By: Derek Hawkins//October 31, 2016//
7th Circuit Court of Appeals
Case Name: Central States, Southeast and Southwest Areas Health and Welfare Fund v. American International Group, Inc., et al.
Case No.: 15-2237
Officials: FLAUM, WILLIAMS, and SYKES, Circuit Judges.
Focus: ERISA – Appropriate Equitable Relief
A self-funded ERISA plan has sued several independent health insurers seeking reimbursement for medical expenses it paid on behalf of beneficiaries who were covered under both the plan and the insurers’ policies. We’re asked to decide whether a lawsuit like this one—a “coordination of benefits” dispute—seeks “appropriate equitable relief” under section 502(a)(3) of ERISA, 29 U.S.C. § 1132(a)(3). Six circuits have held that section 502(a)(3) does not authorize suits of this type because the relief sought is legal, not equitable. We join this consensus and affirm the dismissal of the ERISA plan’s suit.
Affirmed