No. 20-1444

W. A. Griffin v. Coca-Cola Refreshments USA, Inc., et al.

Lower Court: Eleventh Circuit
Docketed: 2021-04-15
Status: Denied
Type: Paid
Response Waived
Tags: anti-alienation anti-assignment assignment-of-benefits claims-fiduciary erisa fiduciary-duty health-benefits plan-administrator provider-services waiver
Key Terms:
Arbitration ERISA JusticiabilityDoctri
Latest Conference: 2021-09-27
Related Cases: 20-1655 (Vide)
Question Presented (AI Summary)

Whether the anti-assignment provision in the CocaCola Plan apply to W. A. Griffin, MD (Dr. Griffin)"

Question Presented (OCR Extract)

QUESTIONS PRESENTED Whether the anti-assignment provision in the CocaCola Plan apply to W. A. Griffin, MD (“Dr. Griffin”). Atti-assignment and anti-alienation provisions contained in employer sponsored group health benefit plans subject to the Employee Retirement Investment , Security Act of 1974 (“ERISA”) are usually not applicable to an assignee who is the provider of the services which the plans. are maintained to furnish. Dr. Griffin provided health services to Patient J.J., an individual covered by.:the Coca-Cola Refreshments USA, Inc. (“Coca-Cola”) employer-sponsored group health benefit plan (“CocaCola Plan”), and Patient J.J. executed an assignment to Dr. Griffin that states the assignment is a “direct legal assignment of [Patient J.J.’s] rights and benefits under” the CocaCola Plan. Whether a plan administrator and claims fiduciary can be estopped from asserting, and can waive, an anti-assignment or anti-alienation provision by failing to timely assert the provision. Neither CocaCola, as plan administrator of the Coca-Cola Plan, nor United Healthcare Insurance Company (“United”), as claims fiduciary of the Coca-Cola Plan, asserted the application of the Coca-Cola Plan’s anti-assignment provision during the process of Dr. Griffin’s appeals from underpayment for provided health services. ii QUESTIONS PRESENTED Whether Patient J.J. assigned to Dr. Griffin the right to sue for-bréach of fiduciary duties, breach of cofiduciary duties, and failure to” provide plan | documents. On December 21, 2012, Patient JS. executed an-assignment to Dr. Griffin that states the assignment is a “direct legal assignment of [Patient J.J.’s] rights and benefits under”'the Coca-Cola Plan. Whether published Eleventh Circuit case law that voids assignment of benefits with unambiguous anti| ! assignment clauses incorporated into the Coéa-Cola | Plan .is legal: in Georgia, a state with mandatory provider assignment of benefit legislation.

Docket Entries

2021-10-04
Petition DENIED.
2021-06-30
DISTRIBUTED for Conference of 9/27/2021.
2021-06-25
Waiver of right of respondent Coca-Cola, et al. to respond filed.
2021-03-29
Petition for a writ of certiorari filed. (Response due May 17, 2021)

Attorneys

Coca-Cola, et al.
Tashwanda Pinchback DixonBalch & Bingham LLP, Respondent
W. A. Griffin
W. A. Griffin — Petitioner