Irena Stanic Rasin v. Cigna Health and Life Insurance

CourtDistrict Court, D. Nevada
DecidedMarch 10, 2026
Docket2:25-cv-00407
StatusUnknown

This text of Irena Stanic Rasin v. Cigna Health and Life Insurance (Irena Stanic Rasin v. Cigna Health and Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Irena Stanic Rasin v. Cigna Health and Life Insurance, (D. Nev. 2026).

Opinion

1 2 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA 3 4 Irena Stanic Rasin, Case No. 2:25-cv-00407-CDS-DJA

5 Plaintiff Order Granting in Part and Denying in Part Defendant’s Motion to Dismiss 6 v.

7 Cigna Health and Life Insurance,

8 Defendant [ECF No. 23]

9 10 This is a purported class action suit brought by plaintiff Irena Stanic Rasin, an enrollee in 11 Cigna Health and Life Insurance Company’s health plan, against defendant Cigna Health and 12 Life Insurance. Compl., ECF No. 1. Stanic Rasin brings two claims for relief: disability and age 13 discrimination in violation of Section 1557 of the Affordable Care Act (ACA), 42 U.S.C. § 18116. 14 See id. at 22–28. As alleged, Stanic Rasin claims Cigna violated federal law when it categorically 15 denied her a hearing aid. See id. at 5. Cigna moves to dismiss the complaint under Federal Rule of 16 Civil Procedure 12(b)(6). Mot., ECF No. 23. Therein, Cigna argues that neither the ACA nor any 17 other federal law requires a self-funded ERISA plan like the one in which Stanic Rasin is 18 enrolled to cover hearing aids for adults. See id. Cigna further argues that the benefit Stanic Rasin 19 challenges in her complaint “clearly falls within the Age Discrimination Act’s . . . exception for 20 reasonable age-based restrictions,” which is set forth in the ACA. Id. at 2. Cigna further argues 21 that the complaint fails to sufficiently plead that they are a “health program or activity” that 22 receives “federal financial assistance,” as required by Section 1557, or show they discriminated 23 against Stanic Rasin. See id. at 2–3. Stanic Rasin opposes the motion. Opp’n, ECF No. 37. This 24 motion is now fully briefed.1 Reply, ECF No. 42. For the reasons set forth herein, Cigna’s motion 25 is granted in part and denied in part. 26 1 After this motion was fully briefed, both parties filed motions for leave to file supplemental authority. Mots. for leave, ECF Nos. 47, 50. I granted both motions. Order, ECF No. 52. 1 I. Background 2 As set forth in the complaint, Stanic Rasin is a 58-year-old enrollee in a Cigna health 3 plan.2 ECF No. 1 at 1–2, ¶ 1. Stanic Rasin suffers from disabling hearing loss and, a result thereof, 4 requires prescription hearing aids. Id. Despite her condition, Stanic Rasin cannot obtain coverage 5 for an aid under the Cigna plan because the defendant excludes all coverage for hearing aids for 6 people over the age of 21. Id. at 2, ¶ 1. Stanic Rasin contends that Cigna’s exclusion constitutes 7 illegal disability and age discrimination, under Section 1557 of the ACA. See id. at 2, ¶ 2; id. at 13– 8 17. Accordingly, Stanic Rasin brings this action to “enforce the protections against disability and 9 age discrimination, as incorporated into the ACA.” Id. at 3, ¶ 6. The complaint sets forth the class 10 allegations. See id. at 19–22. Based on these allegations, Stanic Rasin brings the two claims against 11 Cigna on behalf of herself and other members of the proposed class seeking declaratory and 12 injunctive relief. Id. at 22–26. Stanic Rasin affixed a copy of her Cigna plan (“the Policy”) as an 13 exhibit to the complaint. See Pl.’s Ex. 1, ECF No. 4. 14 II. Legal authority 15 The Federal Rules of Civil Procedure require a plaintiff to plead “a short and plain 16 statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). 17 Dismissal is appropriate under Rule 12(b)(6) when a pleader fails to state a claim upon which 18 relief can be granted. Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). A pleading must give fair 19 notice of a legally cognizable claim and the grounds on which it rests, and although a court must 20 take all factual allegations as true, legal conclusions couched as factual allegations are 21 insufficient. Id. at 555. 22 23 24

25 2 As set forth in the complaint, Cigna “is a health insurance company that designs, insures and/or administers health plans and receives federal financial assistance for part of its health programs and 26 activities” and is therefore a “covered entity” subject to the ACA’s anti-discrimination law. ECF No. 1 at 4, ¶ 11. 1 Rule 12(b)(6) requires “more than labels and conclusions, and a formulaic recitation of 2 the elements of a cause of action will not do.” Id. To survive a motion to dismiss, “a complaint 3 must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible 4 on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Twombly, 550 U.S. at 570). “A 5 claim has facial plausibility when the plaintiff pleads factual content that allows the court to 6 draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. This 7 standard “asks for more than a sheer possibility that a defendant has acted unlawfully.” Id. 8 Rule 15(a) provides that a court should “freely” give leave to amend “when justice so 9 requires,” and in the absence of a reason such as “undue delay, bad faith or dilatory motive of the 10 part of the movant, repeated failure to cure deficiencies by amendment previously allowed, 11 undue prejudice to the opposing party by virtue of allowance of the amendment, futility of the 12 amendment, etc.” Foman v. Davis, 371 U.S. 178, 183 (1962). 13 III. Discussion 14 Cigna contends that the complaint fails for several reasons. 15 A. The complaint fails to sufficiently allege that Cigna designed the hearing aid exclusion. 16 17 First, Cigna argues that Stanic Rasin wrongfully alleges that Cigna administers her plan, 18 but the Policy demonstrates that it is administered by her employer. See ECF No. 23 at 7–8. They 19 further argue that Stanic Rasin only pleads the relevant language of her ERISA plan coupled 20 with “information and belief” allegations, rendering the allegations as it relates to this element 21 conclusory. See id. at 6–9. 22 Stanic Rasin responds that her allegations that Cigna designed the hearing aid exclusion 23 (the “Exclusion”) are more than sufficient, and Cigna’s arguments that the plan gives the 24 employer authority to amend the benefits is irrelevant because that does not identify who created 25 the Exclusion. ECF No. 37 at 13 (emphasis in original). She further alleges that she cannot cite 26 specific information regarding who created the Exclusion because that information is controlled 1 by Cigna. Id. at 13, n.4. In reply, Cigna contends that the plaintiff’s allegations are speculative, 2 that she fails to explain how her self-funded plan was designed by them, and that the Policy 3 allows her “the right to request this information about the plan and hearing aid benefit from the 4 ERISA plan administrator, State Street,” so her claim that this information lies exclusively with 5 them is incorrect. ECF No. 49 at 3 (citing the Policy, ECF No. 4 at 67). 6 Given that Cigna is a Third-Party Administrator (TPA), Stanic Rasin has failed to 7 sufficiently allege that Cigna created the Exclusion contained in the Policy. And while I am not 8 convinced that Stanic Rasin could learn this information by simply requesting it from Cigna, the 9 complaint fails to allege that Cigna alone has this information, nor does it detail any efforts to 10 obtain this information from Cigna. Consequently, the allegations that Cigna created the 11 Exclusion are conclusory and are therefore insufficient. See Western Mining Council v. Watt, 643 F.2d 12 618, 624 (9th Cir.

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Irena Stanic Rasin v. Cigna Health and Life Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/irena-stanic-rasin-v-cigna-health-and-life-insurance-nvd-2026.