Peters v Aetna, Inc., et al.
If you had Aetna insurance in NC, SC, GA, VA, IL, IN, or DC and paid coinsurance for chiropractic or physical therapy through an Optum provider between July 12, 2012 and the settlement's effective date, you're likely in this class. The deadline to submit documentation for claims after December 31, 2017 was July 10, 2025. For claims before 2018, Aetna's records are used automatically, so no paperwork is needed on your end.
Optum Provider Services (difference between agreed Optum-Aetna rate and provider's contracted rate with Optum)
The total settlement fund is $4.8 million — $4.6 million from Aetna and $200,000 from Optum. Half of that ($2.4 million) goes to individual class members. Each person's share is based on the difference between what they paid in coinsurance and the provider's actual contracted rate with Optum. If all valid individual claims together are under $2.4 million, you'd get 100% of your calculated difference. If total claims exceed $2.4 million, each person's payment is scaled down proportionally. Payments under $15 are not issued, and individual claims are capped at $5,000 for distribution purposes.
Official site: www.aetnaoptumadminfeesettlement.com
Who may qualify
You qualify if you were a participant or beneficiary of an Aetna health plan in North Carolina, South Carolina, Georgia, Virginia, Illinois, Indiana, or the District of Columbia, and your coinsurance for chiropractic or physical therapy services was calculated using an Optum-Aetna agreed rate that was higher than what the provider's contract with Optum actually required. The covered period is July 12, 2012 through the settlement's effective date.
Official eligibility wording
Participants or beneficiaries of Aetna Plans in NC, SC, GA, VA, IL, IN, or DC whose coinsurance was calculated using an Optum-Aetna agreed rate that exceeded the provider's contracted rate with Optum for chiropractic or physical therapy services from July 12, 2012 to the Settlement's Effective Date.
This summary is based on available official settlement sources. The settlement administrator determines eligibility and payment approval.
New to the terms? Plain-English: claim deadline, proof of purchase, administrator, pro rata.
Important dates
- Claim deadline
- July 10, 2025 (closed)
Proof requirements
Proof requirement is currently marked as Optional.
Review the official claim form before submitting any information.
What you need
For visits after December 31, 2017, documentation such as your Summary Plan Description (in effect at the time of the visit) was required to be submitted by July 10, 2025. For earlier visits, no submission is needed — Aetna's records are used. The claim filing deadline was July 10, 2025.
How to file this claim
- Check whether you qualify: you need to have been on an Aetna plan and paid coinsurance for chiropractic or physical therapy through Optum Provider Services in one of these states: NC, SC, GA, VA, IL, IN, or DC. The covered period runs from July 12, 2012 through the settlement's effective date.
- For sessions from July 12, 2012 through December 31, 2017: nothing to do. Aetna's records handle the calculation automatically.
- For sessions after December 31, 2017: you needed to submit your Summary Plan Description (SPD) from the time of the visit, proving it didn't disclose the Optum fee. The deadline was July 10, 2025, so if you missed it, those post-2017 sessions won't count toward your claim.
- If you still needed to send post-2017 documentation, the address was: Aetna Optum Admin Fee Settlement Administrator, c/o Atticus Administration, PO Box 60453, St. Paul, MN 55164. PDFs were also accepted by email — check the FAQ at https://www.aetnaoptumadminfeesettlement.com/faqs-2/ for the address.
- The Final Fairness Hearing was scheduled for August 22, 2025. Check https://www.aetnaoptumadminfeesettlement.com/important-dates/ for current status and any payment distribution news.
What the form asks
- Post-2017 claim documentation submission — A copy of your Summary Plan Description from when the visit happened, showing the plan didn't mention that the allowed amount could include an administrative fee. (Your Aetna plan documents, your employer's HR portal, or ask your plan administrator for a copy.)
Documents you'll need
- Summary Plan Description (SPD) — required only for post-2017 claims
Watch out for
- The July 10, 2025 deadline to send in post-2017 documentation has passed. If you missed it, only your pre-2018 sessions will count.
- The opt-out and objection deadlines were also July 10, 2025.
- Payments under $15 won't be issued. If your overpayment was small, you might fall below that floor.
- Individual claim amounts are capped at $5,000 for purposes of calculating your share.
- If total claims across all class members exceed $2.4 million, everyone gets a proportionally reduced share rather than the full amount.
- Coverage is limited to NC, SC, GA, VA, IL, IN, and DC. The Aetna-Optum arrangement ended April 1, 2023.
We prepare — you file on the official site yourself. This is not legal advice and is not an eligibility decision; the administrator and court decide.
How do I file a claim for this settlement?
This record no longer has an open public claim form — confirm the current status and any next steps on the official source.
- Confirm you are within the eligible group described in the official notice — the settlement administrator determines eligibility.
- Gather any documents the official form asks for — this settlement marks proof as Optional.
- Open the official claim form or settlement website.
- Submit accurate information through the official settlement administrator or government source before July 10, 2025.
- Save your confirmation number if one is provided, then watch the payment status for distribution updates.
New to settlement claims? How to file safely →
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How we verified this record
- Claim deadline the official settlement website · Jun 15, 2026
- Payout details the official settlement website · Jun 15, 2026
- Eligibility the official settlement website · Jun 15, 2026
- Proof requirement the official settlement website · Jun 15, 2026
- Administrator queued for re-check
- Official claim link queued for re-check
- Court case queued for re-check
- Payment status queued for re-check
Every published record clears our source-verification bar; remaining fields are checked one by one on our weekly re-verification pass.
Checked fields are matched against a named official source and re-checked on a schedule. We show the authority and the date, never our internal evidence link.
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Claim deadline
July 10, 2025
Verified Jun 15, 2026 · against the official settlement website
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Eligibility summary
Participants or beneficiaries of Aetna Plans in NC, SC, GA, VA, IL, IN, or DC whose coinsurance was calculated using an Optum-Aetna agreed rate that exceeded the provider's contracted rate with Optum for chiropractic or physical therapy services from July 12, 2012 to the Settlement's Effective Date.
Verified Jun 15, 2026 · against the official settlement website
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Proof requirement
Optional
Verified Jun 15, 2026 · against the official settlement website
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Estimated payout
Optum Provider Services (difference between agreed Optum-Aetna rate and provider's contracted rate with Optum)
Verified Jun 15, 2026 · against the official settlement website
Defendants will pay $4.8 million for the benefit of the Classes: $4.6 million from Aetna and $200,000 from Optum.
Common questions
Is the Peters v Aetna, Inc., et al. settlement legitimate?
Yes — the Peters v Aetna, Inc., et al. settlement is a real claims process that SettleSignal tracks from its official source. File only through the official settlement website (www.aetnaoptumadminfeesettlement.com); a genuine settlement administrator never charges a fee to file. SettleSignal last checked this record against the official source on June 15, 2026. Always confirm the current details on the official site before filing.
Who may qualify for this settlement?
Participants or beneficiaries of Aetna Plans in NC, SC, GA, VA, IL, IN, or DC whose coinsurance was calculated using an Optum-Aetna agreed rate that exceeded the provider's contracted rate with Optum for chiropractic or physical therapy services from July 12, 2012 to the Settlement's Effective Date.
What is the claim deadline?
The claim deadline is July 10, 2025. Confirm the current deadline on the official settlement source before filing.
Do I need proof to claim?
Proof requirement: Optional. The settlement administrator determines what documentation, if any, is required.
What is the current payment status?
Current payment status: Unknown. Payments are issued by the administrator after the court process concludes.
When will Peters v Aetna, Inc., et al. pay out?
Current payment status: Unknown. Class-action payouts typically begin only after final approval and any appeals. See our payout timeline guide.
Where is the official Peters v Aetna, Inc., et al. claim form?
No claim form is needed — The claim deadline (Jul 10, 2025) has passed — this settlement is closed to new claims. Listed for reference. Never pay a fee to claim a settlement payment.
How do I know if I'm in this settlement?
You're covered if you had an Aetna health plan in NC, SC, GA, VA, IL, IN, or DC and paid coinsurance for chiropractic or physical therapy services through an Optum network provider at any point from July 12, 2012 through the settlement's effective date.
Do I need to submit any paperwork?
It depends on when your visits happened. For claims before 2018, Aetna's own records are used to calculate your share, so you don't need to do anything. For claims after 2017, you needed to submit proof (like your Summary Plan Description) to the administrator by July 10, 2025.
How much will I get?
Your payment is based on how much you overpaid in coinsurance during the covered period, compared to what Optum's actual provider contract required. The exact amount depends on how many valid claims are submitted across the entire class. Individual claim amounts are capped at $5,000, and payments under $15 are not sent out.
What happens if I don't do anything?
For pre-2018 claims, the administrator uses Aetna's records, so your payment is calculated without any action from you. For post-2017 claims, missing the July 10, 2025 documentation deadline means those later claims won't count toward your payout.
When is the final decision on the settlement?
A Final Fairness Hearing was scheduled for August 22, 2025 at 9:00 a.m. The court will decide at that hearing whether to give final approval to the settlement.
Where to act
When you are ready, you open the official claim form yourself. SettleSignal does not file claims or determine eligibility.
The claim deadline (Jul 10, 2025) has passed — this settlement is closed to new claims. Listed for reference.
Listed on the official settlement website.
Disclaimer
This service summarizes publicly available settlement information and links to official settlement sources. We are not a law firm, do not provide legal advice, do not submit claims on your behalf, and do not determine eligibility or payout approval. Only file a claim if the information you provide is accurate.
Change log
- June 15, 2026 — Settlement published after verification.
- June 15, 2026 — Verified field details updated from an official source. ×2