Sixth Circuit Clarifies Fiduciary Duties under ERISA in Challenge of Blue Cross Blue Shield’s Overpayment Practices

Sixth Circuit Clarifies Fiduciary Duties under ERISA in Challenge of Blue Cross Blue Shield’s Overpayment Practices

In Tiara Yachts, Inc. v. Blue Cross Blue Shield of Michigan, No. 24-1223, —F.4th—-, 2025 WL 1453273 (6th Cir. May 21, 2025), the Sixth Circuit Court of Appeals addressed whether Blue Cross Blue Shield of Michigan (BCBSM) acted as an ERISA fiduciary in its administration of Tiara Yachts’ employee health benefits plan, particularly concerning allegations of overpaid claims and self-dealing. In reversing the district court, the Sixth Circuit unders…