Legal Opinion

Guyan International, Inc. v. Professional Benefits Administrators, Inc.

Court of Appeals for the Sixth Circuit

Decided August 20, 2012No. 11-3126, 11-3640PublishedCited by 29 opinions

1Opinion of the Court

OPINION

JANE B. STRANCH, Circuit Judge.

This appeal turns on whether Professional Benefits Administrator (PBA) is a fiduciary under the Employee Retirement Income Security Act of 1974 (ERISA) with respect to Plaintiffs’ employee benefit plans. Plaintiffs each established and administered an employee benefit plan (Plan; collectively, Plans) that provided health benefits for their employees under ERISA. Plaintiffs hired PBA as a claims administrator to pay medical providers for claims incurred under the Plans.

Although PBA was contractually obligated to use the funds it received from Plaintiffs…

2Cases cited11 opinions

  1. Anderson v. Liberty Lobby, Inc.Supreme Court of the United States · 1986
  2. Massachusetts Mutual Life Insurance v. RussellSupreme Court of the United States · 1985
  3. Aetna Health Inc. v. DavilaSupreme Court of the United States · 2004
  4. Pfahler v. National Latex Products Co.Court of Appeals for the Sixth Circuit · 2007
  5. Loren v. Blue Cross & Blue Shield of Mich.Court of Appeals for the Sixth Circuit · 2007

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

3Cited by29 opinions

  1. Anderson Ex Rel. C.A. v. City of Blue AshCourt of Appeals for the Sixth Circuit · 2015
  2. John Doe v. Miami Univ.Court of Appeals for the Sixth Circuit · 2018
  3. Hi-Lex Controls, Inc. v. Blue Cross and Blue Shield of Mich.Court of Appeals for the Sixth Circuit · 2014
  4. Pipefitters Local 636 Ins. Fund v. Blue Cross and Blue Shield of Mich.Court of Appeals for the Sixth Circuit · 2013
  5. Eric Patterson v. United Healthcare Ins. Co.Court of Appeals for the Sixth Circuit · 2023

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

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