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
Supreme Court of the United States
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
Chief Justice William Rehnquist Associate Justices John P. Stevens · Sandra Day O'Connor Antonin Scalia · Anthony Kennedy David Souter · Clarence Thomas Ruth Bader Ginsburg · Stephen Breyer
Case opinion
Majority	Souter, joined by unanimous
Laws applied
Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq.