A lawsuit was filed in the United States District Court for the Northern District of Illinois (the “Court”) against UGN, Inc. The lawsuit alleges that Defendant violated the Employee Retirement Income Security Act (“ERISA”) by failing to provide a reasonable alternative standard related to paying the tobacco surcharge and/or a required notice related to the availability of a reasonable alternative standard. Plaintiff also makes a claim of breach of fiduciary duty. This is just a summary of the allegations in the lawsuit.
Defendant denies all allegations in the lawsuit and contends that its tobacco surcharge, smoking cessation program, and required disclosures were adequate and lawful. A tobacco surcharge for a medical premium is permissible when it can be avoided by participating in a reasonable alternative standard. Plaintiff claims that UGN did not provide a reasonable alternative standard and/or did not make adequate disclosures. Defendant has asserted, and would assert should the litigation continue, a number of defenses to Plaintiff’s claims, including related to applicable statutes of limitations, administrative remedies, and the availability of reasonable alternate standards.