Supreme Court of the United States |
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| Argued February 23, 2000 Decided June 12, 2000 |
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| Full case name | Lori Pegram, et al., Petitioners v. Cynthia Herdrich | |||||
| Citations | 530 U.S. 211 (more) 530 U.S. 211, 120 S.Ct. 2143 |
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| Holding | ||||||
| Because mixed treatment and eligibility decisions by HMO physicians are not fiduciary decisions under ERISA, Herdrich does not state an ERISA claim. | ||||||
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| Case opinions | ||||||
| Majority | Souter, joined by Unanimous | |||||
Pegram v. Herdrich, 530 U.S. 211 (2000) is a United States Supreme Court case that held that ERISA does not provide a remedy for coverage determinations by health maintenance organizations. The case is important because, by excluding suits involving coverage determinations from the ERISA regime, state law remedies are not preempted by the legislation.