Blue Cross and Blue Shield of Kansas City v. Bell

596 F. Supp. 1053, 5 Employee Benefits Cas. (BNA) 2459, 1984 U.S. Dist. LEXIS 22146
CourtDistrict Court, D. Kansas
DecidedNovember 7, 1984
DocketCiv. A. 84-2255
StatusPublished
Cited by5 cases

This text of 596 F. Supp. 1053 (Blue Cross and Blue Shield of Kansas City v. Bell) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blue Cross and Blue Shield of Kansas City v. Bell, 596 F. Supp. 1053, 5 Employee Benefits Cas. (BNA) 2459, 1984 U.S. Dist. LEXIS 22146 (D. Kan. 1984).

Opinion

MEMORANDUM AND ORDER

SAFFELS, District Judge.

This is a declaratory judgment action challenging a Kansas statute on the grounds that it is pre-empted by the Employee Retirement Income Security Act (ERISA) and that it violates the United States Constitution. This cause was tried to the court without a jury on September 6, 1984. The parties have completed post-trial briefing and the court is now prepared to rule.

Plaintiff, Blue Cross and Blue Shield of Kansas City (hereinafter Blue Cross) is a Missouri not-for-profit corporation which sells insurance in Missouri and in Johnson and Wyandotte Counties in Kansas. Defendant, Fletcher Bell, is the insurance commissioner of Kansas. The additional defendants are professional organizations representing optometrists, chiropractors, psychologists and podiatrists. The court has allowed the General Motors Corporation and the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America to file amicus curiae briefs.

House Bill No. 3064, the challenged bill, was passed overwhelmingly 1 by the Kansas Legislature and signed into law by the governor to become effective July 1, 1984. Prior to that date, Blue Cross initiated this action and this court denied preliminary injunctive relief. The bill essentially requires that all insurance policies for individuals residing or employed in Kansas meet the requirements of four other Kansas insurance statutes. 2 An out-of-state *1056 employer’s group insurance plan or employee benefit plan offering health insurance to Kansas residents or employees must include certain coverages under this bill. 3

Blue Cross contends that HB 3064 is invalid for the following reasons: [1] ERI-SA, 29 U.S.C. 1144(a), pre-empts all state laws that regulate ERISA employee benefit plans; and [2] by regulating insurance contracts entered into by parties outside the state of Kansas, the provision (a) impairs the right of private parties to contract, (b) denies due process to plaintiff, and (c) poses an undue burden on interstate commerce. Defendants contend that HB 3064 is valid under ERISA’s “savings clause,” 29 U.S.C. 1144(b)(2)(A), in that ERISA does not “exempt or relieve any person from any law of any State which regulates insurance____” Defendants also contend that the law is not unconstitutional in its extra *1057 territorial effect. As a preliminary matter, the defendants challenge Blue Cross’ standing to raise these claims.

Standing

The following facts are relevant to the question of standing:

1. Blue Cross issues many contracts of health care insurance to employers in both Kansas and Missouri which have employees who work and/or reside in Kansas. These employees are subscribers of Blue Cross through their employer or employment group, and health care benefits are provided to employees through contracts with Blue Cross.

2. Blue Cross employs residents of Missouri and Kansas. As an employer, plaintiff provides health care benefits to its own employees through “employee benefit plans.” The evidence at trial was inconclusive as to whether Blue Cross’ plans are ERISA plans, and also as to whether the plans are “self-funded.”

3. The enforcement of HB 3064 would alter the contracts of health care benefits entered into by Blue Cross and increase the actual cost of the service benefits and of claims administration.

4. Plaintiff Blue Cross has an “actual stake in the outcome of this litigation.”

The following conclusions of law are relevant to the question of standing herein:

1. To raise the question of the constitutionality of the bill challenged herein, plaintiff must show that it has standing under’ the general principles respecting standing to sue. Those standards were set forth in Worthing v. Hosey, 73 F.R.D. 406, 409 (D.Kan.1977), as follows:

The general principles respecting standing to sue, which apply with equal effect to the question of mootness, have been pronounced numerous times by this and other courts in the Federal system. Essentially, the constitutional dimension of standing, dictated by the “case or controversy” requirement of Art. Ill of the Constitution, mandates that the plaintiffs in any action allege some threatened or actual injury resulting from the putatively illegal conduct of the defendants before a Federal court may assume jurisdiction. See Warth v. Seldin, 422 U.S. 490, 95 S.Ct. 2197, 45 L.Ed.2d 343 (1975); O’Shea v. Littleton, 414 U.S. 488, 94 S.Ct. 669, 38 L.Ed.2d 674 (1974). The plaintiffs' herein, therefore, must have some “personal stake in the outcome” of the litigation such as to assure that “concrete adverseness which sharpens the presentation of issues” to allow the determination of difficult constitutional questions. O’Shea v. Littleton, supra, at 494, 94 S.Ct. 669, 38 L.Ed.2d at 682. In this respect, it must reasonably be shown by the pleadings that the plaintiffs themselves have been injured, and not merely that other, unidentified members of an unrepresented class have suffered the alleged wrong. Warth v. Seldin, supra, 422 U.S. at 502, 95 S.Ct. at 2207, 45 L.Ed.2d at 357. The burden of alleging such “case or controversy” between themselves and the defendants in this case is upon the plaintiffs. Id.

2. An actual case or controversy exists herein and plaintiff’s stake in the outcome is sufficient to allow plaintiff to pursue these constitutional claims against these defendants.

3. To assert a claim under ERISA, a plaintiff must have standing under 29 U.S.C. 1132(a), which provides, in the part pertinent hereto, that a civil action may be brought “(3) by a participant, beneficiary, or fiduciary (A) to enjoin any act or practice which violates any provision of this title or the terms of the plan, or (B) to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this title or the terms of the plan.” Blue Cross seeks equitable relief to redress alleged violations of ERISA and to enforce its provisions.

4. United States district courts have jurisdiction over actions brought by a participant, beneficiary or fiduciary pursuant to 29 U.S.C. 1132(e)(1).

5. The circuit courts of appeal are split as to whether the grant of the right to sue *1058 to only participants, beneficiaries or fiduciaries pursuant to 29 U.S.C.

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Bluebook (online)
596 F. Supp. 1053, 5 Employee Benefits Cas. (BNA) 2459, 1984 U.S. Dist. LEXIS 22146, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blue-cross-and-blue-shield-of-kansas-city-v-bell-ksd-1984.