A man in West Virginia sued an insurance provider over a $40 medical bill and won his case over a month ago, but has yet to collect his judgment. As reported by the Associated Press (AP), Sam Juniper took the case to court over principal after battling Aetna Insurance for more than five years.

Upon retiring in 2000, Juniper was told his health care benefits would remain the same. However, the company he worked for subsequently changed their provider to Aetna, who refused to pay Juniper’s $40 medical bill for blood work. Since 2003, the retiree has been in and out of court with the insurance company, winning verdicts all the way up to the U.S. Court of Appeals in Virginia.

Juniper’s attorney who handled the case, Mark Underwood, did so pro-bono. The plaintiff reportedly has not received the money due to him from Aetna.