Pegram v. Herdrich

Pegram v. Herdrich
Argued February 23, 2000
Decided June 12, 2000
Full case name Lori Pegram, et al., Petitioners v. Cynthia Herdrich
Citations 530 U.S. 211 (more)
120 S. Ct. 2143; 147 L. Ed. 2d 164; 2000 U.S. LEXIS 3964
Holding
Because mixed treatment and eligibility decisions by health maintenance organization physicians are not fiduciary according to the Employee Retirement Income Security Act, Herdrich does not state a claim under the Act.
Court membership
Chief Justice
William Rehnquist
Associate Justices
John P. Stevens · Sandra Day O'Connor
Antonin Scalia · Anthony Kennedy
David Souter · Clarence Thomas
Ruth Bader Ginsburg · Stephen Breyer
Case opinions
Majority Souter, joined by unanimous
Laws applied
Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq.

Pegram v. Herdrich, 530 U.S. 211 (2000), was a United States Supreme Court case that held that the Employee Retirement Income Security Act of 1974 does not provide a remedy for coverage determinations by health maintenance organizations. The case is important because by excluding suits involving coverage determinations from the Act, it does not pre-empt state law remedies.[1]

References

  1. ↑ Pegram v. Herdrich, 530 U.S. 211 (2000).
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