February 23, 2010
Bruce Nigro, Director
Essex County Division of Welfare
18 Rector Street, Floor 9
Newark, NJ, 07102
Re: Step II Class Action Contractual Grievance
Denial of 2009 Medical Costs
Article I. Purpose
Article VII. Discipline
Article XX. Health Insurance Coverage
Article XXV. Non-Discrimination
Dear Mr. Nigro:
CWA Local 1081 submits this Step II Class Action Contractual Grievance on behalf of all of our members whom have not been duly reimbursed by Horizon Blue Cross Blue Shield of New Jersey for medical and/or dental costs incurred within 2009 and/or whose respective medical providers have not been paid for their services by Horizon Blue Cross Blue Shield.
While our Union is not certain, as of this writing, whether the culpability technically is borne by Horizon Blue Cross Blue Shield of New Jersey or the County of Essex, or both, the County is contractually culpable to our adversely affected members. CWA Local 1081 is prepared, as well, to file a formal complaint with the New Jersey Department of Banking and Insurance were Horizon Blue Cross Blue Shield of New Jersey proved technically at fault.
The resolution CWA Local 1081 demands to this grievance consists of the County of Essex immediately ensuring our aggrieved members and their respective medical providers are made whole, post haste, in the above cited regard.
Sincerely,
David H. Weiner, President, CWA Local 1081