Pegram v. Herdrich explained

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]

Notes and References

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