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Janurary 2001 - ERISA
JANUARY 2001
ERISA ENFORCEMENT OF REIMBURSEMENT:
SUPREME COURT TO DECIDE
Our last newsletter highlighted the Reynolds Metals Co. v. Ellis case pending before the U.S. Supreme Court. This case presented the high court with the opportunity to decide what types of actions can be brought to enforce the terms of an ERISA plan. Ellis presented a case for the court to determine if a plan fiduciary can seek enforcement of plan reimbursement provision under 29 U.S.C. §1132(a)(3). But the parties to the Ellis action reached an out of court agreement dismissing the appeal as of December 29, 2000.
Without word from the Supreme Court, plans are left to varying court rulings on the enforcement of plan language, specifically plan reimbursement provisions. The Ninth Circuit continues to reject any attempts to enforce a plan's reimbursement provision under ERISA as lacking federal court subject matter jurisdiction. See FMC Medical Plan v. Owens, 122 F.3d 1258 (9th Cir. 1997).
In contrast, the Eleventh Circuit rejected application of Owens to a reimbursement action. See Blue Cross & Blue Shield of Alabama v. Sanders, 138 F.3d 1347 (11th Cir. 1998). In a lengthy footnote, the Sanders court held specific performance was an equitable remedy allowable under 29 U.S.C. §1132(A)(3) coffering jurisdiction on the federal courts. Two other Circuits previously held that actions seeking specific performance of a plan's reimbursement provision were properly brought in federal court under 29 U.S.C. §1132(A)(3). See Southern Council of Industrial Workers v. Ford, 83 F.3d 966 (8th Cir. 1996); Health Cost Controls v. Skinner, 44 F.3d 535 (7th Cir. 1995). The Sixth Circuit Court of Appeals for Ohio, Kentucky, Michigan and Tennessee may address this issue later this spring in the case of Community Insurance Co. v. Ruth Miller which is currently set for oral arguments in March, 2001.
On January 22, 2001 the U.S. Supreme Court again agreed to decide this issue in Great-West Life & Annuity Ins. Co. v. Knudson, 208F.3d 221 (9th Cir. 2000). Plan enforcement will remain uncertain until the U.S. Supreme Court weighs in on this issue.
©2001 Kreiner & Peters Co., L.P.A.
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