White Mountain Apache Tribe v. Pequot Health Care — Defendant Motion to Dismiss Denied

Here is the opinion out of the Mashantucket Pequot tribal court:

White Mountain Apache Tribe v Pequot Health Care

An excerpt:

The Plaintiff, the White Mountain Apache Tribe, alleges that it entered into an agreement with the Mashantucket Pequot Tribal Nation and its wholly owned subsidiaries, Pequot Health Care and Pequot Plus Health Benefits, to serve as the “third party administrator” of the Plaintiff’s self-funded tribal health plan. The plaintiff also alleges that it entered into the agreement based on the Defendants’ representations that it had the knowledge, skill, experience and expertise necessary to serve as a third party administrator of the Plaintiff’s health plan, and that it would achieve costs savings for the plan. The Plaintiff further alleges that the Defendants negligently and improperly administered the plan, failed to disclose to the Plaintiff that it had or was negligently and improperly administering the plan, and that as a result of the Defendants’ conduct, the Plaintiff suffered substantial losses to its self insured benefits plan.