Pegram v. Herdrich
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]
| 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 | |
| |
| Case opinion | |
| Majority | Souter, joined by unanimous |
| Laws applied | |
| Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. | |
External links
- Text of Pegram v. Herdrich, 530 U.S. 211 (2000) is available from: CourtListener Google Scholar Justia Library of Congress
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