Legal Blog

How ERISA Rules the Roost in Employee Benefits Law

shutterstock_125475575In 1974, Congress enacted the Employee Retirement Income Security Act, known as ERISA.  In passing ERISA, Congress established uniform reporting, disclosure and recordkeeping requirements for employer-sponsored group benefit plans. ERISA replaced the patchwork of state laws governing benefit plans both to minimize the costs of compliance and make the pension and health-related benefits provided by employers more secure.  Since 1974, the power of ERISA, and its offspring, including COBRA, HIPAA and the Affordable Care Act, has been safeguarded by the legal doctrine of pre-emption.  Pre-emption means that ERISA overrides “any and all State laws insofar as they may now or hereafter relate to any employee benefit plan.” Earlier this month, the U.S. Supreme Court considered the issue of ERISA pre-emption in connection with a Vermont law that requires entities that provide health care services to report information to a Vermont state agency.   The purpose of the Vermont statute is to allow the state to compile a database reflecting health care utilization, costs and resources devoted to Vermont residents.  When Vermont served a subpoena on a health plan administrator seeking health care documents, the plan sponsor and administrator, Liberty Mutual Insurance Co., filed suit in the U.S. District Court in Vermont challenging the subpoena on the ground of ERISA pre-emption.  The District Court ruled for Vermont but the U.S. Court of Appeals for the Second Circuit reversed.  An appeal to the U.S. Supreme Court followed. In Gobeille v. Liberty Mutual Insurance Co., the Supreme Court held that the Vermont statute was pre-empted by ERISA.  The Supreme Court noted that ERISA established extensive reporting, disclosure and recordkeeping requirements for welfare benefit plans and that the Secretary of Labor, not the states, is authorized to administer the reporting and other requirements of ERISA.  The High Court held that Vermont’s reporting regime both intrudes upon “a central matter of plan administration” and “interferes with nationally uniform plan administration.” ERISA’s requirements are both a boon and a trap for employers and the welfare and pension plans they sponsor.  Under the pre-emption doctrine, ERISA overrides the laws of the states that relate, now or in the future, to regulation and enforcement of the rights and duties of plans and their participants. The boon: ERISA supplants state laws and remedies.  The trap: Employer sponsors and their plans need to be up to date on their compliance with the ever-changing landscape of ERISA.

ABOUT THEODORE P. STEIN

TheodoreStein_lores2Theodore P. Stein is an attorney based in Bethesda with more than 30 years of experience who counsels employers, their plans and plan trustees on how to comply with ERISA and the ACA and how to minimize the risk of ERISA claims.  He also represents them when litigation is threatened or filed.  He is the Chair of the ERISA/Employee Benefits Practice and a Principal in the firm’s Labor and Employment Practice Group.    

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