Dobbs v. Anthem Blue Cross & Blue Shield

475 F.3d 1176, 39 Employee Benefits Cas. (BNA) 2429, 2007 U.S. App. LEXIS 1977, 2007 WL 241282
CourtCourt of Appeals for the Tenth Circuit
DecidedJanuary 30, 2007
Docket05-1319
StatusPublished
Cited by11 cases

This text of 475 F.3d 1176 (Dobbs v. Anthem Blue Cross & Blue Shield) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dobbs v. Anthem Blue Cross & Blue Shield, 475 F.3d 1176, 39 Employee Benefits Cas. (BNA) 2429, 2007 U.S. App. LEXIS 1977, 2007 WL 241282 (10th Cir. 2007).

Opinion

TACHA, Chief Circuit Judge.

Plaintiffs-Appellants Steven and Naomi Dobbs appeal from the District Court’s order dismissing their state-law claims against Defendant-Appellee Anthem Blue Cross and Blue Shield (“Anthem”). We exercise jurisdiction pursuant to 28 U.S.C. § 1291, and we vacate the District Court’s order and remand the case for further proceedings consistent with this opinion.

I. BACKGROUND

Mr. and Mrs. Dobbs are beneficiaries of a group health insurance policy sold and underwritten by Anthem and purchased through Mr. Dobbs’ employer, the Southern Ute Indian Tribe. They originally filed suit against Anthem in Colorado state court, asserting five state-law causes of action. Invoking federal question jurisdiction, 28 U.S.C. §§ 1331, 1441 & 1446, Anthem subsequently removed the case to federal district court on the ground that the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1001-1461, preempts the Dobbses’ state-law claims.

After removal, Anthem requested that the District Court dismiss all claims based on ERISA preemption. See 29 U.S.C. § 1144. The Dobbses argued that ERISA does not preempt their state-law claims because the statute does not apply to employee benefit plans established or maintained by tribes for their employees. The District Court concluded that ERISA does apply to plans established or maintained by a tribe and therefore granted Anthem’s motion in part, dismissing all but one of the Dobbses’ claims. After Anthem moved for reconsideration of the court’s refusal to dismiss the final claim, the court entered an order dismissing this claim as preempted by ERISA as well. The Dobbses now appeal the District Court’s dismissal of all claims, arguing that their state-law claims against Anthem are not preempted by federal law.

II. DISCUSSION

Whether federal law preempts the Dobbses’ state-law claims is a question of law, which we review de novo. Garley v. Sandia Corp., 236 F.3d 1200, 1206 (10th Cir.2001); see also Airparts Co. v. Custom Benefit Servs., 28 F.3d 1062, 1064 (10th Cir.1994). In addition, we review de novo a district court’s dismissal of a complaint for failure to state a legally cognizable claim under Fed.R.Civ.P. 12(b)(6). Garley, 236 F.3d at 1206.

The threshold question in this case is whether federal or state law applies to an employee benefit plan established and maintained by a tribe for the benefit of its employees. If federal law applies, the next question is whether it preempts the state-law causes of action in this case. 29 U.S.C. § 1144(a) (specifying that ERISA provisions “supersede any and all State laws insofar as they may now or hereafter relate to any employee benefit plan”). 1 We do not reach the second issue concerning preemption because we remand the case so that the District Court can consider the first question in light of a recent change in federal law.

In deciding that ERISA applies to employee benefit plans established by tribes, the district court reasoned that a plan established by a tribe is not exempt from ERISA coverage as a “governmental *1178 plan” under 29 U.S.C. § 1003(b)(1). Under § 1003(b)(1) and § 1144(a), ERISA’s provisions do not preempt state laws that relate to governmental plans. At the time of the District Court’s decision, the definition of governmental plan under ERISA included plans established or maintained by federal and state governments, but did not explicitly include tribal governments. ERISA, Pub.L. No. 93-406, § 3(32), 88 Stat. 829, 837 (1974) (current version at 29 U.S.C. § 1002(32)). In August 2006, after the District Court entered its order, Congress amended the definition of governmental plan under ERISA to include plans established and maintained by tribes. The amended definition expressly includes some benefit plans established and maintained by tribes:

The term “governmental plan” includes a plan which is established and maintained by an Indian tribal government (as defined in section 7701(a)(40) of the Internal Revenue Code of 1986), a subdivision of an Indian tribal government (determined in accordance with section 7871(d) of such Code), or an agency or instrumentality of either, and all of the participants of which are employees of such entity substantially all of whose services as such an employee are in the performance of essential governmental functions but not in the performance of commercial activities (whether or not an essential government function).

Pension Protection Act of 2006, Pub.L. No. 109-280, § 906(a)(2)(A), 120 Stat. 780 (codified as amended at 29 U.S.C. § 1002(32)).

The amendment’s legislative history suggests that Congress expanded the defí-nition to clarify the legal ambiguity regarding the status of employee benefit plans established and maintained by tribal governments. See 150 Cong. Rec. S9526, 9533 (describing the senate bill as a “bill to amend the Internal Revenue Code of 1986 and the Employee Retirement Income Security Act of 1974 to clarify that federally recognized Indian tribal governments are to be regulated under the same government employer rules and procedures that apply to Federal, State, and other local government employers with regard to the establishment and maintenance of employee benefit plans”). Prior to the amendment, the Seventh and Ninth Circuits held that ERISA applies to plans established and maintained by tribes. Lumber Indus. Pension Fund v. Warm Springs Forest Prods. Indus., 939 F.2d 683 (9th Cir.1991); Smart v. State Farm Ins. Co., 868 F.2d 929 (7th Cir.1989). The new definition of governmental plan undercuts the courts’ reasoning, but not necessarily their conclusions, in these two cases. Because the amended provision makes a distinction between “essential governmental functions” and “commercial activities,” not all plans established and maintained by tribes will fall under the governmental plan exemption. The determination of whether a tribal plan qualifies as a governmental plan under § 1002(32) requires a fact-specific analysis of the plan at issue and the nature of its participants’ activities.

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Bluebook (online)
475 F.3d 1176, 39 Employee Benefits Cas. (BNA) 2429, 2007 U.S. App. LEXIS 1977, 2007 WL 241282, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dobbs-v-anthem-blue-cross-blue-shield-ca10-2007.