Clover Health Investments Corp.
06/10/2026 | Press release | Distributed by Public on 06/10/2026 06:31
Material Event (Form 8-K)
Item 8.01. Other Events.
On May 29, 2026, the United States District Court for the Southern District of Georgia entered final judgment in Clover Insurance Co. v. U.S. Department of Health and Human Services, 2:25-CV-142, granting summary judgment in part for Clover Insurance Company ("Clover"), a subsidiary of Clover Health Investments, Corp. At issue in the lawsuit was Clover's 2026 Star Rating, which impacts Payment Year 2027. The Court set aside Clover's 2026 3.5 Star Rating for Contract H5141 and ordered the Centers for Medicare & Medicaid Services ("CMS") to recalculate Clover's 2026 Star Rating in a manner consistent with the Order.
On June 9, 2026, CMS informed Clover that, consistent with the Court's order, it has recalculated Clover's 2026 Star Rating as 4.5 Stars, and has instructed Clover to submit alternate bids at 4.5 Stars. The 4.5 Star Rating applies to Contract H5141, Clover's PPO plan, which covers over 97% of Clover's members. Clover's HMO plan's (Contract H8010) 2026 Star Rating was not subject to this litigation and its 2026 Star Rating remains at 4.0 Stars, as previously reported.
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