5th Circuit Panel Rules for Aramark in Finding Arbitration Clause Subject to Court Review in ERISA Case Against Aetna

A split three-judge panel of the U.S. Court of Appeals for the Fifth Circuit ruled that a federal district court should decide whether Aramark can proceed with its lawsuit against Aetna or must resolve the dispute through arbitration. According to the court’s ruling, the arbitration clause is sufficiently ambiguous to be subject to court review. 

Aetna, a subsidiary of CVS Health, has been Aramark’s third-party administrator for its self-insured health plans for the past eight years. In 2ƒ023, Aramark sued Aetna in a Texas federal district court, accusing Aetna of violating its fiduciary duties under the Employee Retirement Income Security Act (ERISA) by paying too many improper claims and providing Aetna with misleading information. 

The contract requires Aramark to use binding arbitration in Hartford, Connecticut, to resolve disputes with Aetna, except for disputes involving “temporary, preliminary, or permanent injunctive relief or any other form of equitable relief.” Two of the three Fifth Circuit judges held that a court, not an arbitrator, should decide whether the contract requires the parties to arbitrate the dispute at issue, given the ambiguity of the arbitration clause. The third member of the panel agreed that the arbitration clause was ambiguous enough to compel arbitration but indicated disagreement in a dissenting opinion about Aramark’s ability to seek monetary damages through a claim for equitable relief. 

HBL has experience in all areas of benefits and employment law, offering a comprehensive solution to all your business benefits and HR/employment needs. We help ensure you are in compliance with the complex requirements of ERISA and the IRS code, as well as those laws that impact you and your employees. Together, we reduce your exposure to potential legal or financial penalties. Learn more by calling 470-571-1007.

The following two tabs change content below.

Hall Benefits Law, LLC

HBL offers employers comprehensive legal guidance on benefits in mergers and acquisitions, Employee Stock Ownership Plans (ESOPs), executive compensation, health and welfare benefits, healthcare reform, and retirement plans. We counsel a wide spectrum of clients including small, mid-sized, and large companies, 401(k) investment advisors, health insurance brokers, accountants, attorneys, and HR consultants, just to name a few. HBL is passionate about advising clients, and we are dedicated to our mission: to provide comprehensive, personalized, and practical ERISA and benefits legal solutions that exceed client expectations.

Latest posts by Hall Benefits Law, LLC (see all)