Leave a comment

ERISA: Amicus Briefs Filed in US Airways v. McCutchen

During the U.S. Supreme Court’s upcoming term, the court is scheduled to hear U.S. Airways v. McCutchen, 663 F.3d 671 (3d Cir. 2011).  We have previously written about the issue of equitable doctrines in ERISA:

Now that the Supreme Court has granted Certiorari and agreed to hear the appeal of US Airways v. McCutchen we are beginning to see Amicus briefs.  As of September 13 we count six briefs filed so far.

ERISA and health insurance plans are arguing that the application of equitable doctrines harms other beneficiaries of theplan.  They argue that ERISA Subrogation and reimbursement recovery flows to the benefit of the pool of insureds.  They further argue this limits premium rate increases.

We disagree.  Plaintiffs disagree.  Plaintiffs’ attorneys disagree.  And we think most insured individuals will disagree.  We think it is clear that subrogated recoveries flow to the benefit of the ERISA plans.  Those plans (United HealthCare, Humana, BCBS, etc.), their subrogation providers (Ingenix, ACS, etc.) and companies like US Airways receive a windfall.  None of the recovery is returned to the insurance pool to help the insureds or to limit premium increases.

In its simplest terms, subrogation allows the health insurance to stand in the plaintiffs’ shoes and recover what they would not have paid but for the defendant’s negligence.  But ERISA subrogation supposedly is not subjected to the same limits (comparative fault, policy limits, risk limitation through settlement) to which the plaintiff is subject.  These are the bases for anti-ERISA arguments.

US Airways v. McCutchen should be decided in June or July of 2013.

If you need help reducing an ERISA lien please contact us.  At Lien Resolution Services we can assist you with Medicare lien resolution, Medicaid lien resolution, ERISA liens, private insurance liens, and more.

 

Ryan J. Weiner
Lien Resolution Services
www.lienresolutionusa.com
https://lienblog.wordpress.com
rweiner@lienresolutionusa.com
 
This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.
Advertisements

About Ryan J. Weiner

Co-Founder of Lien Resolution Services, LLC, a national healthcare lien resolution firm. Our goal is to assist in the fair administration and resolution of healthcare liens on personal injury cases. Please visit our website for more information: www.lienresolutionusa.com.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: