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MAGELLAN HEALTH SERVICES v. HIGHMARK LIFE INS. CO.

No. 05-1853.

755 N.W.2d 506 (2008)

MAGELLAN HEALTH SERVICES, INC., Appellees v. HIGHMARK LIFE INSURANCE COMPANY, Appellant, Wellmark, Inc., d/b/a Wellmark Blue Cross and Blue Shield of Iowa and Wellmark Health Plan of Iowa, Inc., Appellee.

Supreme Court of Iowa.

Rehearing Denied August 28, 2008.

Attorney(s) appearing for the Case

Denny M. Dennis of Bradshaw, Fowler, Proctor & Fairgrave, P.C., Des Moines, and Stephen F. Ban of Metz Lewis, L.L.C., Pittsburgh, PA, for appellant.

Michael A. Dee of Brown, Winick, Graves, Gross, Baskerville and Shoenebaum, P.L.C., Des Moines, and Erica J. Dominitz of Dickstein, Shapiro, Morin & Oshinsky, L.L.P., Washington, DC, for appellee Magellan.

Hayward L. Draper and Thomas H. Walton, Nyemaster, Goode, West, Hansell & O'Brien, P.C., Des Moines, for appellee Wellmark.

APPEL, Justice.

In this case, we are called upon to determine the legal ramifications of conflicting coordination of benefits provisions in a self-funded welfare benefit plan governed by the Employee Retirement Income Security Act of 1975 (ERISA) and an individual health insurance policy issued pursuant to Iowa Code chapter 513C.

I. Factual Background and Prior Proceedings.

John Doe was diagnosed with leukemia in the 1990s. His medical bills were...

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