Justia ERISA Opinion SummariesArticles Posted in California Courts of Appeal
Port Medical Wellness, Inc. v. Connecticut General Life Insurance Co.
State law causes of action seeking to recover unpaid benefits under a welfare benefit plan regulated under the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. 1001 et seq., are generally conflict preempted. The Court of Appeal affirmed the trial court's grant of summary judgment for defendants in an action filed by Port Medical seeking payments for health care services provided to persons eligible for benefits under the Plan. The court held that Port Medical's claims for breach of implied-in-fact contract, intentional misrepresentation and quantum meruit—each of which sought payment for services covered under the Plan—were conflict preempted under section 514 of ERISA. The court held that Port Medical's two remaining claims for unfair competition and intentional interference with prospective economic advantage were not preempted because they were predicated on the theory that the Plan and Connecticut General conspired to force Port Medical out of business in order to benefit a competitor, rather than strictly on a claim for benefits under the Plan. The court held, nonetheless, that Port Medical failed to demonstrate there was a dispute of material fact with respect to those claims. View "Port Medical Wellness, Inc. v. Connecticut General Life Insurance Co." on Justia Law