City Hall
1 Dr. Carlton B. Goodlett
Place
San Francisco, CA 94102-
4689
City and County of San Francisco
Legislation Details
File #:
Version:
1
160705
Name:
Settlement of Lawsuit - Blue Cross of California and
Anthem Blue Cross Life and Health Insurance
Company - City to Receive $6,250,000 and Future
Payments
Status:
Type:
Ordinance
Passed
File created:
In control:
6/28/2016
Clerk of the Board
On agenda:
Final action:
6/28/2016
8/11/2016
Enactment date:
8/11/2016
170-16
Enactment #:
Title:
Ordinance authorizing settlement of the lawsuit filed by the City Attorney, acting on behalf of the
People of the State of California, against Blue Cross of California dba Anthem Blue Cross, Anthem
Blue Cross Life and Health Insurance Company (collectively, "Blue Cross") and Health Net of
California for the payment by Blue Cross of $6,250,000 in restitution and civil penalties for under-
reimbursing Zuckerberg San Francisco General Hospital and Trauma Center (“ZSFG”) for emergency
medical care provided to Blue Cross’s insureds prior to July 1, 2015, and for the payment of additional
amounts for such emergency medical care provided between July 1, 2015, and June 30, 2019; the
lawsuit was filed on May 24, 2011, in San Francisco Superior Court, Case No. 11-511181; entitled
People of the State of California v. Blue Cross of California, et al.; other material terms of said
settlement are that Blue Cross and the City will enter into a prompt payment agreement under which
Blue Cross agrees to pay and ZSFG agrees to accept certain specified rates for treatment provided
by ZSFG to Blue Cross’s insureds for emergency medical services rendered from July 1, 2015,
through at least June 30, 2019.
Sponsors:
Attachments:
1. Leg Ver1, 2. Comm Pkt 072116, 3. Board Pkt 072616, 4. Board Pkt 080216, 5. Leg Final
Action By
Date
Action
Result
Ver.
RECEIVED FROM DEPARTMENT
Clerk of the Board
6/14/2016
1
RECEIVED AND ASSIGNED
President
6/28/2016
1
RECOMMENDED AS COMMITTEE
REPORT
Government Audit and Oversight
Committee
7/21/2016
1
Pass
PASSED ON FIRST READING
Board of Supervisors
7/26/2016
1
Pass
FINALLY PASSED
Board of Supervisors
8/2/2016
1
Pass
APPROVED
Mayor
8/11/2016
1