Self-Insurance Institute of America, Inc. v. Snyder

761 F.3d 631, 59 Employee Benefits Cas. (BNA) 1406, 2014 WL 3804355, 2014 U.S. App. LEXIS 14905
CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 4, 2014
Docket12-2264
StatusPublished
Cited by2 cases

This text of 761 F.3d 631 (Self-Insurance Institute of America, Inc. v. Snyder) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Self-Insurance Institute of America, Inc. v. Snyder, 761 F.3d 631, 59 Employee Benefits Cas. (BNA) 1406, 2014 WL 3804355, 2014 U.S. App. LEXIS 14905 (6th Cir. 2014).

Opinion

OPINION

KAREN NELSON MOORE, Circuit Judge.

This case requires us, once again, to navigate the quagmire that is preemption. Plaintiff-Appellant, Self-Insurance Institute of America, Inc. (“SIIA”), represents various sponsors and administrators of self-funded ERISA benefit plans, which it claims are affected by Michigan’s Health Insurance Claims Assessment Act. SIIA argues that federal law — the Supremacy Clause, U.S. Const, art. VI, § 2, and ERISA’s express-preemption provision, 29 U.S.C. § 1144(a) — prohibits the application of the Act to ERISA-covered entities. The Michigan statute, however, escapes the preemptive reach of federal law, and we AFFIRM the district court’s dismissal of SIIA’s suit.

I. BACKGROUND

In 2011, Michigan passed the Health Insurance Claims Assessment Act (“the Act”), 2011 Mich. Pub. Acts 142, codified at Mich. Comp. Laws §§ 550.1731-1741, to generate the revenue necessary to fund Michigan’s obligations under Medicaid. The Act functions by imposing a one-percent tax on all “paid claims” by “carriers” or “third party administrators” to healthcare providers for services rendered in Michigan for Michigan residents. §§ 550.1732(s), 550.1733(1). “Carriers” include sponsors of “group health plants]” set up under the strictures of the Employee Retirement Income Security Act of 1974 (“ERISA”), Pub.L. No. 93-406, codified at 29 U.S.C. §§ 1002-1461. Mich. Comp. Laws § 550.1732(a), (h). On top of the tax, every carrier and third-party administrator paying the tax must submit quarterly returns with the Michigan Department of the Treasury and “keep accurate and complete records and pertinent documents as required by the department.” §§ 550.1734(1), 550.1735(1). Every carrier and third-party administrator must also “develop and implement a methodology by which it will collect the [tax]” subject to several conditions. § 550.1733a(2).

In district court, SIIA filed suit against Rick Snyder, the Governor of Michigan; R. Kevin Clinton, the Director of the Michigan Office of Financial and Insurance Regulation (“OFIR”); and Andrew Dillon, Treasurer of Michigan. R. 1 at 1 (Compl.) (Page ID # 1). SIIA sought a declaratory judgment, which would state that ERISA preempted the Act, and an injunction, which would prevent implementation and enforcement of the Act against the ERISA-covered entities. Id. The defendants filed a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6) for failure to state a valid claim. R. 14 at 1 (Mot. to Dismiss) (Page ID #33). The district court granted this motion after concluding that the Act did not offend ERISA’s express-preemption clause because the Act did not ‘“relate to’” an ERISA-governed benefit plan. R. 41 at 9 (Am. D. Ct. Order) (Page ID # 480) (quot *634 ing 29 U.S.C. § 1144(a)). SIIA now appeals.

II. STANDARD OF REVIEW

We review de novo a district court’s dismissal of a claim pursuant to Rule 12(b)(6). Penny/Ohlmann/Nieman, Inc. v. Miami Valley Pension Corp. (“PONI”), 399 F.3d 692, 697 (6th Cir.2005). Whether ERISA preempts a state law is a question of federal law that we also review de novo. Mackey v. Lanier Collection Agency & Serv., Inc., 486 U.S. 825, 830, 108 S.Ct. 2182, 100 L.Ed.2d 836 (1988).

III. ANALYSIS

“Congress enacted ERISA to ‘protect ... the interests of participants in employee benefit plans and their beneficiaries’ by setting out substantive regulatory requirements for employee benefit plans and to ‘provid[e] for appropriate remedies, sanctions, and ready access to the Federal courts.’ ” Aetna Health Inc. v. Davila, 542 U.S. 200, 208, 124 S.Ct. 2488, 159 L.Ed.2d 312 (2004) (quoting 29 U.S.C. § 1001(b)) (alteration and ellipses in original). Accordingly, ERISA makes plan administrators fiduciaries, see 29 U.S.C. § 1104; imposes liabilities on plan administrators, see § 1109; requires plan administrators to disclose specific information and to file reports with the Secretary of Labor, see § 1021(a), (b); mandates that plan administrators retain records for substantial periods of time, see § 1027; and creates an exclusive enforcement mechanism, see § 1132. Along with these burdens, however, the statute also seeks “to provide a uniform regulatory regime over employee benefit plans.” Davila, 542 U.S. at 208, 124 S.Ct. 2488; see also Conkright v. Frommert, 559 U.S. 506, 130 S.Ct. 1640, 1649, 176 L.Ed.2d 469 (2010). Thus, ERISA contains a broad preemption provision that “supersede^] any and all State laws insofar as they ... relate to any employee benefit plan” that falls under the regulation of the comprehensive federal scheme. 29 U.S.C. § 1144(a).

The Supreme Court has called ERISA’s express-preemption provision “broadly worded” and “deliberately expansive.” California Div. of Labor Standards Enforcement v. Dillingham Constr., N.A., 519 U.S. 316, 324, 117 S.Ct. 832, 136 L.Ed.2d 791 (1997) (internal quotation marks omitted). The Court, however, has found providing useful guidance in this area to be difficult and defining “relates to” to be a “frustrating” task. N.Y. State Conference of Blue Cross & Blue Shield Plans v. Travelers Ins. Co., 514 U.S. 645, 656, 115 S.Ct. 1671, 131 L.Ed.2d 695 (1995). We readily concur. The statutory text is simply “unhelpful” because “[i]f ‘relate to’ were taken to extend to the furthest stretch of its indeterminacy, then for all practical purposes pre-emption would never run its course, for ‘[r]eally, universally, relations stop nowhere.’ ” Id. at 655-56, 115 S.Ct. 1671 (1995) (quoting Henry James, Roderick Hudson xli (New York ed., World’s Classics 1980)); see also Dillingham, 519 U.S. at 335, 117 S.Ct. 832 (Scalia, J., concurring) (“[Ajpplying the ‘relate to’ provision according to its terms was a project doomed to failure, since, as many a curbstone philosopher has observed, everything is related to everything else.”). The best guidance that the Court has been able to give us is to say that “[a] law ‘relates to’ an employee benefit plan, in the normal sense of the phrase, if it has a connection with or reference to such a plan.”

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
761 F.3d 631, 59 Employee Benefits Cas. (BNA) 1406, 2014 WL 3804355, 2014 U.S. App. LEXIS 14905, Counsel Stack Legal Research, https://law.counselstack.com/opinion/self-insurance-institute-of-america-inc-v-snyder-ca6-2014.