Archive for May 23rd, 2017

Fifth Circuit Holds That ERISA Preempts Provider’s Promissory Estoppel Claims

Tuesday, May 23rd, 2017


This case offers insight into how promissory estoppel may play a role where a provider seeks reimbursement from an ERISA plan.

Houston Metro alleges that before it provided medical services to any patient, it sought and “received verification by telephone from Defendants that each patient was covered by a health benefit plan,” and “that the particular procedures were covered by the health benefit plans and would be paid in accordance with the health benefit plan.”  Houston Metro alleges that it would not have provided the services if the defendants had not made these statements.