Tennessee Tractor Alleges ERISA Failings in Lawsuit Against WH Administrators
Last Updated on May 8, 2018
Tennessee Tractor, LLC et al. v. WH Administrators, Inc.
Filed: November 10, 2017 ◆§ 2:17-cv-02829
A TN John Deere dealer claims WH Administrators has failed to repay health insurance plan participants' medical claims and withheld accounting information.
John Deere dealer Tennessee Tractor, LLC and one individual plaintiff have filed a proposed class action lawsuit on behalf of participants in the company’s Health and Welfare Benefit Plan over defendant WH Administrators, Inc.’s alleged failure to properly process or reimburse more than 3,000 claimants for medical care services. Citing potential violations of the Employee Retirement Income Security Act of 1974—ERISA—the complaint charges that despite the defendant entering into agreements to pay proposed class members’ claims submitted to health care providers, WH Administrators has “failed and refused” to produce relevant accounting and financial information. Moreover, the plaintiffs claim the company has failed and refused to pay more than $800,000 in covered medical claims, instead leaving the costs in the laps of plan participants. An effect of the defendant’s alleged conduct, the case claims, is that a number of medical providers have refused to treat proposed class members, and even threatened to file lawsuits to collect on medical costs. From the lawsuit:
“Over the course of the parties’ contractual relationship, Tennessee Tractor, the Plan, and plan participants performed all of their duties and obligations under the Agreement including, but not limited to, remitting payment of all amounts owed to [the defendant] for its administration and claims services as well as fully funding the Plan with over $500,000.00 in employer and participant contributions.
Despite Tennessee Tractor’s performance of all its duties and obligations under the Agreement, in December 2016, [the defendant] abruptly and without explanation ceased processing or paying the claims of Tennessee Tractor’s employees/Plan participants, including failing to process or pay [the individual plaintiff’s] claims."
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