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

827 F.3d 549, 2016 FED App. 0152P, 61 Employee Benefits Cas. (BNA) 2561, 2016 U.S. App. LEXIS 12142, 2016 WL 3606849
CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 1, 2016
Docket12-2264
StatusPublished
Cited by10 cases

This text of 827 F.3d 549 (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.

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Self-Insurance Institute of America, Inc. v. Snyder, 827 F.3d 549, 2016 FED App. 0152P, 61 Employee Benefits Cas. (BNA) 2561, 2016 U.S. App. LEXIS 12142, 2016 WL 3606849 (6th Cir. 2016).

Opinion

*553 OPINION

KAREN NELSON MOORE, Circuit Judge.

This case requires us, once again, to navigate the quagmire that is preemption. Plaintiff-Appellant, which represents various sponsors and administrators of self-funded ERISA benefit plans, 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 a Michigan statute to ERISA-covered entities. The Michigan statute, however, escapes the preemptive reach of federal law, and we AFFIRM the district court’s dismissal of the suit.

I. BACKGROUND

In 2011, Michigan passed the Health Insurance Claims Assessment Act (“the Act” or “the Michigan 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 imposes a one-percent tax on all “paid claims” by “carriers” or “third party administrators” for services rendered in Michigan for Michigan residents. §§ 550.1732(s), 550.1733(1). The Act defines “[p]aid claims” as “actual payments ... made to a health and medical services provider or reimbursed to an individual by a carrier, third party administrator, or excess loss or stop loss carrier.” § 550.1732(s). “Carriers” include sponsors of “group health plan[s]” 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, and “third party administrators” refers to entities that process claims for other entities. Mich. Comp. Laws § 550.1732(a), (h), (v). In order to facilitate the tax, every carrier and third-party administrator must submit quarterly returns to 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), as well as “develop and implement a methodology by which it will collect the [tax]” subject to several conditions, § 550.1733a(2).

Self-Insurance Institute of America, Inc. (“SIIA”) filed suit in the United States District Court for the Eastern District of Michigan against Rick Snyder, the Governor of Michigan; R. Kevin Clinton, the Director of the Michigan Office of Financial and Insurance Regulation; and Andrew Dillon, the Treasurer of Michigan. R. 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 claim. R. 14 (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 (Am. Dist. Ct. Order at 8-19) (Page ID #479-90). SIIA appealed, and we affirmed the district court’s dismissal of the suit. Self-Ins. Inst. of Am., Inc. v. Snyder, 761 F.3d 631, 641 (6th Cir.2014), cert. granted, judgment vacated, — U.S. -, 136 S.Ct. 1355, 194 L.Ed.2d 399 (2016) (mem.). The Supreme Court entered an order granting certiorari, vacating the judgment of this court, and remanding the case for further consideration in light of Gobeille v. Liberty Mut. Ins. Co., — U.S. -, 136 S.Ct. 936, 194 L.Ed.2d 20 (2016). Self-Ins. Inst. of Am., Inc. v. Snyder, — U.S.-, 136 S.Ct. 1355, 194 L.Ed.2d 399 (2016) (mem.). After careful consideration, *554 we once again affirm the district court’s dismissal of the suit.

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. See 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) (alteration and ellipses in original) (quoting 29 U.S.C. § 1001(b)). Accordingly, ERISA establishes a regulatory regime that makes plan administrators fiduciaries, see 29 U.S.C. § 1104; imposes liabilities on plan administrators that breach their fiduciary duties, 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 mechanism to enforce these guarantees, see § 1132. Because Congress intended these systems and procedures to be uniform, Davila, 542 U.S. at 208, 124 S.Ct. 2488, ERISA contains an express-preemption provision that “superseded any and all State laws insofar as they ... relate to any employee benefit plan” that falls under this comprehensive federal scheme, 29 U.S.C. § 1144(a).

The Supreme Court has called ERISA’s express-preemption provision “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 defining the provision’s phrase “relate 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) (internal quotation marks omitted). We readily concur.

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827 F.3d 549, 2016 FED App. 0152P, 61 Employee Benefits Cas. (BNA) 2561, 2016 U.S. App. LEXIS 12142, 2016 WL 3606849, Counsel Stack Legal Research, https://law.counselstack.com/opinion/self-insurance-institute-of-america-inc-v-snyder-ca6-2016.