Attorney General Matthew J. Platkin announced today that Horizon Healthcare Services, Inc., which does business as Horizon Blue Cross Blue Shield of New Jersey, agreed to pay New Jersey $100 million to settle allegations that it fraudulently induced the State to enter into a 2020 contract to administer the State’s employee benefit programs, and then systematically overcharged the State for healthcare claims throughout the life of that contract. Today’s agreement is the State’s largest-ever non-Medicaid False Claims Act settlement.
“At a time when everyone is rightly concerned about the cost of their healthcare, it is simply unacceptable that an insurance company would seek to defraud our State and overcharge us while driving up the costs of healthcare for hundreds of thousands of dedicated public servants,” said Attorney General Platkin. “We will not hesitate to hold accountable anyone who breaks the law and harms our residents, no matter how big or powerful you are. I would like to thank our legal team and the Treasury Department for investigating this case and delivering historic relief for our residents.”