Legal Opinion

Hi-Lex Controls, Inc. v. Blue Cross and Blue Shield of Mich.

Court of Appeals for the Sixth Circuit

Decided May 14, 2014No. 13-1773, 13-1859PublishedCited by 32 opinions

1Opinion of the Court

OPINION

SILER, Circuit Judge.

The Hi-Lex corporation, on behalf of itself and the Hi-Lex Health & Welfare Plan, filed suit in 2011 alleging that Blue Cross Blue Shield of Michigan (BCBSM) breached its fiduciary duty under the Employee Retirement Income Security Act of 1974 (ERISA) by inflating hospital claims with hidden surcharges in order to retain additional administrative compensation. The district court granted summary judgment to Hi-Lex on the issue of whether BCBSM functioned as an ERISA fiduciary and whether BCBSM’s actions amounted to self-dealing. A bench trial followed in which the…

2Cases cited24 opinions

  1. Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
  2. Mertens v. Hewitt AssociatesSupreme Court of the United States · 1993
  3. Cataldo v. United States Steel Corp.Court of Appeals for the Sixth Circuit · 2012
  4. Anthony R. Caputo David A. Cook Paul B. Pebbles Duncan B. Robertson v. Pfizer, Inc.Court of Appeals for the Second Circuit · 2001
  5. Russell C. Larson v. Northrop CorporationCourt of Appeals for the D.C. Circuit · 1994

19 more not listed; retrieve them via the Exa API.

3Cited by32 opinions

  1. Kimberly Gordon v. Cigna CorporationCourt of Appeals for the Fourth Circuit · 2018
  2. The Depot, Inc. v. Caring for Montanans, Inc.Court of Appeals for the Ninth Circuit · 2019
  3. Sandra Peters v. Aetna IncorporatedCourt of Appeals for the Fourth Circuit · 2021
  4. Walter Dean v. National Production Workers UnCourt of Appeals for the Seventh Circuit · 2022
  5. Eric Patterson v. United Healthcare Ins. Co.Court of Appeals for the Sixth Circuit · 2023

27 more not listed; retrieve them via the Exa API.

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