Sanjiv Goel M.D., Inc. v. Aetha Health of California, Inc.

Good Law
United States District Court, Central District of CaliforniaMay 26, 20212:20-cv-09706California3,951 words

Opinion

trial_court Opinion

I. Factual Background

A. The Parties

Plaintiff is alleged to be a California corporation. Dkt. 1-1 ¶ 5. Through this corporate form, Sanjiv Goel (“Dr. Goel”), a board-certified physician, provides emergency medical services and care to patients as required by Cal. Health & Safety Code § 1317.1(a)(1). Id. The Complaint refers to Plaintiff and Dr. Goel

CIVIL MINUTES – GENERAL

Case No. LA CV20-09706 JAK (Ex) Date May 26, 2021

Title Sanjiv Goel M.D., Inc. v. Aetha Health of California, Inc., et al

The Complaint alleges that each Defendant -- Aetna Health of California, Inc. (“AHC”), Aetna Life Insurance Company (“ALIC”), and Aetna Life and Health Insurance Company (“AHLIC”) -- is a corporation doing business in Thousand Oaks, California. Id. ¶¶ 6-8. It is also alleged that each is licensed by the California Department of Managed Care to act as a “health care service plan” within the meaning of the Knox-Keene Act, Cal. Health & Safety Code § 1345(f). Id. It is also alleged that each Defendant acts as an agent for the others, and that they act jointly in certifying or authorizing Plaintiff's services to members, in pricing Plaintiff's claims and…

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