Consent Order Worth More Than $20M Resolves Suit Against TPA Of Many Plans

( March 20, 2025, 11:49 AM EDT) -- MADISON, Wis. — A Wisconsin federal judge on March 19 signed a consent order and judgment under which the third-party administrator (TPA) for hundreds of self-funded employee welfare benefit plans will “pay or cause to be paid at least $20,250,000,” plus civil penalties, to resolve a suit in which the U.S. Department of Labor (DOL) challenged adverse benefit determinations regarding hospital emergency services claims and urinary drug screening claims....