Benitez

Benitez v. North Coast Women's Care Medical Group, Inc.

Good Law
106 Cal. App. 4th 978·131 Cal. Rptr. 2d 364·2003 Cal. App. LEXIS 317·2003 Daily Journal DAR 2515·30 Employee Benefits Cas. (BNA) 1412
Court of Appeal of CaliforniaMarch 4, 2003D040094California4,892 words

Opinion

Opinion

McDONALD, J.

this case we hold that state claims are not preempted by the Employee Retirement Income Security Act (ERISA) if the claims are against a non-ERISA entity medical services provider for declination to provide medical treatment to an ERISA plan participant for nonmedical reasons other than plan eligibility or plan administration considerations.

Appellant Guadalupe T. Benitez’s complaint against respondent doctors and their employer alleged that the doctors treated her for infertility for an 11-month period, but then refused to provide her with additional infertility treatments because of her sexual orientation. She sought damages and injunctive relief against respondents under various state statutory and common law theories. Respondents demurred to the complaint, asserting that because Benitez received her infertility treatments under an employee health benefit plan, her state claims were preempted by ERISA. The trial court sustained the demurrer without leave to amend and dismissed Benitez’s complaint.

We reverse because we conclude ERISA does not preempt the state claims alleged by Benitez.

I

Factual and Procedural Background

Because this matter is before us from a…

Sign in to read the full opinion

Create a free account to read the complete opinion text, citation history, and good-law status for this case.