Lawsuit Challenging Employer Health Plan Options Survives Motion to Dismiss
by Alex Smith
A pending lawsuit against Northwestern University and its health plan fiduciaries raises novel claims that could be problematic for employers that offer multiple medical benefit options if the court’s recent denial of Northwestern’s motion to dismiss gains traction. The lawsuit, Barbich v. Northwestern University, alleges that the plan’s fiduciaries violated ERISA and breached their fiduciary duties by offering employees a medical plan option that provided insufficient value compared to an alternative option offered to employees. The plaintiffs allege that the “premium” plan option that charges higher premiums in exchange for lower deductibles and cost-sharing is financially dominated by the “value” plan option because the lower cost sharing does not sufficiently outweigh the higher premium. Read more
