The U.S. District Court in Connecticut certified three questions to the Connecticut Supreme Court regarding the interpretation of the state's Surprising Billing Law and whether a party can successfully maintain an action under the Connecticut Unfair Trade Practices Act that does not violation the Connecticut Unfair Insurance Practices Act.

June 29 order by U.S. District Judge Sarala V. Nagala for the District of Connecticut certified questions stemming from a dispute between insurer Harvard Pilgrim Healthcare Inc. and a group of emergency-room physicians, NEMS PLLC. The dispute regarded whether Harvard Pilgrim's payments to NEMS for emergency medical services violated the Connecticut Surprise Billing Law, CUIA and CUTPA.