No. 18-523

W. A. Griffin v. Verizon Communications Inc., et al.

Lower Court: Eleventh Circuit
Docketed: 2018-10-19
Status: Denied
Type: Paid
Response Waived
Tags: affordable-care-act anti-assignment-clause anti-assignment-clauses assignment-of-benefits civil-rights discrimination federal-financial-assistance good-old-boys-club plan-administration provider-standing section-1557 standing third-party-administrator
Key Terms:
ERISA SocialSecurity Privacy JusticiabilityDoctri
Latest Conference: 2019-01-04
Question Presented (AI Summary)

Whether plan administrators discriminated against an African American female provider under Section 1557 of the Affordable Care Act

Question Presented (from Petition)

QUESTIONS PRESENTED W. A. Griffin is a medical provider. Prior to rendering medical services to patients, the provider requires patients to execute a legal assignment of benefit and rights. The assignment permits the provider to stand in the patients’ shoes to appeal and sue for unpaid bills. The Eleventh Circuit found no discrimination ; under Section 1557 of the Affordable Care Act when the plan administrator used anti~ assignment clauses in plan documents against Dr. ; a Griffin, an African American, female provider, while simultaneously permitting white, male providers to stand in their patients’ shoes under the identical assignment of benefit policy in other . federal lawsuits. The questions presented are: Whether or not it can be reasonably inferred that plan administrators are liable for discrimination under Section 1557 of the Affordable Care Act when federal dockets show : that the plan exclusively permitted white, male . providers (“Good Old Boys Club”) to purse litigation as provider assignees, but used written plan anti-assignment provisions only against Dr. Griffn. Whether or not an employer and/or a third party plan administrator that sponsors, funds, and administers a welfare benefit plan that receives federal financial assistance in the form of healthcare credits and/ or Medicare subsidies, is liable under Section 1557 of the Affordable Care Act for discrimination in the plan design.

Docket Entries

2019-01-07
Petition DENIED.
2018-12-05
DISTRIBUTED for Conference of 1/4/2019.
2018-11-21
Waiver of right of respondent Verizon Communications Inc. and Anthem Insurance Companies, Inc. to respond filed.
2018-10-09
Petition for a writ of certiorari filed. (Response due November 19, 2018)

Attorneys

Verizon Communications Inc. and Anthem Insurance Companies, Inc.
Lindsey B. MannTroutman Sanders LLP, Respondent
Lindsey B. MannTroutman Sanders LLP, Respondent
W. A. Griffin
W. A. Griffin — Petitioner
W. A. Griffin — Petitioner