No. 21-761

OptumHealth Care Solutions, LLC v. Sandra M. Peters

Lower Court: Fourth Circuit
Docketed: 2021-11-22
Status: Denied
Type: Paid
Response RequestedResponse WaivedRelisted (2)
Tags: circuit-split erisa fiduciary fiduciary-duty party-in-interest prohibited-transaction service-provider tenth-circuit-rule
Key Terms:
Arbitration ERISA ClassAction
Latest Conference: 2022-03-04 (distributed 2 times)
Question Presented (AI Summary)

Whether a service provider must have a preexisting relationship with a plan to qualify as a 'party in interest' under ERISA § 406(a)

Question Presented (from Petition)

QUESTION PRESENTED The Employee Retirement Income Security Act (ERISA) bars a plan fiduciary from causing the plan to engage in certain transactions with a “party in interest.” 29 U.S.C. § 1106(a). “Congress defined ‘party in interest’ to encompass those entities that a fiduciary might be inclined to favor at the expense of the plan’s beneficiaries.” Harris Tr. & Sav. Bank v. Salomon Smith Barney, Inc., 530 U.S. 238, 242 (2000). Among those included in the statutory definition is “a person providing services to such plan.” 29 U.S.C. § 1002(14)(B). Consistent with that definition, the U.S. Court of Appeals for the Tenth Circuit has held that for a thirdparty service provider to qualify as a “person providing services” to the plan and thus a “party in interest,” the service provider must have a relationship with the plan that preexists, and is independent of, the relationship created by the allegedly prohibited transaction. Ramos v. Banner Health, 1 F.4th 769, 786-87 (10th Cir. 2021). Breaking with the Tenth Circuit, the U.S. Court of Appeals for the Fourth Circuit held below that OptumHealth Care Solutions, a non-fiduciary service provider that had no preexisting relationship with Respondent Sandra Peters’s health plan, could qualify as a “party in interest” by contracting with the plan’s claims administrator and getting paid under those contracts. The question presented is For a service provider to qualify as a “party in interest” under 29 U.S.C. § 1106(a), must the service provider have a preexisting relationship with the plan ii that is independent of the relationship created by the allegedly prohibited transaction?

Docket Entries

2022-03-07
Petition DENIED.
2022-02-16
DISTRIBUTED for Conference of 3/4/2022.
2022-02-10
Reply of petitioner OptumHealth Care Solutions, LLC filed.
2022-02-02
Brief of respondent Sandra M. Peters in opposition filed.
2022-01-05
Response Requested. (Due February 4, 2022)
2021-12-22
DISTRIBUTED for Conference of 1/7/2022.
2021-12-20
Waiver of right of respondent Sandra M. Peters to respond filed.
2021-11-17
Petition for a writ of certiorari filed. (Response due December 22, 2021)
2021-10-15
Application (21A77) granted by The Chief Justice extending the time to file until November 17, 2021.
2021-10-08
Application (21A77) to extend the time to file a petition for a writ of certiorari from October 18, 2021 to December 17, 2021, submitted to The Chief Justice.

Attorneys

OptumHealth Care Solutions, LLC
Brian David BooneAlston & Bird LLP, Petitioner
Brian David BooneAlston & Bird LLP, Petitioner
Sandra M. Peters
D. Brian HuffordZuckerman Spaeder LLP, Respondent
D. Brian HuffordZuckerman Spaeder LLP, Respondent