LOS ANGELES – The trustees of a health plan allege they overpaid benefits to an ex-spouse because they were not informed of the divorce.
Trustees of the Directors Guild of America - Producer Health Plan filed a complaint on Oct. 7 in the U.S. District Court for the Central District of California against Jeffrey Androsky and Stacie Cayne alleging fraud and negligent misrepresentation.
According to the complaint, the plaintiffs allege that since July 30, 2002, they were caused to suffer monetary damages because the defendants did not inform them of their divorce. The suit states that because of this action, Cayne remained a dependent under the plan and received health benefits until Jan. 24, when Cayne finally provided plaintiffs with the divorce documents. As a result, the plaintiffs allege they overpaid at least $47,243.59 in benefits.
The plaintiffs hold Androsky and Cayne responsible because the defendants allegedly failed to inform the trustees of their divorce within the required 60-day period and continued to receive health benefits from the plan despite ineligibility.
The plaintiffs request a trial by jury and seek judgment against defendants, for the allegedly overpaid health benefits, interest, audit fees, attorneys’ fees, costs of suit and other relief as the court deems just. They are represented by Christopher M. Lacquer and J. Paul Moorhead of Lacquer, Urban, Clifford & Hodge LLP in Pasadena.
U.S. District Court for the Central District of California Case number 2:16-cv-07521