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Rush Prudential Hmo, Inc. Vs. Moran

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  • US Supreme Court
  • Jun 20, 2002

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69 entries 7 linked 62 unlinked
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  1. Union Labor Life Ins. Co. Vs. Pireno US Supreme Court · Jun 28, 1982
  2. Unum Life Ins. Co. of America Vs. Ward US Supreme Court · Apr 20, 1999
  3. Pilot Life Ins. Co. Vs. Dedeaux US Supreme Court · Apr 06, 1987
  4. Pegram Vs. Herdrich US Supreme Court · Feb 23, 2000
  5. Fmc Corp. Vs. Holliday US Supreme Court · Jan 01, 1990
  6. Metropolitan Life Ins. Co. Vs. Taylor US Supreme Court · Apr 06, 1987
  7. Egelhoff Vs. Egelhoff US Supreme Court · Mar 21, 2001
  8. U.S. 355 (2002) October Term, 2001 Syllabus Rush Prudential Hmo, Inc. V. Moran
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  9. whether a law regulates insurance, this Court starts with a commonsense view of the matter, Metropolitan Life Ins. Co. v. Massachusetts
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  10. the insurance industry, Pilot Life Ins. Co. v. Dedeaux
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  11. id., at 56, has, up to now, been more straightforward than it is here. Pilot Life, Massachusetts Mut. Life Ins. Co. v. Russell
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  12. U. S. 134 , and Ingersoll-Rand Co. v. McClendon
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  13. This case therefore resembles the claims-procedure rule that the Court sustained in UNUM Life Ins. Co. of America v. Ward
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  14. plan interpretations may receive deference from a reviewing court, see Firestone Tire & Rubber Co. v. Bruch
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  15. of Utah, William H. Sorrell of Vermont, Randolph A. Beales of Virginia, Christine O. Gregoire of Washington, Darrell v. McGraw
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  16. a), as construed by this Court in Metropolitan Life Ins. Co. v. Taylor
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  17. ll32(a) only against ERISA plans, administrators, or fiduciaries. See, e. g., Everhart v. Allmerica
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  18. Garren v. John
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  19. Jass v. Prudential
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  20. the sort this Court had held to survive ERISA preemption. See 230 F. 3d, at 972 (citing UNUM Life Ins. Co. of America v. Ward
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  21. under this Court's holding in Pilot Life Ins. Co. v. Dedeaux
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  22. conflicted with the Fifth Circuit's treatment of a similar provision of Texas law in Corporate Health Ins., Inc. v. Texas
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  23. of these antiphonal clauses, New York State Confer- 365 ence of Blue Cross & Blue Shield Plans v. Travelers
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  24. Co., 514 U. S. 645 , 656 (1995), occupies a substantial share of this Court's time, see, e. g., Egelhoff v. Egelhoff
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  25. California Div. of Labor Standards Enforcement v. Dillingham
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  26. Metropolitan Life Ins. Co. v. Massachusetts
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  27. id., at 740 (quoting Park 'N Fly v. Dollar
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  28. Act unless that was the clear and manifest purpose of Congress.''' Travelers, supra, at 655 (quoting Rice v. Santa
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  29. with respect to their insurance practices, the state law survives ERISA. Cf. Group Life & Health Ins. Co. v. Royal
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  30. g., R. Shouldice, Introduction to Managed Care 450-462 (1991), a feature distinctive to insurance, see, e. g., SEC v. Variable
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  31. Ferguson, notwithstanding their classification as such for the purpose of state regulation. See, e. g., SEC v. Variable
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  32. Hartford Fire Ins. Co. v. Califor
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  33. SEC v. Variable
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  34. law is not required to satisfy all three McCarran-Ferguson criteria to survive preemption, see UNUM Life Ins. Co. v. Ward
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  35. Pe gram v. Herdrich
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  36. of the business of 374 insurance. E. g., SEC v. National
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  37. Securities, Inc., 393 U. S. 453 , 460 (1969). Rush says otherwise, citing Union Labor Life Ins. Co. v. Pireno
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  38. obviates any need to say more under this third factor. Cf. Barnett Bank of Marion Gty., N. A. v. Nelson
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  39. a statutory provision designed to save state law from being preempted. See American Telephone & Telegraph Go. v. Gentral
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  40. Adams Express Go. v. Groninger
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  41. a), authorizing civil actions for 376 six specific types of relief.7 In Massachusetts Mut. Life Ins. Co. v. Russell
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  42. the conditions under which a cause of action may be removed to a federal forum. Metropolitan Life Ins. Co. v. Taylor
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  43. ordinarily applied when discretionary plan interpretations are challenged. Firestone Tire & Rubber Co. v. Bruch
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  44. a). Id., at 148. Two years later we determined in Metropolitan Life Ins. Co. v. Taylor
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  45. a) in providing a prohibited alternative remedy. In Ingersoll-Rand Co. v. McClendon
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  46. but instead bears a resemblance to the claimsprocedure rule that we sustained in UNUM Life Ins. Co. of America v. Ward
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  47. care, but then modify that obligation by excluding experimental procedures from coverage. See, e. g., Tillery v. Hoffman
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  48. New York State Conference of Blue Cross & Blue Shield Plans v. Travelers
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  49. is properly characterized as a species of mandated-benefit law of the type we approved in Metropolitan Life Ins. Co. v. Massachusetts
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  50. the contract. This limitation, in turn, implicates a feature of HMO benefit determinations that we described in Pegram v. Herdrich
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