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182264P.pdf 07/23/2019 Air Evac EMS, Inc. v. USAble Mutual Insurance Co.
U.S. Court of Appeals Case No: 18-2264
U.S. District Court for the Eastern District of Arkansas - Little Rock
[PUBLISHED] [Melloy, Author, with Benton and Kelly, Circuit Judges]
Civil case - ERISA. In action seeking an injunction and reformation of
defendant's insurance plans so they do not include limits on benefits for
emergency air ambulance transportation, plaintiff did not have the right
to seek equitable relief under ERISA because it was not a participant,
beneficiary, or fiduciary, or the assignee or an participant, beneficiary
or assignee; the assignments it obtained from insured parties did not
convey the right to sue for equitable relief under Sec. 1132(a)(3) of the
Act; with respect to plaintiff's claims under the Arkansas Deceptive
Practices Act, the district court did not err in finding defendant's
conduct was not actionable because it fell within the Act's safe harbor
for actions or transactions permitted under the laws administered by the
Insurance Commissioner; no error in rejecting plaintiff's breach of
implied contract or unjust enrichment claims.