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Kobach files suit in Shawnee County accusing Aetna of using state health funds to offset other plan costs

Kansas Attorney General Kris Kobach has filed a lawsuit in Shawnee County District Court accusing Aetna Inc. of misappropriating state funds tied to the State Employee Health plan. The complaint alleges that Aetna, which serves as a third-party administrator alongside Blue Cross Blue Shield of Kansas, used a billing method known as cross-plan offsetting to pay itself back with state money after overpaying providers for unrelated insurance plans.

Court scales and filing folders beside a healthcare payment ledger with blocked fund-flow arrows

The lawsuit says Aetna also charged the state hidden or obfuscated fees for out-of-network claims through a repricing structure that has been challenged in federal court. Kobach is asking the court to order Aetna to stop practices that use state funds to offset costs for other plans and to require restitution to the state.

Amber Smith, a deputy attorney general in the Public Protection Unit, said Aetna failed in its fiduciary duty and chose to misappropriate Kansas funds to pay itself. An Aetna spokesperson denied wrongdoing and said the company would defend itself, asserting it is committed to safeguarding money provided by Kansas taxpayers for the state employee health plan.