ERISA: How It Affects Employees and Employers
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Mary Martin
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Mary Martin has been a legal writer and editor for over 20 years, responsible for ensuring that content is straightforward, correct, and helpful for the consumer. In addition, she worked on writing monthly newsletter columns for media, lawyers, and consumers. Ms. Martin also has experience with internal staff and HR operations. Mary was employed for almost 30 years by the nationwide legal publi...
Published Legal Expert
UPDATED: Jul 17, 2023
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We strive to help you make confident insurance and legal decisions. Finding trusted and reliable insurance quotes and legal advice should be easy. This doesn’t influence our content. Our opinions are our own.
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UPDATED: Jul 17, 2023
It’s all about you. We want to help you make the right legal decisions.
We strive to help you make confident insurance and legal decisions. Finding trusted and reliable insurance quotes and legal advice should be easy. This doesn’t influence our content. Our opinions are our own.
ERISA, the Employee Retirement Income Security Act, affects employees and employers in many ways – some of them good, some of them bad. We asked Ron Dean, a California attorney who has been engaged in employee benefits litigation primarily on behalf of participants for over 30 years, to explain both in a recent interview.
The Good
According to Dean, ERISA does provide some peace of mind for employees, but not much. He told us, “If your pension plan doesn’t have enough money in it and your employer goes bankrupt, a corporation, called the Pension Benefit Guarantee Corporation (PBGC) and funded by the federal government, will step in to pay at least a part of the benefits you were promised. Currently, the PBGC is about $22 billion in the hole, so don’t get too excited.”
The Bad (and well, sometimes ugly…)
When we asked Dean about some of the negative aspects of ERISA, he summed up his answer by saying, “Where do I even begin?” He explained:
- First, the courts did away with jury trials in ERISA cases and let the judge decide the case. Since many judges over the years have been appointed from a pool of corporate interests, this is not a good thing.
- Then it was decided that all these cases should be in federal court instead of state court. Fewer lawyers who represent employees instead of employers are familiar with federal court.
- Then they did away with “trials” and now most cases are decided just on the evidence that was given to the insurance company during the claims process, even before a lawsuit was filed.
- Then they decided that efficiency was more important than fairness, so instead of getting a level playing field in court, you would only win your case if you showed the denial of your benefits was not just wrong or unfair, but you had to show it was ridiculously wrong or ridiculously unfair.
- Then they decided that, even if you win, you couldn’t recover any damages you suffered as a result of the wrongful denial.
- Finally, they did away with “punitive” damages – so no matter how unreasonable the denial, no matter how greedy the insurance company gets, all you can get are the benefits and sometimes a portion of the attorney fees you’ve paid.
As you can see, ERISA has become less employee-friendly over the years. So, if you’ve been denied valid benefits that are subject to ERISA, contact an attorney whose practice focuses in this area of the law. Consultations are free, without obligation and are strictly confidential. To contact a qualified attorney to discuss your situation, please click here.
Case Studies: Implications for Employees and Employers
Case Study 1: The PBGC Safety Net
ERISA provides some reassurance to employees through the Pension Benefit Guaranty Corporation (PBGC), a federal corporation funded by the government. In the event that a pension plan lacks sufficient funds and the employer goes bankrupt, the PBGC steps in to pay at least a portion of the promised benefits.
While this offers some protection, it’s important to note that the PBGC itself faces financial challenges. Currently, it is operating with a deficit of approximately $22 billion, highlighting the limitations of its support. Employees who rely solely on the PBGC for their pension benefits may not receive the full amount they were promised.
Case Study 2: Denial of Valid Benefits
ERISA can have negative implications for employees, particularly when it comes to the denial of valid benefits. Over the years, ERISA has become less employee-friendly, making it more challenging for individuals to assert their rights and secure the benefits they are entitled to. When employees are denied valid benefits that fall under ERISA’s jurisdiction, it is crucial for them to seek legal counsel specializing in ERISA law.
By consulting with experienced attorneys, employees can navigate the complexities of ERISA, understand their rights, and pursue the appropriate legal actions to challenge the denial and obtain the benefits they deserve.
Case Study 3: Consulting ERISA Attorneys
To address the complexities and potential pitfalls of ERISA, employees and employers alike turn to ERISA attorneys for guidance. Employees who have been denied benefits consult with specialized attorneys to discuss their situation and explore legal options. These attorneys evaluate the strength of the case, provide advice on navigating ERISA procedures, and help formulate a strategy to pursue a resolution.
On the other hand, employers seek the expertise of ERISA attorneys to ensure compliance with ERISA regulations, manage fiduciary responsibilities, and mitigate the risk of legal disputes.
ERISA attorneys play a crucial role in safeguarding the rights and interests of both employees and employers within the framework of ERISA.
Find the right lawyer for your legal issue.
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Mary Martin
Published Legal Expert
Mary Martin has been a legal writer and editor for over 20 years, responsible for ensuring that content is straightforward, correct, and helpful for the consumer. In addition, she worked on writing monthly newsletter columns for media, lawyers, and consumers. Ms. Martin also has experience with internal staff and HR operations. Mary was employed for almost 30 years by the nationwide legal publi...
Published Legal Expert
Editorial Guidelines: We are a free online resource for anyone interested in learning more about legal topics and insurance. Our goal is to be an objective, third-party resource for everything legal and insurance related. We update our site regularly, and all content is reviewed by experts.