In Wurtz v. The Rawlings Company, — F.3d—, 2014 WL 3746801, the U.S. Court of Appeals for the 2nd Circuit rendered a major decision yesterday, 7/31/14, holding that New York’s antisubrogation law is “saved” by ERISA’s “saving clause” and applicable to health insurers providing coverage through ERISA plans. This is a significant victory for ERISA participants and beneficiaries.
The underlying action was filed as a class action in New York State court against The Rawlings Company, LLC; Oxford Health Plans (NY), Inc.; and UnitedHealth Group, Inc. alleging violations of New York law relating to efforts to secure reimbursement of medical benefits from plaintiffs’ tort settlements.
The defendants removed the case to federal court and the federal trial judge dismissed it on the basis of ERISA preemption. The 2nd Circuit reversed and remanded, holding that neither “complete preemption” nor “conflict preemption” were applicable to the plaintiff’s claims seeking enforcement of state law which is saved by ERISA’s “saving clause.”
The Court relied upon the 1990 Supreme Court decision in FMC v. Holliday and noted that its ruling “is in some tension with holdings of the Third, Fourth, and Fifth Circuits in similar antisubrogation cases.”