsuit-against-wellpoint/</link><guid>http://www.wellpointclassaction.com/home/schatz-nobel-izard-pc-announces-class-action-lawsuit-against-wellpoint/</guid></item><item><title><![CDATA[Coughlin Stoia Geller Rudman &amp; Robbins LLP Files Class Action against  WellPoint, Inc.]]></title><description><![CDATA[         Coughlin Stoia Geller Rudman & Robbins LLP   (“Coughlin Stoia”) today   (3/18/2008)   announced that a class action has been commenced in the United States District Court for the   Southern District of Indiana   on behalf of purchasers of   WellPoint, Inc.   (“Wellpoint”) (NYSE:WLP) common stock during the period between January 23, 2008 and March 10, 2008 (the “Class Period”).  If you wish to serve as lead plaintiff, you must move the Court no later than 60 days from today.    

 If you wish to discuss this action or have any questions concerning this notice or your rights or interests, please contact plaintiff’s counsel,   Samuel H. Rudman   or   David A. Rosenfeld   of   Coughlin Stoia   at 800/449-4900 or 619/231-1058, or via e-mail at   djr@csgrr.com  . If you are a member of this class, you can view a copy of the complaint as filed or   join this class action online  . Any member of the purported class may move the Court to serve as lead plaintiff through counsel of their choice, or may choose to do nothing and remain an absent class member.    

The complaint charges WellPoint and certain of its officers and directors with violations of the Securities Exchange Act of 1934. WellPoint describes itself as the largest health benefits company in terms of commercial membership in the United States.    

The complaint alleges that during the Class Period, defendants made false and misleading statements and failed to disclose material facts concerning WellPoint’s medical costs and medical enrollment levels. In addition, the complaint alleges that defendants misled the market by issuing false and misleading earnings guidance.    

When defendants disclosed the truth to the market on March 10, 2008, the price of WellPoint’s common stock dropped 28.3% to close at $47.26 per share, on volume of more than 54 million shares traded, many times the average daily trading volume for WellPoint common stock.    

Plaintiff seeks to recover damages on behalf of all purchasers of Wellpoint common stock during the Class Period (the “Class”). The plaintiff is represented by Coughlin Stoia, which has expertise in prosecuting investor class actions and extensive experience in actions involving financial fraud.    

    Coughlin Stoia  , a 190-lawyer firm with offices in San Diego, San Francisco, Los Angeles, New York, Boca Raton, Washington, D.C., Philadelphia and Atlanta, is active in major litigations pending in federal and state courts throughout the United States and has taken a leading role in many important actions on behalf of defrauded investors, consumers, and companies, as well as victims of human rights violations. The   Coughlin Stoia Web site    has more information about the firm.      

  Contact:  

Coughlin Stoia Geller Rudman & Robbins LLP  
Samuel H. Rudman, 800-449-4900  
or  
David A. Rosenfeld  
djr@csgrr.com      ]]></description><pubDate>Fri, 21 Mar 2008 19:26:26 +0000</pubDate><link>http://www.wellpointclassaction.com/home/coughlin-stoia-geller-rudman-robbins-llp-files-class-action-against-wellpoint-inc/</link><guid>http://www.wellpointclassaction.com/home/coughlin-stoia-geller-rudman-robbins-llp-files-class-action-against-wellpoint-inc/</guid></item><item><title><![CDATA[Spector Roseman &amp; Kodroff, P.C. announced  Class Action against  WellPoint  Inc]]></title><description><![CDATA[         PHILADELPHIA, 03/19/2008    The law firm of   Spector Roseman & Kodroff, P.C.   announces that a securities class action lawsuit was commenced in the United States District Court for the Southern District of Indiana, on behalf of purchasers of the common stock of       WellPoint, Inc    .   ("WellPoint" or the "Company") (NYSE:WLP) between January 23, 2008 through March 10, 2008, inclusive (the "Class Period").    

The Complaint charges     WellPoint     and certain of its officers and directors ("Defendants") with violations of the Federal Securities Laws.     WellPoint     operates as a commercial health benefits company in the United States. The Complaint alleges that Defendants made false and misleading statements including failing to disclose material facts concerning     WellPoint     medical costs and medical enrollment levels. In this regard, Defendants misled the market by, inter alia, issuing false and misleading earnings guidance. Additionally, during the class period, defendant Glasscock sold $6.6 million worth of his     WellPoint     stock.    

In truth, the Company was experiencing significant increases in its medical costs and adverse reserve developments in 2008 which would require increases to WellPoint's medical cost reserve. Moreover,     WellPoint    's membership growth was weighted more towards the less profitable self-funded products and enrollment in fully insured products was down. As a result of these known facts at the beginning of the Class Period, defendants provided earnings guidance which they knew the Company would not be able to achieve. When defendants disclosed the truth on March 10, 2008, the price of     WellPoint    's common stock dropped   28.3% to close at $47.26  , on volume of more than 54 million shares.    

If you purchased WellPoint securities during the Class Period, you may, no later than May 19, 2008, move to be appointed as a Lead Plaintiff in this class action. A Lead Plaintiff is a representative, chosen by the Court, that acts on behalf of other class members in directing the litigation. The Private Securities Litigation Reform Act of 1995 directs Courts to assume that the class member(s) with the "largest financial interest" in the outcome of the case will best serve the class in this capacity. Courts have discretion in determining which class member(s) have the "largest financial interest," and have appointed Lead Plaintiffs with substantial losses in both absolute terms and as a percentage of their net worth.    

If you have sustained substantial losses in     WellPoint     securities during the Class Period, please contact     Spector, Roseman & Kodroff, P.C.,     at   classaction@srk-law.com   for a more thorough explanation of the Lead Plaintiff selection process. If you have relatively small losses, your ability to participate in any recovery will be protected by the Lead Plaintiff(s), and you need take no affirmative steps at this time. If you wish to join this action or have any questions concerning this notice or your rights or interests, please contact plaintiff's counsel   Robert M. Roseman   or   David Felderman   toll-free at 888-844-5862 or via E-mail at   classaction@srk-law.com  . For more detailed information about the firm please visit its website at     http://www.srk-law.com    .
    
    Spector, Roseman & Kodroff, P.C.,     located in Philadelphia, Pennsylvania, concentrates its practice in complex litigation including actions dealing with securities laws, antitrust, contract and commercial claims. The firm is active in major litigation pending in federal and state courts throughout the United States. The firm's reputation for excellence has been recognized on repeated occasions by courts which have appointed the firm as lead counsel in numerous major class actions involving violations of the federal securities laws and the federal antitrust laws, and consumer fraud. As a result of the efforts of the firm, and its members, hundreds of millions of dollars have been recovered through judgments and settlements on behalf of thousands of defrauded shareholders and companies.       
  

]]></description><pubDate>Fri, 21 Mar 2008 18:46:43 +0000</pubDate><link>http://www.wellpointclassaction.com/home/spector-roseman-kodroff-pc-announced-class-action-against-wellpoint-inc/</link><guid>http://www.wellpointclassaction.com/home/spector-roseman-kodroff-pc-announced-class-action-against-wellpoint-inc/</guid></item><item><title><![CDATA[Overtime Lawsuit]]></title><description><![CDATA[Insurer WellPoint Inc. faces a lawsuit charging that it failed to pay overtime to former and current nurses in violation of state and federal labor laws.  
  
Nurses performing utilization review, case management or medical management functions in Indianapolis-based WellPoint’s call centers regularly worked more than 40 hours without overtime compensation, according to the complaint, filed last week in the U.S. District Court for the Northern District of New York.  
  
By failing to properly document and compensate the nurses for overtime work, the insurer violated the federal Fair Labor Standards Act, according to the suit, which seeks class action status. The company also allegedly violated the New York Labor Law, which requires employers to pay overtime compensation to all nonexempt employees.
  
  
The complaint seeks a declaratory judgment that the practices are unlawful, an injunction to prevent further violations, damages, costs and attorney fees. Rachhana Srey, an attorney at Nichols, Kaster & Anderson P.L.L.P. in Minneapolis who is representing the nurses, said the firm does not yet have an estimate of national class members and total damages. At least 100 current and former employees of WellPoint located in New York would be part of the proposed class, and damages for this group are estimated to exceed $5 million, according to the complaint.  
  (Source)  ]]></description><pubDate>Fri, 07 Mar 2008 22:24:41 +0000</pubDate><link>http://www.wellpointclassaction.com/previous-lawsuits/overtime-lawsuit/</link><guid>http://www.wellpointclassaction.com/previous-lawsuits/overtime-lawsuit/</guid></item><item><title><![CDATA[Anthem, Inc. (n/k/a WellPoint, Inc.)]]></title><description><![CDATA[Summary: In December 2005, the case was transferred from the U.S. District Court for the Northern Ohio to the U.S. District Court for the Southern District of Indiana. On January 31, 2006, a Second Amended Class Action Complaint For Money Damages And For Injunctive And Other Equitable Relief was filed. The class action lawsuit was filed on behalf of former members of Anthem Insurance Companies, Inc. ("Anthem Insurance") who received cash compensation in or about December 2001 when Anthem Insurance converted from a mutual to a stock insurance company. The conversion took place on November 2, 2001. The class action lawsuit alleges violations of the Securities Exchange Act of 1934 and Indiana statutes, breach of fiduciary duty and contract, unjust enrichment and negligence.  

Specifically, the suit alleges Defendants made material misrepresentations and omitted material facts in documents sent to members who approved the conversion. To raise the cash needed to compensate former members for their interests, Anthem stock was sold in an initial public offering ("IPO") on October 30, 2001. Defendants reduced the price at which the IPO shares would be offered in order to sell almost twice as many shares as had been represented would be sold, thus raising almost twice as much cash. Defendants then allegedly took advantage of the cash compensation default mechanism in the Plan of Conversion and prevented hundreds of thousands of members from becoming Anthem shareholders. Defendants allegedly devised the scheme to save costs and avoid complexities associated with a large shareholder population. Since the cash compensation paid to former members was tied to the allegedly depressed IPO share price, all former members who were paid cash are alleged to have received inadequate compensation. In addition, Anthem and Anthem Insurance allegedly misinformed former members that the entire cash compensation was taxable capital gain income.    


COMPANY/ISSUER NAME: 	Anthem, Inc.  
COMPANY/ISSUER TICKER: 	WLP  
COMPANY WEBSITE: 	http://www.anthem.com  
FIRST IDENTIFIED COMPLAINT IN THE DATABASE  
Daniel J. Cescato, et al. v. Anthem, Inc., et al.  
 COURT: N.D. Ohio 	 DOCKET NUMBER: 05-CV-02004  
 JUDGE NAME: Hon. Dan Aaron Polster  
 DATE FILED: 08/16/2005 	   SOURCE: Notice of Filing  
 CLASS PERIOD START: 11/02/2001 	 CLASS PERIOD END: 11/02/2001  
 TYPE OF COMPLAINT: Unamended/Unconsolidated  
 PLAINTIFF FIRMS IN THIS OR SIMILAR CASE:  
# Dennis P. Barron  
  P.O. Box 8190, Cincinnati, OH, 45208  
   (voice) (513) 871-2369, (fax) (513) 871-2369, dennispbarron@aol.com  
_____________________________________________  
 TOTAL NUMBER OF PLAINTIFF FIRMS:  1  

 DOCUMENTS FOR THE REFERENCE COMPLAINT  
Second Amended Class Action Complaint For Money Damages And For Injunctive And Other Equitable Relief  
Type: Complaint 	Date on the document: 01/31/2006  
Order Appointing Lead Plaintiff And Counsel  
Type: Order 	Date on the document: 06/16/2006  
U.S. District Court Civil Docket  
Type: Docket 	Date on the document: 06/16/2006  


Info source:    http://securities.stanford.edu/1035/WLP_01/  ]]></description><pubDate>Tue, 23 Oct 2007 07:53:24 +0000</pubDate><link>http://www.wellpointclassaction.com/previous-lawsuits/anthem-nka-wellpoint/</link><guid>http://www.wellpointclassaction.com/previous-lawsuits/anthem-nka-wellpoint/</guid></item><item><title><![CDATA[Database Security Breach Notification Act (CA SB 1386)]]></title><description><![CDATA[California SB 1386 became effective in on 1st July 2003, amending civil codes 1798.29, 1798.82 and 1798.84.. It is a serious bill, with far reaching implications. Essentially, it requires an agency, person or business that conducts business in California and owns or licenses computerized 'personal information' to disclose any breach of security (to any resident whose unencrypted data is believed to have been disclosed). The bill mandates various mechanisms and procedures with respect to many aspects of this scenario, subject also to other defined provisions.
  
SB 1386 is a California law regulating the privacy of personal information. The law was introduced by California State Senator Peace on February 12, 2002, and became operative July 1, 2003.
    
ABSTRACT: Enactment of a requirement for notification to any resident of California whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person.
    

The statute went into effect July 1, 2003, under California Civil Code Section 1798.29, and requires notification to any resident of California whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person.    

  Frequently asked questions:    

  Q: Can you tell me if this means an out of state corporation must notify a CA resident if their info is compromised, even if they have no nexus with CA?  

The statute requires notification if you meet the following:   
(1) Any agency that owns or licenses computerized data that includes personal information   
(2) shall disclose any breach of the security of the system following discovery or notification of the breach in the security of the data   
(3) to any resident of California whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person.    

My read is that any out of state corporation that has personal information relating to a California resident would fall under this statute. A question on minimum contacts would then ensue as to whether an action may be brought in California to enforce the California resident's rights under the statute.

  Q: How can the corporations determine whether they are subject to this statute?  

(1) Does their data include "personal information" as defined by the statute?   
(2) Does that "personal information" relate to a California resident?   
(3) Was the "personal information" unencrypted?   
(4) Was there a "breach of the security" of the data as defined by the statute?   
(5) Was the "personal information" acquired, or is reasonably believed to have been acquired, by an unauthorized person?  

If you answer yes to all five of these questions then you must report.  

The statute does not apply to "encrypted" information. Thus one way to avoid reporting is to encrypt all "personal information." You can also avoid reporting if your data does not contain "personal information" relating to a California resident.  

  Text of CB 1386  
  
  

    Since the state of California passed the Database Security Breach Notification Act (SB 1386) in 2003 another 34 states have passed similar legislation with more set to follow.    ]]></description><pubDate>Tue, 23 Oct 2007 05:12:14 +0000</pubDate><link>http://www.wellpointclassaction.com/laws/database-security-breach-notification-act-ca-sb-1386/</link><guid>http://www.wellpointclassaction.com/laws/database-security-breach-notification-act-ca-sb-1386/</guid></item><item><title><![CDATA[5.14.2007 Insurance fraud ends in a $1 million fine by the California Department of Managed Health C]]></title><description><![CDATA[San Francisco, CA: The state brought charges against Indianapolis-based WellPoint Inc.'s subsidiary in California, Blue Cross, alleging that the insurer retroactively canceled health insurance policies of more than 6,000 policyholders. For decades, insurers have canceled a small percentage of policies when they found mistakes or omissions on application forms completed by policyholders. Insurers defend the practice, called rescission, as a check against fraud. The class action suit ended in a settlement where Blue Cross pledged not to retroactively cancel coverage unless policyholders intentionally misrepresented information on their applications, and to make sharp changes in its practices. It was fined $1 million by the California Department of Managed Health Care.    
5.14.2007]]></description><pubDate>Sun, 21 Oct 2007 07:29:53 +0000</pubDate><link>http://www.wellpointclassaction.com/previous-lawsuits/insurance-fraud-ends-in-a-1-million-fine-by-the-california-department-of-managed-health-care/</link><guid>http://www.wellpointclassaction.com/previous-lawsuits/insurance-fraud-ends-in-a-1-million-fine-by-the-california-department-of-managed-health-care/</guid></item><item><title><![CDATA[WellPoint Sued for Illegal Practices]]></title><description><![CDATA[Los Angeles, CA: WellPoint, Inc. and its subsidiaries are facing a class action suit for canceling insurance coverage even after they had authorized medical procedures, leaving patients to pay for their medical expenses. Defendants named in the suit are WellPoint, Inc., Blue Cross of California, and Blue Cross Life and Health.    

According to the suit, WellPoint and its subsidiaries regularly violated California state law by retroactively rescinding patients' insurance coverage in order to avoid paying expensive claims, even after the insurance carriers had authorized the medical procedures. Plaintiffs contend that this violates California law which prohibits insurance companies from refusing to pay medical bills when hospital services have been provided based on the authorization of the insurance carrier.     


The suit also argues that when claims reach a certain dollar maximum, the insurance carriers review the patient's medical records and look for reasons to revoke the policy, including "any discrepancies in the member's application, no matter how vague or irrelevant."    


This leaves sick patients with massive medical bills that many cannot afford to fully pay, including bills for costly medical problems. A spokesperson for the California Hospital Association said insurance payment denials add to the financial strain on hospitals and are ultimately passed on to other patients, taxpayers, investors and lenders.     


Unfortunately, hospitals may never know how much money they've lost to retroactively rescinded policies because the WellPoint subsidiaries rarely give an explanation for denying patients' claims. The hospitals may not be informed as to whether or not a policy has been retroactively rescinded. 
    

Spokespeople for the insurance carriers claim that the cancellations are necessary in order to prevent fraud. However consumer advocates argue that in some cases insurance was cancelled as a way to avoid paying for expensive claims.    


The class action lawsuit was filed October 13 on behalf of all California hospitals and seeks payment for all treatment that WellPoint and Blue Cross authorized and then rescinded in the past four years. The suit also seeks interest and punitive damages and asks the court to order the insurance companies to cease the illegal practice.     


This class action follows a recent $200,000 fine to Blue Cross stemming from improperly rescinding a patient's coverage. In that case, Blue Cross illegally cancelled the patient's coverage claiming that she knowingly withheld information about corrective surgery she had 23 years earlier.    


Furthermore, individual policy holders have also filed suit against WellPoint and its subsidiaries claiming their insurance was illegally revoked after they required treatment.     


WellPoint, Inc., Blue Cross and Blue Cross Life and Health must pay for care they have authorized, regardless of whether or not coverage is later revoked. Illegally canceling policies leaves sick patients with bills that they cannot afford to pay.     




November 1, 2006. By Heidi Turner]]></description><pubDate>Sun, 21 Oct 2007 07:27:05 +0000</pubDate><link>http://www.wellpointclassaction.com/previous-lawsuits/wellpoint-sued-for-illegal-practices/</link><guid>http://www.wellpointclassaction.com/previous-lawsuits/wellpoint-sued-for-illegal-practices/</guid></item><item><title><![CDATA[Can one sell his/her stock in the company being sued in a securities class action and still be a cla]]></title><description><![CDATA[Yes, the stock can be sold. It is not necessary to retain ownership after the class period has expired to participate in the lawsuit.]]></description><pubDate>Sun, 21 Oct 2007 07:15:47 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/can-one-sell-hisher-stock-in-the-company-being-sued-in-a-securities-class-action-and-still-be-a-clas/</link><guid>http://www.wellpointclassaction.com/class-action-faq/can-one-sell-hisher-stock-in-the-company-being-sued-in-a-securities-class-action-and-still-be-a-clas/</guid></item><item><title><![CDATA[How are plaintiffs&#039; attorneys paid in class action cases?]]></title><description><![CDATA[The Plaintiffs' attorneys are paid out of the common settlement fund in accordance with an order from the court in which the case is pending, and only if the case is successful.]]></description><pubDate>Sun, 21 Oct 2007 07:13:24 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/how-are-plaintiffs-attorneys-paid-in-class-action-cases/</link><guid>http://www.wellpointclassaction.com/class-action-faq/how-are-plaintiffs-attorneys-paid-in-class-action-cases/</guid></item><item><title><![CDATA[What happens if one does not apply to be appointed as a lead plaintiff?]]></title><description><![CDATA[Anyone who purchased securities during the class period and sustained losses are automatically part of the class action and are entitled to share in any judgment or settlement obtained on behalf of the class.]]></description><pubDate>Sun, 21 Oct 2007 07:11:49 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-happens-if-one-does-not-apply-to-be-appointed-as-a-lead-plaintiff/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-happens-if-one-does-not-apply-to-be-appointed-as-a-lead-plaintiff/</guid></item><item><title><![CDATA[What are the advantages of being a lead plaintiff?]]></title><description><![CDATA[
  Advantages  
A   Lead Plaintiff   can communicate with the lawyers about the progress of the case and may have the right to influence the lawyers and, thus, the outcome of the case.

  Disadventages  
A Lead Plaintiff will probably be required to offer testimony at a deposition, describing how the "lead plaintiff" was harmed.]]></description><pubDate>Sun, 21 Oct 2007 07:07:28 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-are-advantages-of-lead-plaintiff/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-are-advantages-of-lead-plaintiff/</guid></item><item><title><![CDATA[When can one apply to be appointed as a lead plaintiff in a securities class action?]]></title><description><![CDATA[Anyone who is a member of a securities class can apply to be appointed as a   Lead Plaintiff   within sixty days after a notice of the first class action has been published.]]></description><pubDate>Sun, 21 Oct 2007 07:04:13 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/when-can-one-apply-to-be-appointed-as-lead-plaintiff-in-securities-class-action/</link><guid>http://www.wellpointclassaction.com/class-action-faq/when-can-one-apply-to-be-appointed-as-lead-plaintiff-in-securities-class-action/</guid></item><item><title><![CDATA[What is a lead plaintiff in a securities class action?]]></title><description><![CDATA[A Lead Plaintiff is one or more persons appointed by the court to act as the representative of the class]]></description><pubDate>Sun, 21 Oct 2007 07:01:35 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-is-lead-plaintiff-in-a-securities-class-action/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-is-lead-plaintiff-in-a-securities-class-action/</guid></item><item><title><![CDATA[What is a class period?]]></title><description><![CDATA[The Class Period is the period of time during which the alleged fraud, wrongdoing or securities law violations artificially inflated the price of the stock or security at issue or otherwise caused losses.]]></description><pubDate>Sun, 21 Oct 2007 07:00:13 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-is-class-period/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-is-class-period/</guid></item><item><title><![CDATA[What is a securities class action]]></title><description><![CDATA[A Securities Class Action is typically brought on behalf of all people who purchased or acquired the stock or other security of a publicly traded company during the period of artificial market price inflation (the "Class Period").]]></description><pubDate>Sun, 21 Oct 2007 06:58:56 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-is-securities-class-action/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-is-securities-class-action/</guid></item><item><title><![CDATA[What is a class action?]]></title><description><![CDATA[A Class Action is a civil lawsuit brought on behalf of many people who have been harmed in a similar manner. A class action cannot be prosecuted unless at least one person harmed by the conduct is willing to serve as a class representative (Lead Plaintiff).]]></description><pubDate>Sun, 21 Oct 2007 06:57:27 +0000</pubDate><link>http://www.wellpointclassaction.com/class-action-faq/what-is-a-class-action/</link><guid>http://www.wellpointclassaction.com/class-action-faq/what-is-a-class-action/</guid></item><item><title><![CDATA[Wellpoint Settles Lawsuits with Physicians and Medical Societies]]></title><description><![CDATA[On July 11, 2005, counsel for approximately 900,000 physicians and WellPoint, Inc., announced that they have settled two national class actions pending in federal court for the Southern District of Florida before U.S. District Judge Federico Moreno as well as multiple state court actions filed against the company.  WellPoint is the fourth company named as a Defendant in the Managed Care Litigation in Florida to settle with physicians.  The agreement includes the resolution of two national lawsuits against both pre-merger companies, WellPoint Health Networks Inc. and Anthem, Inc. (“WellPoint”) and includes substantial commitments by WellPoint to institute a significant number of business practice changes that will benefit physicians.     

This agreement includes industry-leading improvements to physician-related business practices.  The cornerstone of these business practices is WellPoint’s agreement to apply generally accepted medical standards.  Additionally, WellPoint has committed to increase transparency in paying claims and has agreed to an enforcement mechanism to help ensure compliance with the terms of the settlement.  The business practice changes and transparency add significant value to physicians in terms of ensuring reduced overhead and greater focus on patient care. The agreement will also streamline communication between physicians and WellPoint, reduce administrative complexity in the claims payment system and help to improve the quality of the health care system in general.    

If approved by the court, the agreement would conclude this lawsuit against WellPoint as part of on-going multi-district litigation currently pending against many of the nation’s largest for-profit health insurers and which is scheduled for trial on January 23, 2006.     

The settlement also includes a payment of $135 million to a settlement fund for  payments to physicians and $5 million to a non-profit foundation devoted to better health care. The total value of the business practice changes is hundreds of millions of dollars.    

  Key Aspects of Settlement  

In addition to the monetary component of the settlement, physicians and WellPoint have agreed to new levels of transparency and communication as well as a renewed commitment concerning business practices through a number of initiatives.  In the agreement, WellPoint has agreed to, among other things:
    
A definition of medical necessity that ensures that patients are entitled to receive medically necessary care as determined by a physician exercising clinically prudent judgment in accordance with generally accepted standards of medical practice;  
Use of clinical guidelines that are based on credible scientific evidence published in peer reviewed medical literature (taking into account Physician Specialty Society recommendations, the views of Physicians practicing in the relevant clinical areas, and other relevant factors) when making medical necessity determinations;  
Provide physicians with access to an independent medical necessity external review process;  
Establish an independent external review board for resolving disputes with physicians concerning many common billing disputes;  
Pay for the cost of recommended vaccines and injectibles and for the administration of such vaccines and injectibles;  
Not automatically reduce the intensity coding of evaluation and management codes billed for covered services;  
Ensure the payment of valid clean claims within fifteen (15) days for electronically-submitted claims and thirty (30) days for paper claims;  
Provide fee schedules via electronic communication;  
Establish a compliance dispute resolution mechanism to address disputes regarding WellPoint 's compliance with the agreement;  
Establish a physician advisory committee; and  
Provide ninety (90) days notice of changes in practices and policies and annual changes to fee schedules.  
“Hopefully this settlement by the nation’s largest health insurer signals a new day of cooperation with physicians and helps forge a new constructive working relationship with them,” said Tim Norbeck, Executive Director of the Connecticut State Medical Society.    

"The commitments obtained from WellPoint in this settlement represent real progress in our ongoing efforts to ensure that physicians in this country are able to achieve the highest quality health care for patients in this country. We are pleased that WellPoint has committed to these efforts," said Edith Kallas, partner with Milberg Weiss Bershad & Schulman in New York.    

7.11.2005]]></description><pubDate>Sun, 21 Oct 2007 06:38:26 +0000</pubDate><link>http://www.wellpointclassaction.com/previous-lawsuits/wellpoint-settles-lawsuits-with-physicians-and-medical-societies/</link><guid>http://www.wellpointclassaction.com/previous-lawsuits/wellpoint-settles-lawsuits-with-physicians-and-medical-societies/</guid></item><item><title><![CDATA[Appeal]]></title><description><![CDATA[  Appeal   is a review of a health plan decision regarding a patient's health care with which the patient and/or his or her doctor disagrees. An "appeal" can refer to both review through the plan's own grievance process and a review by other outside decision-makers, such as the Department of Managed Health Care and independent medical review organizations.]]></description><pubDate>Thu, 18 Oct 2007 14:58:20 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/appeal/</link><guid>http://www.wellpointclassaction.com/glossary/appeal/</guid></item><item><title><![CDATA[Administrative record]]></title><description><![CDATA[  Administrative record   - all the papers, documents and recorded testimony in a proceeding before an HMO's administrative body.]]></description><pubDate>Thu, 18 Oct 2007 14:54:10 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/administrative-record/</link><guid>http://www.wellpointclassaction.com/glossary/administrative-record/</guid></item><item><title><![CDATA[Acute condition, illness]]></title><description><![CDATA[  Acute condition   or   illness   is a condition or illness that only lasts for a short period of time and usually is stopped with the appropriate care without requiring ongoing treatment. A common cold is an acute illness, as is a heart attack, because these conditions are short-lived and do not necessarily require continued care.]]></description><pubDate>Thu, 18 Oct 2007 14:51:56 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/acute-condition-illness/</link><guid>http://www.wellpointclassaction.com/glossary/acute-condition-illness/</guid></item><item><title><![CDATA[Illegal disclosure of medical records (CA)]]></title><description><![CDATA[Anyone who illegally obtains or discloses your medical information that causes you economic loss or personal injury may be guilty of a misdemeanor under   California   law. You may also   bring an action against any person or entity that negligently releases confidential information or records   in violation of California law for:    

    * Nominal damages of one thousand dollars ($1,000). (  Damages awarded when you are unable to prove that the violation caused you monetary loss  )  
    * Actual damages sustained by you.    

The Attorney General, any district attorney, city attorney, or city prosecutor may bring an action in the name of the people of California to recover a civil penalty. Licensing agencies or certifying boards may impose an administrative fine against individuals or entities that illegally obtain or disclose your medical record information.  
  Source    
    

If you believe that your information has been illegally disclosed by Wellpoint or any of its subsidiaries, please submit us this   evaluation form  , which will be forwarded to the law firm handling the case.]]></description><pubDate>Thu, 18 Oct 2007 14:41:19 +0000</pubDate><link>http://www.wellpointclassaction.com/laws/illegal-disclosure-of-medical-records/</link><guid>http://www.wellpointclassaction.com/laws/illegal-disclosure-of-medical-records/</guid></item><item><title><![CDATA[ex CFO D. Colby sells Wellpoint stock]]></title><description><![CDATA[      ]]></description><pubDate>Thu, 18 Oct 2007 11:21:18 +0000</pubDate><link>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-cfo-colby-sells-wlp-stockw/</link><guid>http://www.wellpointclassaction.com/wellpoint-news/wellpoint-cfo-colby-sells-wlp-stockw/</guid></item><item><title><![CDATA[acute condition or illness]]></title><description><![CDATA[  acute condition or illness   - a condition or illness that only lasts for a short period of time and usually is stopped with the appropriate care without requiring ongoing treatment. &nbsp; A common cold is an acute illness, as is a heart attack, because these conditions are short-lived and do not necessarily require continued care. &nbsp;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/acute-condition-or-illness/</link><guid>http://www.wellpointclassaction.com/glossary/acute-condition-or-illness/</guid></item><item><title><![CDATA[administrative record]]></title><description><![CDATA[  administrative record   - all the papers, documents and recorded testimony in a proceeding before an HMO's administrative body.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/administrative-record/</link><guid>http://www.wellpointclassaction.com/glossary/administrative-record/</guid></item><item><title><![CDATA[appeal]]></title><description><![CDATA[  appeal   - review of a health plan decision regarding a patient's health care with which the patient and/or his or her doctor disagrees. &nbsp; An appeal&quot; can refer to both review through the plan's own grievance process and a review by other outside decision-makers such as the Department of Managed Health Care and independent medical review organizations.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/appeal/</link><guid>http://www.wellpointclassaction.com/glossary/appeal/</guid></item><item><title><![CDATA[arbitrary]]></title><description><![CDATA[  arbitrary or capricious   - depending on individual discretion and not fixed by standards or rules; lacking a rational basis.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/arbitrary/</link><guid>http://www.wellpointclassaction.com/glossary/arbitrary/</guid></item><item><title><![CDATA[arbitration]]></title><description><![CDATA[  arbitration   - a process of resolving disputes out of court through the use of a neutral decision-maker that is usually agreed to by contract.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/arbitration/</link><guid>http://www.wellpointclassaction.com/glossary/arbitration/</guid></item><item><title><![CDATA[authorization]]></title><description><![CDATA[  authorization   - approval by a health care plan required in order for a patient to receive health care, including specific treatments, procedures or tests.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/authorization/</link><guid>http://www.wellpointclassaction.com/glossary/authorization/</guid></item><item><title><![CDATA[bad faith]]></title><description><![CDATA[  bad faith   - willful failure to carry out legal obligations.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/bad-faith/</link><guid>http://www.wellpointclassaction.com/glossary/bad-faith/</guid></item><item><title><![CDATA[battery]]></title><description><![CDATA[  battery   - an unlawful act of applying force to the person of another without consent.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/battery/</link><guid>http://www.wellpointclassaction.com/glossary/battery/</guid></item><item><title><![CDATA[capitation payment]]></title><description><![CDATA[  capitation payment   &nbsp; - a fixed, lump-sum paid to doctors by health care plans, typically on a monthly basis, to care for all patients belonging to that health care plan. &nbsp;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/capitation-payment/</link><guid>http://www.wellpointclassaction.com/glossary/capitation-payment/</guid></item><item><title><![CDATA[chronic condition or illness]]></title><description><![CDATA[  chronic condition or illness   - a condition or illness that requires ongoing treatment for a long period of time that may extend over a person's entire lifetime.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/chronic-condition-or-illness/</link><guid>http://www.wellpointclassaction.com/glossary/chronic-condition-or-illness/</guid></item><item><title><![CDATA[COBRA]]></title><description><![CDATA[  COBRA   - Consolidated Omnibus Budget Reconciliation Act of 1986. &nbsp; COBRA is a law that gives certain employees, retirees, spouses, former spouses, and dependent children the right to temporary continuation of health coverage at group rates. &nbsp; COBRA applies to group health plans with 20 or more employees in the private sector and those sponsored by state and local governments.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/cobra/</link><guid>http://www.wellpointclassaction.com/glossary/cobra/</guid></item><item><title><![CDATA[copayment]]></title><description><![CDATA[  copayment   - a fixed sum of money paid by a patient each time he or she receives certain health care services. &nbsp; For example, plans may charge a copayment of $10 for a visit to a doctor's office, above and beyond what the health plan pays the doctor.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/copayment/</link><guid>http://www.wellpointclassaction.com/glossary/copayment/</guid></item><item><title><![CDATA[conservatorship]]></title><description><![CDATA[  conservatorship   - a legal relationship created when a person, official, or institution is designated to take over and protect the interests of someone who is incompetent.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/conservatorship/</link><guid>http://www.wellpointclassaction.com/glossary/conservatorship/</guid></item><item><title><![CDATA[continuity of care]]></title><description><![CDATA[  continuity of care   - medical treatment received without interruption.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/continuity-of-care/</link><guid>http://www.wellpointclassaction.com/glossary/continuity-of-care/</guid></item><item><title><![CDATA[contract]]></title><description><![CDATA[  contract   - an agreement between a health plan and a patient or his or her employer that describes what health care services are covered by the plan, how much the plan will pay for those services, and what premiums must be paid by the patient or his or her employer. &nbsp; A plan usually also has a contract with certain doctors who will provide health care services to members of the plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/contract/</link><guid>http://www.wellpointclassaction.com/glossary/contract/</guid></item><item><title><![CDATA[contracted provider]]></title><description><![CDATA[  contracted provider   &nbsp; - a hospital, doctor, or other health care provider who has an agreement with a health care plan to provide health care services to members of the plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/contracted-provider/</link><guid>http://www.wellpointclassaction.com/glossary/contracted-provider/</guid></item><item><title><![CDATA[coverage]]></title><description><![CDATA[  coverage   - a process by which a health plan determines what health care services or products will be paid for by the plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/coverage/</link><guid>http://www.wellpointclassaction.com/glossary/coverage/</guid></item><item><title><![CDATA[damages]]></title><description><![CDATA[  damages   - monetary compensation in a legal action awarded to someone who has been injured by another.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/damages/</link><guid>http://www.wellpointclassaction.com/glossary/damages/</guid></item><item><title><![CDATA[Declaration Under The Natural Death Act]]></title><description><![CDATA[  Declaration Under The Natural Death Act   - A legal document that any person of sound mind over the age of 18 can execute that will govern the withholding or withdrawal of life-sustaining treatment. (California Health and Safety Code section 7186.5)]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/declaration-under-the-natural-death-act/</link><guid>http://www.wellpointclassaction.com/glossary/declaration-under-the-natural-death-act/</guid></item><item><title><![CDATA[denial of care]]></title><description><![CDATA[  denial of care   - a decision made by a health care plan not to pay for (or provide coverage for) a particular health care service or product.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/denial-of-care/</link><guid>http://www.wellpointclassaction.com/glossary/denial-of-care/</guid></item><item><title><![CDATA[Department of Managed Health Care]]></title><description><![CDATA[  Department Of Managed Health Care (DMHC)   - the state agency in California with the authority to regulate all health care plans. http://www.dmhc.ca.gov   (888) HMO-2219 or (800) 400-0815  .]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/department-of-managed-health-care/</link><guid>http://www.wellpointclassaction.com/glossary/department-of-managed-health-care/</guid></item><item><title><![CDATA[Durable Power of Attorney For Health Care]]></title><description><![CDATA[  Durable Power Of Attorney For Health Care   - a legal document that designates a person to make certain health care decisions, as directed in the document, on a person's behalf when that person is unconscious or otherwise unable to communicate with a treating doctor. (&lt;I&gt;see&lt;/I&gt; California Probate Code section 4606, &lt;I&gt;et. seq.&lt;/I&gt;)]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/durable-power-of-attorney-for-health-care/</link><guid>http://www.wellpointclassaction.com/glossary/durable-power-of-attorney-for-health-care/</guid></item><item><title><![CDATA[duty of ordinary care]]></title><description><![CDATA[  duty of ordinary care   - an obligation owed by one person to another to avoid injury to him or her.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/duty-of-ordinary-care/</link><guid>http://www.wellpointclassaction.com/glossary/duty-of-ordinary-care/</guid></item><item><title><![CDATA[emergency care]]></title><description><![CDATA[  emergency care   - medical care provided to patients with severe, life-threatening conditions that require urgent attention.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/emergency-care/</link><guid>http://www.wellpointclassaction.com/glossary/emergency-care/</guid></item><item><title><![CDATA[emergency medical condition]]></title><description><![CDATA[  emergency medical condition   &nbsp; - a medical condition that in the absence of immediate medical attention could reasonably be expected to result in placing the patient's health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/emergency-medical-condition/</link><guid>http://www.wellpointclassaction.com/glossary/emergency-medical-condition/</guid></item><item><title><![CDATA[emotional distress]]></title><description><![CDATA[  emotional distress   - a highly unpleasant emotional reaction (as anguish, humiliation, or fury) that results from another's conduct and for which damages may be sought.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/emotional-distress/</link><guid>http://www.wellpointclassaction.com/glossary/emotional-distress/</guid></item><item><title><![CDATA[employer-sponsored plan]]></title><description><![CDATA[  employer group health plan   - a package of medical benefits provided to all employees by their employer, usually through an HMO or network of approved doctors.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/employer-sponsored-plan/</link><guid>http://www.wellpointclassaction.com/glossary/employer-sponsored-plan/</guid></item><item><title><![CDATA[evidence of coverage]]></title><description><![CDATA[  Evidence of Coverage   - a detailed summary of health care services that is available to patients under a certain health care plan, usually provided upon enrollment in the plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/evidence-of-coverage/</link><guid>http://www.wellpointclassaction.com/glossary/evidence-of-coverage/</guid></item><item><title><![CDATA[exhaust]]></title><description><![CDATA[  exhaustion   - &nbsp; using all available means of review before proceeding to the next level of review.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/exhaust/</link><guid>http://www.wellpointclassaction.com/glossary/exhaust/</guid></item><item><title><![CDATA[experimental]]></title><description><![CDATA[  experimental or investigational treatments   - a treatment that a doctor recommends for a particular illness that may not be the standard method of treatment; &nbsp; health care plans may often refuse to cover costs for treatments that they consider experimental or investigational.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/experimental/</link><guid>http://www.wellpointclassaction.com/glossary/experimental/</guid></item><item><title><![CDATA[fiduciary relationship]]></title><description><![CDATA[  fiduciary relationship   - &nbsp; a relationship created when one person owes a legal duty to act for the benefit of another; the physician/patient relationship is considered a fiduciary relationship.&quot;&quot;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/fiduciary-relationship/</link><guid>http://www.wellpointclassaction.com/glossary/fiduciary-relationship/</guid></item><item><title><![CDATA[fraud]]></title><description><![CDATA[  fraud   - intentional deception or concealing of facts that results in an injury to another.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/fraud/</link><guid>http://www.wellpointclassaction.com/glossary/fraud/</guid></item><item><title><![CDATA[gag rules]]></title><description><![CDATA[  gag rules   - any provision in a health care plan contract that may limit a doctor's ability to communicate freely with his or her patients regarding patients' health care options. &nbsp; California law prohibits health plans from putting gag rules in their contracts.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/gag-rules/</link><guid>http://www.wellpointclassaction.com/glossary/gag-rules/</guid></item><item><title><![CDATA[grievance]]></title><description><![CDATA[  grievance   - a complaint by a patient to the administration of a health care plan; &nbsp; such complaints may relate to quality of care, a denial or delay of coverage for a treatment or product, or disputes over the amount that a plan has paid towards health services received.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/grievance/</link><guid>http://www.wellpointclassaction.com/glossary/grievance/</guid></item><item><title><![CDATA[grievance review process]]></title><description><![CDATA[  grievance review process   - process that all health plans are required to establish internally in order to review complaints by patients about any decisions by the plan that negatively impact a patient's ability to receive quality health care. &nbsp; The Department of Managed Care also has a grievance review process in place that will review patients' grievances if they receive no satisfactory resolution through their health plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/grievance-review-process/</link><guid>http://www.wellpointclassaction.com/glossary/grievance-review-process/</guid></item><item><title><![CDATA[group health plan]]></title><description><![CDATA[  group health plan or group coverage   - a health plan which is offered through a specified group of people, such as employees of a particular employer or members of an association.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/group-health-plan/</link><guid>http://www.wellpointclassaction.com/glossary/group-health-plan/</guid></item><item><title><![CDATA[guardianship]]></title><description><![CDATA[  guardianship   - a relationship created for one to take over the care of the person or property of another, often a minor.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/guardianship/</link><guid>http://www.wellpointclassaction.com/glossary/guardianship/</guid></item><item><title><![CDATA[Health Care Financing Administration]]></title><description><![CDATA[  Health Care Financing Administration (HCFA)   - federal agency that runs the Medicare and Medicaid programs]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/health-care-financing-administration/</link><guid>http://www.wellpointclassaction.com/glossary/health-care-financing-administration/</guid></item><item><title><![CDATA[health care provider]]></title><description><![CDATA[  health care provider   - a qualified licensed professional such as a doctor, dentist, optometrist, etc. or an institution such as a hospital, clinic, nursing facility, etc., that provides health care services to patients under a contract with a health care plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/health-care-provider/</link><guid>http://www.wellpointclassaction.com/glossary/health-care-provider/</guid></item><item><title><![CDATA[health care service plan]]></title><description><![CDATA[  health care service plan   - Used in California law to refer to any person or entity that arranges for health care services to be provided to subscribers or enrollees, or to pay for or reimburse any part of the cost for those services, in exchange for a prepaid or periodic charge paid by or on behalf of the subscribers or enrollees. &nbsp; HMOs and PPOs are examples of health care service plans. &nbsp; All health care service plans are subject to regulation by the Department of Managed Health Care.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/health-care-service-plan/</link><guid>http://www.wellpointclassaction.com/glossary/health-care-service-plan/</guid></item><item><title><![CDATA[Health Insurance Portability And Accountability Act]]></title><description><![CDATA[  Health Insurance Portability And Accountability Act or HIPAA (also known as the Kassebaum-Kennedy Act)   - the federal law designed to allow employees to move freely from one job to another without the risk of becoming uninsured for their most serious health problems. &nbsp; This law sets limits on the ability of health care plans to exclude coverage for pre-existing conditions.&quot;&quot;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/health-insurance-portability-and-accountability-act/</link><guid>http://www.wellpointclassaction.com/glossary/health-insurance-portability-and-accountability-act/</guid></item><item><title><![CDATA[health maintenance organization]]></title><description><![CDATA[  health maintenance organization (HMO)   - &nbsp; An HMO is the most common form of a managed health care plan under which health services are delivered and paid for through one organization, often under one roof. An HMO requires its participants to use only certain health providers and hospitals, usually those within its own network.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/health-maintenance-organization/</link><guid>http://www.wellpointclassaction.com/glossary/health-maintenance-organization/</guid></item><item><title><![CDATA[independent medical review organizations]]></title><description><![CDATA[  independent medical review organizations   - organizations that will contract with the Department of Managed Health Care to conduct reviews of certain denials of treatment by health care plans. &nbsp; These organizations are subject to qualifications set by the Department of Managed Health Care and must be entirely independent of any health plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/independent-medical-review-organizations/</link><guid>http://www.wellpointclassaction.com/glossary/independent-medical-review-organizations/</guid></item><item><title><![CDATA[independent practice associations]]></title><description><![CDATA[  independent practice associations &nbsp; (IPA)   - &nbsp; an association of physicians and other health care providers, including hospitals, who contract with an HMO to provide services to enrollees, but usually still see non-HMO patients and patients from other HMOs.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/independent-practice-associations/</link><guid>http://www.wellpointclassaction.com/glossary/independent-practice-associations/</guid></item><item><title><![CDATA[independent review process]]></title><description><![CDATA[  independent review process   &nbsp; - a process administered by the Department of Managed Health Care to review health plans' denials of care decisions based on medical necessity. &nbsp; The process is independent&quot; of your health care plan.&quot;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/independent-review-process/</link><guid>http://www.wellpointclassaction.com/glossary/independent-review-process/</guid></item><item><title><![CDATA[individual health plan]]></title><description><![CDATA[  individual health plan   - health care insurance that you purchase in the private market that is not a part of any group health plan&quot; provided through an employer or other organization.&quot;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/individual-health-plan/</link><guid>http://www.wellpointclassaction.com/glossary/individual-health-plan/</guid></item><item><title><![CDATA[informed consent]]></title><description><![CDATA[  informed consent   - consent to medical treatment by a patient, or to participation in a medical experiment by a subject, after achieving an understanding of the risks and benefits.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/informed-consent/</link><guid>http://www.wellpointclassaction.com/glossary/informed-consent/</guid></item><item><title><![CDATA[injunction]]></title><description><![CDATA[  injunction   - a legal remedy to stop a party from continuing to perform a particular action.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/injunction/</link><guid>http://www.wellpointclassaction.com/glossary/injunction/</guid></item><item><title><![CDATA[judgment]]></title><description><![CDATA[  judgment   - a final decision by a court as to the rights of parties to a lawsuit.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/judgment/</link><guid>http://www.wellpointclassaction.com/glossary/judgment/</guid></item><item><title><![CDATA[liable]]></title><description><![CDATA[  liable   - to be responsible for; to be obligated by law.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/liable/</link><guid>http://www.wellpointclassaction.com/glossary/liable/</guid></item><item><title><![CDATA[liaison]]></title><description><![CDATA[  liaison   - person that establishes and maintains communication between two parties in order to achieve mutual understanding and cooperation.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/liaison/</link><guid>http://www.wellpointclassaction.com/glossary/liaison/</guid></item><item><title><![CDATA[Major Risk Medical Insurance Program]]></title><description><![CDATA[  Major Risk Medical Insurance Program (MRMIP)   - a state-operated program that provides health care to qualifying Californians unable to obtain health insurance in the private market due to serious health conditions. &nbsp; The program is provided through contracts with various health plans. &nbsp; Participants in the program are responsible for the cost of program premiums, and the program supplements those premiums to cover the cost of care from the state's tobacco tax funds.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/major-risk-medical-insurance-program/</link><guid>http://www.wellpointclassaction.com/glossary/major-risk-medical-insurance-program/</guid></item><item><title><![CDATA[managed care]]></title><description><![CDATA[  managed care   - a method of financing and delivering health care for a set fee using a network of physicians and other health care providers. The network coordinates and refers patients to its health providers and hospitals, and monitors the amount and patterns of care delivered. Managed care plans usually limit what services patients may receive by using gatekeepers&quot; to make sure services considered unnecessary or referrals outside the network are kept to a minimum.&quot;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/managed-care/</link><guid>http://www.wellpointclassaction.com/glossary/managed-care/</guid></item><item><title><![CDATA[Medicaid]]></title><description><![CDATA[  Medicaid   - a joint federal and state program that provides health insurance to low income people who meet specific eligibility requirements.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medicaid/</link><guid>http://www.wellpointclassaction.com/glossary/medicaid/</guid></item><item><title><![CDATA[Medical Information Bureau]]></title><description><![CDATA[  Medical Information Bureau (MIB)   - MIB is a company that keeps a database of medical record information on individuals as provided to them by insurance companies who subscribe to their services. &nbsp; Insurance companies use information obtained from MIB to make decisions regarding your eligibility for coverage at the time of application for insurance benefits.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medical-information-bureau/</link><guid>http://www.wellpointclassaction.com/glossary/medical-information-bureau/</guid></item><item><title><![CDATA[medical malpractice]]></title><description><![CDATA[  medical malpractice   - negligent care provided to a patient by a doctor or managed care plan that results in harm to the patient.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medical-malpractice/</link><guid>http://www.wellpointclassaction.com/glossary/medical-malpractice/</guid></item><item><title><![CDATA[medical records]]></title><description><![CDATA[  medical records   - Any information about you, in electronic or physical form, regarding your medical history, mental or physical condition, or treatment in the possession of or derived from an HMO, health insurer, or any health care provider are subject to California laws protecting your medical record confidentiality.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medical-records/</link><guid>http://www.wellpointclassaction.com/glossary/medical-records/</guid></item><item><title><![CDATA[medically necessary]]></title><description><![CDATA[  medically necessary   - health care products and services that are considered to be appropriate and would assist in the diagnosis or treatment of a disease. &nbsp;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medically-necessary/</link><guid>http://www.wellpointclassaction.com/glossary/medically-necessary/</guid></item><item><title><![CDATA[Medicare]]></title><description><![CDATA[  Medicare   - a federal health insurance program that provides medical benefits to all persons over age 65 who receive Social Security benefits or are disabled and meet specific eligibility requirements.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/medicare/</link><guid>http://www.wellpointclassaction.com/glossary/medicare/</guid></item><item><title><![CDATA[morbidity]]></title><description><![CDATA[  morbidity   - a diseased state.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/morbidity/</link><guid>http://www.wellpointclassaction.com/glossary/morbidity/</guid></item><item><title><![CDATA[negligence]]></title><description><![CDATA[  negligence   - failure to exercise the degree of care that a reasonable person would exercise in the same circumstances.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/negligence/</link><guid>http://www.wellpointclassaction.com/glossary/negligence/</guid></item><item><title><![CDATA[networks of health care providers]]></title><description><![CDATA[  networks of health care providers   &nbsp; - groups of hospitals, physicians, and other providers that offer health care plans and patients an organized, comprehensive system of care.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/networks-of-health-care-providers/</link><guid>http://www.wellpointclassaction.com/glossary/networks-of-health-care-providers/</guid></item><item><title><![CDATA[ombudsman]]></title><description><![CDATA[  ombudsman   &nbsp; - a problem solver who assists patients with complaints, either working directly for a health care plan or an outside agency.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/ombudsman/</link><guid>http://www.wellpointclassaction.com/glossary/ombudsman/</guid></item><item><title><![CDATA[pain and suffering]]></title><description><![CDATA[  pain and suffering   - a type of damages awarded in a lawsuit for physical and mental injury that result from a wrong done or suffered.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/pain-and-suffering/</link><guid>http://www.wellpointclassaction.com/glossary/pain-and-suffering/</guid></item><item><title><![CDATA[participating provider]]></title><description><![CDATA[  participating provider   - a hospital or doctor who has a contract with a health care plan to provide health care services to the patients of that plan for a specified rate. &nbsp; Patients will usually be charged lower or no out-of-pocket fees when they use participating providers.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/participating-provider/</link><guid>http://www.wellpointclassaction.com/glossary/participating-provider/</guid></item><item><title><![CDATA[patient/physician relationship]]></title><description><![CDATA[  patient/physician relationship   - the relationship established between you and your doctor when he or she begins treating you that gives rise to a number of legal obligations on the part of your doctor to ensure that you receive continued health care.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/patient/physician-relationship/</link><guid>http://www.wellpointclassaction.com/glossary/patient/physician-relationship/</guid></item><item><title><![CDATA[plan contract]]></title><description><![CDATA[  plan contract   - an agreement between a health care plan and its subscribers or enrollees pursuant to what health care services are provided.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/plan-contract/</link><guid>http://www.wellpointclassaction.com/glossary/plan-contract/</guid></item><item><title><![CDATA[plan medical director]]></title><description><![CDATA[  plan medical director or administrator   - an employee of a managed health care plan that has the authority to approve or deny coverage for patients in accordance with the terms of the plan.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/plan-medical-director/</link><guid>http://www.wellpointclassaction.com/glossary/plan-medical-director/</guid></item><item><title><![CDATA[pre-existing condition]]></title><description><![CDATA[  pre-existing condition   - a condition that was diagnosed or treated within a certain period (six months under CA and federal law) prior to the patient's joining a particular health care plan. &nbsp; Plans may only limit coverage for pre-existing conditions for up to six months, in most cases.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/pre-existing-condition/</link><guid>http://www.wellpointclassaction.com/glossary/pre-existing-condition/</guid></item><item><title><![CDATA[preferred provider organizations]]></title><description><![CDATA[  Preferred Provider Organization (PPO)   - a large group of hospitals and doctors under contract to a managed care plan who deliver services for set fees. &nbsp; In a PPO, patients must choose their primary health provider from an approved list and must pay extra for specialty services received outside the PPO group.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/preferred-provider-organizations/</link><guid>http://www.wellpointclassaction.com/glossary/preferred-provider-organizations/</guid></item><item><title><![CDATA[punitive damages]]></title><description><![CDATA[  punitive damages   - a monetary award for the injured party who prevails in a lawsuit that serves to punish the wrongdoer, usually where there has been malicious or willful misconduct.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/punitive-damages/</link><guid>http://www.wellpointclassaction.com/glossary/punitive-damages/</guid></item><item><title><![CDATA[referral]]></title><description><![CDATA[  referral   - authorization by a doctor or health care plan to receive other health care services under the plan such as diagnostic tests or care from a specialist.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/referral/</link><guid>http://www.wellpointclassaction.com/glossary/referral/</guid></item><item><title><![CDATA[specialist]]></title><description><![CDATA[  specialist   - a doctor who has received extensive training in a specific area of medicine.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/specialist/</link><guid>http://www.wellpointclassaction.com/glossary/specialist/</guid></item><item><title><![CDATA[specialty care center]]></title><description><![CDATA[  specialty care center   - a center that is accredited or designated by an agency of the state or federal government, or by a voluntary national health organization, as having special expertise in treating the life-threatening, or degenerative and disabling, disease or condition for which it is accredited or designated.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/specialty-care-center/</link><guid>http://www.wellpointclassaction.com/glossary/specialty-care-center/</guid></item><item><title><![CDATA[stabilized]]></title><description><![CDATA[  stabilized   - state reached when one's physical condition is considered within normal ranges of function. &nbsp;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/stabilized/</link><guid>http://www.wellpointclassaction.com/glossary/stabilized/</guid></item><item><title><![CDATA[standard of review]]></title><description><![CDATA[  standard of review   - the term used to describe on what basis a court will review a lower court's decision. &nbsp;]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/standard-of-review/</link><guid>http://www.wellpointclassaction.com/glossary/standard-of-review/</guid></item><item><title><![CDATA[status-based discrimination]]></title><description><![CDATA[  status-based discrimination   - being treated differently on the basis of one's sex, race, class, medical condition or other distinguishing characteristic.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/status-based-discrimination/</link><guid>http://www.wellpointclassaction.com/glossary/status-based-discrimination/</guid></item><item><title><![CDATA[statute of limitations]]></title><description><![CDATA[  statute of limitations   - the time within a person may file a particular type of lawsuit, after which such actions will not be allowed.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/statute-of-limitations/</link><guid>http://www.wellpointclassaction.com/glossary/statute-of-limitations/</guid></item><item><title><![CDATA[substance abuse]]></title><description><![CDATA[  substance abuse   - using drugs or medications in manner that is harmful to one's health.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/substance-abuse/</link><guid>http://www.wellpointclassaction.com/glossary/substance-abuse/</guid></item><item><title><![CDATA[transfer]]></title><description><![CDATA[  transfer   - to move or transport to another facility.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/transfer/</link><guid>http://www.wellpointclassaction.com/glossary/transfer/</guid></item><item><title><![CDATA[utilization review]]></title><description><![CDATA[  utilization review   - process in a health care plan to determine whether a particular health care treatment is medically necessary and appropriate for a patient's needs.]]></description><pubDate>Wed, 31 Dec 1969 16:00:00 +0000</pubDate><link>http://www.wellpointclassaction.com/glossary/utilization-review/</link><guid>http://www.wellpointclassaction.com/glossary/utilization-review/</guid></item></channel></rss>