67 Cited authorities

Ashcroft v. Iqbal
556 U.S. 662 (2009) Cited 252,626 times 279 Legal Analyses
Holding that a claim is plausible where a plaintiff's allegations enable the court to draw a "reasonable inference" the defendant is liable
Bell Atl. Corp. v. Twombly
550 U.S. 544 (2007) Cited 266,542 times 365 Legal Analyses
Holding that a complaint's allegations should "contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face' "
Chevron U.S.A. v. Natural Res. Def. Council
467 U.S. 837 (1984) Cited 16,017 times 502 Legal Analyses
Holding that courts "must give effect to the unambiguously expressed intent of Congress"
Warth v. Seldin
422 U.S. 490 (1975) Cited 11,861 times 14 Legal Analyses
Holding that Article III requires plaintiffs "to establish that, in fact, the asserted injury was the consequence of the defendants' actions"
Varity Corp. v. Howe
516 U.S. 489 (1996) Cited 2,383 times 32 Legal Analyses
Holding that ERISA fiduciaries may have duties to disclose information about plan prospects that they have no duty, or even power, to change
Cigna Corp. v. Amara
563 U.S. 421 (2011) Cited 1,104 times 100 Legal Analyses
Holding that SPDs provide "communication with beneficiaries about the plan, but . . . do not themselves constitute the terms of the plan for purposes of § 502(B)"
In re Katrina Canal
495 F.3d 191 (5th Cir. 2007) Cited 4,550 times 6 Legal Analyses
Holding that flood exclusion provisions in State Farm policy covered damage caused by flooding due to breached levees
Massachusetts Mut. Life Ins. Co. v. Russell
473 U.S. 134 (1985) Cited 2,112 times 14 Legal Analyses
Holding that a participant's action filed pursuant to ERISA § 502 must seek remedies that provide a "benefit [to] the plan as a whole"
King v. Burwell
574 U.S. 988 (2015) Cited 670 times 40 Legal Analyses
Holding that Congress did not delegate health insurance policy to Internal Revenue Service
Abramski v. United States
573 U.S. 169 (2014) Cited 252 times 4 Legal Analyses
Holding that the information that Form 4473 compels a licensed dealer to keep "is information 'required by this chapter,'" and that a false answer on that form "pertains to information a dealer is statutorily required to maintain"
Rule 8 - General Rules of Pleading
Fed. R. Civ. P. 8 Cited 156,162 times 193 Legal Analyses
Holding that "[e]very defense to a claim for relief in any pleading must be asserted in the responsive pleading. . . ."
Rule 54 - Judgment; Costs
Fed. R. Civ. P. 54 Cited 41,187 times 141 Legal Analyses
Holding party seeking fees may additionally seek "nontaxable expenses"
Section 1132 - Civil enforcement
29 U.S.C. § 1132 Cited 26,275 times 170 Legal Analyses
Holding liable "[a]ny administrator" who fails to provide documents in a timely manner
Section 1001 - Congressional findings and declaration of policy
29 U.S.C. § 1001 Cited 20,520 times 59 Legal Analyses
Noting that ERISA was enacted “to protect ... employee benefit plans and their beneficiaries”
Section 1109 - Liability for breach of fiduciary duty
29 U.S.C. § 1109 Cited 2,489 times 9 Legal Analyses
Breaching fiduciary "shall be subject to such other equitable or remedial relief as the court may deem appropriate"
Section 1185a - Parity in mental health and substance use disorder benefits
29 U.S.C. § 1185a Cited 184 times 15 Legal Analyses
Requiring the performance of comparative analyses like that which Plaintiff requested from JHA
Section 300gg-5 - Non-discrimination in health care
42 U.S.C. § 300gg-5 Cited 38 times
(a) Providers A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. This section shall not require that a group health plan or health insurance issuer contract with any health care provider willing to abide by the terms and conditions
Section 1185d - Additional market reforms
29 U.S.C. § 1185d Cited 20 times 2 Legal Analyses
Incorporating provisions of part A of title XXVII of the Public Health Service Act, as amended by the ACA
Section 2590.712 - Parity in mental health and substance use disorder benefits
29 C.F.R. § 2590.712 Cited 128 times 6 Legal Analyses
Specifying that with respect to NQTL, MHPAEA's parity requirement applies to "the terms of the plan (or health insurance coverage) as written and in operation"

Craft et al v. Health Care Service Corporation

67 Cited authorities

Holding that a claim is plausible where a plaintiff's allegations enable the court to draw a "reasonable inference" the defendant is liable

Holding that a complaint's allegations should "contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face' "

Holding that courts "must give effect to the unambiguously expressed intent of Congress"

Holding that Article III requires plaintiffs "to establish that, in fact, the asserted injury was the consequence of the defendants' actions"

Holding that ERISA fiduciaries may have duties to disclose information about plan prospects that they have no duty, or even power, to change

Holding that SPDs provide "communication with beneficiaries about the plan, but . . . do not themselves constitute the terms of the plan for purposes of § 502(B)"

Holding that flood exclusion provisions in State Farm policy covered damage caused by flooding due to breached levees

Holding that a participant's action filed pursuant to ERISA § 502 must seek remedies that provide a "benefit [to] the plan as a whole"

Holding that Congress did not delegate health insurance policy to Internal Revenue Service

Holding that the information that Form 4473 compels a licensed dealer to keep "is information 'required by this chapter,'" and that a false answer on that form "pertains to information a dealer is statutorily required to maintain"

Holding that "[e]very defense to a claim for relief in any pleading must be asserted in the responsive pleading. . . ."

Holding party seeking fees may additionally seek "nontaxable expenses"

Holding liable "[a]ny administrator" who fails to provide documents in a timely manner

Noting that ERISA was enacted “to protect ... employee benefit plans and their beneficiaries”

Breaching fiduciary "shall be subject to such other equitable or remedial relief as the court may deem appropriate"

Requiring the performance of comparative analyses like that which Plaintiff requested from JHA

Incorporating provisions of part A of title XXVII of the Public Health Service Act, as amended by the ACA

Specifying that with respect to NQTL, MHPAEA's parity requirement applies to "the terms of the plan (or health insurance coverage) as written and in operation"