Bill Gray Enterprises, Inc. Employee Health & Welfare Plan Ex Rel. Bill Gray Enterprises, Inc. v. Gourley
Court of Appeals for the Third Circuit
1Opinion of the Court
OPINION OF THE COURT
SCIRICA, Circuit Judge.
The principal issue on appeal is whether a self-funded employee benefit plan which purchases stop-loss insurance from a third party insurance provider is subject to Pennsylvania laws governing the enforcement of anti-subrogation clauses in insurance contracts. We join our sister circuits in holding a self-funded employee benefit plan with stop-loss insurance is not deemed an insurance provider under the Employee Retirement Income Security Act. Therefore, the plan is not subject to state laws regulating insurance contracts.
I
A
Bill Gray Enterprises,…
2Cases cited42 opinions
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Metropolitan Life Insurance v. MassachusettsSupreme Court of the United States · 1985
- Mertens v. Hewitt AssociatesSupreme Court of the United States · 1993
- New York State Conference of Blue Cross & Blue Shield Plans v. Travelers InsuranceSupreme Court of the United States · 1995
- FMC Corp. v. HollidaySupreme Court of the United States · 1990
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3Cited by2 opinions
- Bill Gray Enterprises, Incorporated Employee Health And Welfare Plan v. Ronald L. GourleyCourt of Appeals for the Third Circuit · 2001
- Sissoko v. United StatesCourt of Appeals for the Ninth Circuit · 2006