ASSOCIATION OF NEW JERSEY CHIROPRACTERS v. AETNA, INC.

Civil Action No. 09-3761 (MAS) (TJB).

ASSOCIATION OF NEW JERSEY CHIROPRACTERS, et al., Plaintiffs, v. AETNA, INC., et al., Defendants.

United States District Court, D. New Jersey.

December 31, 2014.


Attorney(s) appearing for the Case

ASSOCIATION OF NEW JERSEY CHIROPRACTORS, Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO, PAUL D. WERNER , BUTTACI & LEARDI LLC & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

NEW YORK CHIROPRACTIC COUNCIL, Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

DONNA RESTIVO, D.C., Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

TODD CARNUCCI, D.C., Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

CHRISTOPHER FOGLIA, D.C., Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

PETER MANZ, D.C., Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

LEON EGOZI, M.D., Plaintiff, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

MARK VINCENT, D.C., Plaintiff, represented by ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC & JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

JEFFREY SHIRLEY, D.C., Plaintiff, represented by ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC & JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

VICKY YARNS, D.C., Plaintiff, represented by ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC & JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

GROSSMANN, PH.D, L.C.S.W., L.M.F.T., Plaintiff, represented by JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

LEON EGOZI, M.D., Plaintiff, represented by JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

AETNA, INC., Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC., Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC. (DE), Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC. (PA), Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH PLANS OF NEW JERSEY, INC., Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH MANAGEMENT, INC., Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH ADMINISTRATORS, LLC, Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH MANAGEMENT, LLC, Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA LIFE INSURANCE COMPANY, Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

CORPORATE HEALTH INSURANCE, INC., Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA INSURANCE COMPANY OF CONNECTICUT, Defendant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, CHRISTINE INTROMASSO GANNON , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

MARK VINCENT, D.C., Counter Defendant, represented by JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

JEFFREY SHIRLEY, D.C., Counter Defendant, represented by JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

VICKY YARNS, D.C., Counter Defendant, represented by JOHN W. LEARDI , BUTTACI & LEARDI, LLC.

AETNA HEALTH ADMINISTRATORS, LLC, Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC. (DE), Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH MANAGEMENT, LLC, Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC. (PA), Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA LIFE INSURANCE COMPANY, Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH INC., Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA INSURANCE COMPANY OF CONNECTICUT, Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH MANAGEMENT, INC., Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA, INC., Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

CORPORATE HEALTH INSURANCE, INC., Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

AETNA HEALTH PLANS OF NEW JERSEY, INC., Counter Claimant, represented by EDWARD S. WARDELL , CONNELL FOLEY LLP, LIZA M. WALSH , CONNELL FOLEY, LLP, PATRICIA A. LEE , CONNELL FOLEY LLP, TRICIA B. O'REILLY , CONNELL FOLEY, LLP, MARC D. HAEFNER , CONNELL FOLEY, LLP & NEIL V. SHAH , CONNELL FOLEY LLP.

TODD CARNUCCI, D.C., Counter Defendant, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.

DONNA RESTIVO, D.C., Counter Defendant, represented by D. BRIAN HUFFORD , COUNSEL NOT ADMITTED TO USDC, PAUL D. WERNER , BUTTACI & LEARDI LLC, VINCENT NORMAN BUTTACI , BUTTACI & LEARDI, LLC, AUDRA ELIZABETH PETROLLE , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, JAMES E. CECCHI , CARELLA BYRNE CECCHI OLSTEIN BRODY & AGNELLO, P.C., JOHN W. LEARDI , BUTTACI & LEARDI, LLC, LINDSEY H. TAYLOR , CARELLA, BYRNE, CECCHI, OLSTEIN, BRODY & AGNELLO & ROBERT J. AXELROD , COUNSEL NOT ADMITTED TO USDC.


OPINION

MICHAEL A. SHIPP, District Judge.

This suit is a putative class action brought by healthcare providers and chiropractic professional associations against an insurance company and its affiliates, claiming violations of the Employee Retirement Income Security Act of 1974 ("ERISA"). Plaintiffs bring suit against Aetna, Inc., and several of its affiliated or subsidiary companies ("Aetna") claiming that the company engages in retroactive benefit determinations...

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