$2M Aetna Life Insurance LGBTQ+ Discrimination Class Action Settlement

Unsplash | Published: February 25, 2025

Claim Form Deadline: August 26, 2025 (Passed)

Payout: Up to $12,300

Proof required: Yes

What's the Aetna LGBTQ+ Fertility Class Action?

A $2,000,000 class action lawsuit has been settled with Aetna Life Insurance. The class action lawsuit was filed against Aetna Life Insurance Company, alleging discrimination and denial of equal access to fertility treatments for individuals in LGBTQ+ relationships. Specifically, the Aetna class action lawsuit claims that Aetna committed discrimination based on sex, sexual orientation, and gender identity. The class action lawsuit also claims that Aetna denied healthcare coverage for infertility treatments to individuals in LGBTQ+ relationships, which they argue is discriminatory. Aetna has not admitted to any wrongdoing but has agreed to pay out $2 million to settle the class action.

What is the Total Settlement Amount?

The total settlement amount is $2,000,000, which will be deposited into a Common Fund for distribution among eligible class members.

How Do I Qualify For a Payout?

To potentially qualify, you must be a member of one of the certified classes: Category A, B, C, or D (D-a and D-b, or D part 1 and D part 2), based on Aetna's denial of claims or precertification requests for qualifying artificial insemination codes during the qualifying class action period (September 1, 2017, to May 31, 2024):

• Category A
Description: Individuals whose Aetna member files contain qualifying IUI or mixed IUI and IVF codes and establish that the member was in an Eligible LGBTQ+ Relationship at the time of seeking such services.
Qualification: Automatically entitled to participate in the Damages Settlement Class, subject to member Opt-Out rights and address verification.
Payment: Default Dollars for Benefits Amount of $2,300, unless the claim has already been reimbursed or the individual is otherwise excluded.

• Category B
Description: Individuals whose Aetna member files contain qualifying IUI codes but do not establish whether they were in an Eligible LGBTQ+ Relationship during the Class Period.
Qualification: Must submit an Attestation to confirm eligibility.
Payment: Default Dollars for Benefits Amount of $2,300 upon timely submission of the Attestation and address verification.

• Category C
Description: Individuals whose Aetna member files contain qualifying IVF-only codes but do not establish their IUI history or whether they were in an Eligible LGBTQ+ Relationship during the Class Period.
Qualification: Must submit both a Claim Form Submission and an Attestation to confirm eligibility.
Payment: Default Dollars for Benefits Amount of $2,300 upon timely submission of the required forms and address verification.

• Category D-A & D-B
Individuals whose member files contain a denial of a claim or precertification request for qualifying artificial insemination codes, followed by an approval within 90 days or otherwise paid by Aetna, and whose files may or may not contain information indicating eligibility to participate in the settlement.

• Direct Notice
Description: Potential Class Members identified by the parties, including individuals in Categories A, B, and C.
Notification: Will receive direct notice of the settlement, including information on their right to opt out and the opportunity to submit required forms for additional payments.

• Published Notice
Description: Allows individuals not previously identified to submit claims.
Qualification: Must submit both a Claim Form Submission and an Attestation to confirm eligibility.
Payment: Subject to confirmation by Aetna that the individual was a New York member of a Commercial Plan that would have provided coverage for the IUI services for which the member incurred out-of-pocket expenses.

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How Much Can I Get Paid?

Up to $12,300 is available to qualifying individuals, consisting of a $10,000 Default Common Fund Amount payment and a $2,300 Default Dollars for Benefits Amount payment.

How Do I File a Claim?

To potentially qualify for a payout, you must be a member of the class, which includes individuals in an eligible LGBTQ+ relationship who were covered by an Aetna health plan in New York and sought or were denied coverage for infertility treatments during the class period (September 1, 2017, to May 31, 2024). For the different categories or tiers of class action members an attestation form may be necessary, and if required, a Claim Submission Form with supporting evidence must be submitted by August 26, 2025 at the very latest.

Do I Need Proof to File a Claim?

Yes, you will need to provide proof to file a claim. This includes submitting an Attestation form and, for certain categories, additional documentation such as proof of out-of-pocket expenses or evidence of greater covered care.

Claim Form Website: AETNA Settlement Site

Submit Claim

Filing Class Action Settlement Claims

Please note that your claim form will be rejected if you submit a settlement claim for payout with any fraudulent information. By providing this information and your sworn statement of its veracity, you agree to do so under the penalty of perjury. You would also be harming others that actually qualify for the class action settlement. If you are not sure whether or not you qualify for this class action settlement, visit the class action administrator's website below. OpenClassActions.com is only providing information and is not a class action administrator or a law firm. OpenClassActions is a participant in the Amazon affiliate advertising program and this post may contain affiliate links, which means we may earn a commission or fees if you make a purchase via those links.

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