Aramark Services v. Aetna Life Ins

CourtCourt of Appeals for the Fifth Circuit
DecidedDecember 18, 2025
Docket24-40323
StatusPublished

This text of Aramark Services v. Aetna Life Ins (Aramark Services v. Aetna Life Ins) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aramark Services v. Aetna Life Ins, (5th Cir. 2025).

Opinion

Case: 24-40323 Document: 150-1 Page: 1 Date Filed: 12/18/2025

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit

____________ FILED December 18, 2025 No. 24-40323 Lyle W. Cayce ____________ Clerk

Aramark Services, Incorporated Group Health Plan; Aramark Services Incorporated, formerly known as Aramark Corporation; Aramark Uniform Services, Group Health and Welfare Plan; Aramark Benefits Compliance Review Committee,

Plaintiffs—Appellees,

versus

Aetna Life Insurance Company,

Defendant—Appellant. ______________________________

Appeal from the United States District Court for the Eastern District of Texas USDC No. 2:23-CV-446 ______________________________

Before Higginbotham, Jones, and Southwick, Circuit Judges. Patrick E. Higginbotham, Circuit Judge: This appeal brings two threshold questions: whether the court or the arbitrator will decide arbitrability, and whether the Plaintiffs seek equitable relief. The district court found that arbitrability lay within its proper ambit— as the parties were not clear and unmistakable in their decision—and that Plaintiffs seek equitable, not legal, relief. We AFFIRM. Case: 24-40323 Document: 150-1 Page: 2 Date Filed: 12/18/2025

No. 24-40323

I A This case centers on the scope of an arbitration clause in a Master Services Agreement (“MSA”) between Aramark Services, Incorporated and Defendant-Appellant Aetna Life Insurance Company.1 Aramark provides food, uniform, and facility services to universities, school systems, prisons, healthcare facilities, and other businesses nationwide. In 2017, it contracted with Aetna through the MSA to provide third-party administrator services for self-funded health benefit plans that Aramark maintains.2 In its role as third-party administrator, Aetna serves as the intermediary between Aramark and health care providers who treat and care for Aramark employees and their family members. Aetna collects a monthly fee and in exchange provides access to its network of providers and adjudicates claims for payment that those providers submit. Aetna is also responsible for handling “calls and other correspondence from Plan Participants,” creating reports for Aramark, and aiding in the design of Aramark’s Plans.

_____________________ 1 The additional Plaintiff-Appellees to this action are Aramark Services, Incorporated Group Health Plan; Aramark Uniform Services, Group Health and Welfare Plan; and Aramark Benefits and Compliance Review Committee (the “Plans” and the “Committee”). The Plans are group health plans organized and operated under the Employee Retirement Income Security Act of 1974 (“ERISA”). For brevity and clarity, Aramark throughout refers to all Plaintiffs—the company, the Committee, and the Plans. 2 The Agreement became effective on January 1, 2018. Like other Fortune 500 companies, Aramark opts not to purchase traditional fully-insured health insurance for its employees, but instead pays the cost of medical care for its employees. Because Aramark lacks the requisite expertise to navigate the medical claims review, adjudication, and payment process, it engaged Aetna as third-party administrator. Aramark maintains nearly a quarter of a million employees.

2 Case: 24-40323 Document: 150-1 Page: 3 Date Filed: 12/18/2025

Under the Agreement, Aetna is tasked with evaluating claims for payments submitted by doctors and hospitals. Since the Agreement came into effect, Aetna has collected over $200 million from Aramark to pay medical service providers for services rendered to employees and their families participating in the Plans.3 B On September 27, 2023, Aramark filed suit against Aetna in the Eastern District of Texas, alleging that Aetna had breached its fiduciary duty as a third-party plan administrator and that Aetna had engaged in prohibited transactions under ERISA.4 Aramark alleges that, since 2017, Aetna has paid millions of dollars of provider claims that should not have been paid, retained millions of dollars in undisclosed fees, and engaged in claims-processing related misconduct to Aramark’s detriment. In particular, Aramark alleges that Aetna had approved improper or fraudulent claims for Aetna subcontractors, provided inadequate subrogation services, made certain post-adjudication adjustments to claims to Aramark’s detriment, and commingled Plan funds with Aetna’s funds. Then in December 2023, Aramark filed an amended complaint. Two days prior to the deadline for a response, Aetna filed a petition to compel arbitration of Aramark’s claims in a Connecticut federal district court.5 Two days later, Aetna filed a motion to stay the Texas proceedings in the Eastern District of Texas pending arbitration pursuant to Section 3 of the Federal Arbitration Act (“FAA”).

_____________________ 3 Aramark Services, Incorporated “sponsors and is the principal funding source for the Plans, which are welfare benefit plans organized and operated under ERISA.” 4 See 29 U.S.C. §§ 1104(a), 1106(b)(1), 1109(a) (fiduciary duty); 29 U.S.C. §§ 1106(a)(1)(D), 1106(b)(3), and 1109(a) (prohibited transactions). 5 Aetna had received an unopposed 45-day extension to respond in the Texas suit.

3 Case: 24-40323 Document: 150-1 Page: 4 Date Filed: 12/18/2025

Aramark opposed both the petition to compel arbitration and motion to stay. The district court denied Aetna’s motion to stay the proceedings on April 26, 2024. The district court rejected Aetna’s argument that the parties had delegated to the arbitrator the power to resolve threshold issues of arbitrability, concluding that it was not “clear and unmistakable” that the Exclusionary Clause delegated all threshold issues of arbitrability to the arbitrator. It found that by the MSA’s plain language, the most natural reading was that “the parties agreed to delegate arbitrability to the arbitrator in accordance with AAA rules for all dispute except those seeking any form of equitable relief, which are carved out in the same sentence.” The district court was not persuaded that the carve-out “evinces a clear and unmistakable intent to delegate arbitrability” because “the parties could have unambiguously and expressly delegated the carve-out to the arbitrator.” Having concluded the threshold issue of arbitrability, it also found that Aramark’s ERISA claims, under 29 U.S.C. §§ 1132(a)(2) and (3), were equitable and thus not properly subject to mandatory arbitration. And, the district court noted that neither party disputed that the case before it in Texas was the first to be filed. Aetna filed its notice of appeal in May 2024; three months later, the Connecticut federal district court stayed its case pending this appeal.6 C The provision at issue of the MSA—Section 15—provides that:

Any controversy or claim arising out of or relating to this Agreement or the breach, termination, or validity thereof, except for temporary, preliminary, or permanent injunctive relief or _____________________ 6 See infra II-C for discussion of the procedural posture of the quasi-parallel litigation, with the motion to stay filed in Texas brought under FAA § 3, and the petition to compel arbitration in Connecticut brought under FAA § 4.

4 Case: 24-40323 Document: 150-1 Page: 5 Date Filed: 12/18/2025

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Bluebook (online)
Aramark Services v. Aetna Life Ins, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aramark-services-v-aetna-life-ins-ca5-2025.