Pegram v. Herdrich

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Pegram v. Herdrich
Seal of the United States Supreme Court.svg
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
Holding
Because mixed treatment and eligibility decisions by HMO physicians are not fiduciary decisions under ERISA, Herdrich does not state an ERISA claim.
Court membership
Case opinions
Majority Souter, joined by unanimous

Pegram v. Herdrich, 530 U.S. 211 (2000), was a United States Supreme Court case in which the Court held that ERISA 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 ERISA regime, state law remedies are not preempted by the legislation.[1]

References[edit]

  1. ^ "Pegram v. Herdrich - 530 U.S. 211 (2000)". Justia. Retrieved 7 October 2013.