Pegram v. Herdrich | |
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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 | |
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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]
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