Litigants: | Pegram v. Herdrich |
Arguedate: | February 23 |
Argueyear: | 2000 |
Decidedate: | June 12 |
Decideyear: | 2000 |
Fullname: | Lori Pegram, et al., Petitioners v. Cynthia Herdrich |
Usvol: | 530 |
Uspage: | 211 |
Parallelcitations: | 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. |
Majority: | Souter |
Joinmajority: | unanimous |
Lawsapplied: | Employee Retirement Income Security Act of 1974, 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]