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Where to File an ERISA Lawsuit: Why the West Coast Gives You the Best Chance of Winning

Home//Where to File an ERISA Lawsuit: Why the West Coast Gives You the Best Chance of Winning
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What this data reveals: employees denied benefits under an ERISA plan win 49.5% of decided lawsuits in the Ninth Circuit, nearly triple the 16.3% win rate in the country’s least favorable circuits. Your medical records and doctor’s opinions matter, but the single variable that predicts your outcome more than any other is where you file and which legal standard the judge applies to review them.

A strategic guide for employees in Chicago, Boston, New York, Austin, Miami, Atlanta, Nashville, Durham, Boulder, Arlington, Philadelphia, Detroit, Dallas, Houston, Indianapolis, Orlando, Charlotte, Minneapolis, and Denver

What Is ERISA?

The Employee Retirement Income Security Act (ERISA) is the federal law governing most employer-sponsored benefit plans, including long-term and short-term disability insurance, life insurance, and health insurance. When an insurance company denies an ERISA-governed claim, claimants typically must file suit in federal court under one of two standards of review: de novo, where a judge weighs the evidence fresh, or abuse of discretion, where the judge defers to the insurer’s own decision. Which standard applies depends heavily on where the case is filed.

Not sure whether your claim falls under ERISA? Learn more about the difference between ERISA and non-ERISA claims.

The Numbers Are Stark And Come From the Federal Courts Themselves

If you have been denied disability, life, or health insurance benefits through your employer’s plan, you are probably focused on the facts of your claim: your medical records, your doctor’s opinions, the language of the policy. Those things matter. But the single variable that statistically predicts the outcome of your case more than any other has nothing to do with the strength of your claim.

It is where you file, and which legal standard governs review of the insurance company’s decision.

An analysis of every ERISA benefit denial case decided in federal district court from January 2015 to the present, drawn from a Lexis/Nexis review identifying ERISA court decisions decided on either “improper claim denial” or “no improper claim denial,” reveals a pattern that is consistent, dramatic, and actionable.

  • In the Ninth Circuit, which covers California, Washington, Oregon, Arizona, Nevada, Idaho, Alaska and Hawaii, plaintiffs win 49.5% of decided ERISA benefit denial cases: nearly one in two.
  • In the Fifth Circuit (Texas, Louisiana, Mississippi), plaintiffs win 16.7% of decided cases.
  • In the Eleventh Circuit (Florida, Georgia, Alabama), plaintiffs win 16.3% of decided cases.

That is a three-to-one difference in outcome between the most plaintiff-favorable and least plaintiff-favorable circuits, based on actual federal court decisions and not estimates or surveys, across 2,670 decided cases over a decade.

The Western District of Washington (Seattle) is the single highest-performing district for ERISA claimants among high-volume districts: plaintiffs win 61.3% of decided cases (38 wins out of 62 decided). But there is a remarkable data point that deserves its own emphasis: the District of Oregon (Portland) shows a 67.5% plaintiff win rate, 27 plaintiff wins out of 40 decided cases, the highest measured rate of any district in the national dataset. The Northern District of California (San Francisco) shows a 48.4% plaintiff win rate (59 out of 122). The Central District of California (Los Angeles) shows 46.7% (77 out of 165).

These numbers are not the result of geography alone. They reflect a legal structure that dramatically reshapes how courts review insurance company decisions, and that employees of California, Washington, and Oregon employers may be able to invoke regardless of where they live and work.

At a Glance: What the Federal Court Data Shows

The table below presents actual plaintiff win rates drawn from a Lexis/Nexis analysis of every ERISA benefit case decided in federal district court from January 2015 to the present. The final columns show how often plaintiffs actually win in the two Ninth Circuit districts housing the most major national employers with satellite offices located around the country. Read the full analysis below for the doctrinal explanation behind these numbers.

Employee Location Circuit Home District Win Rate If Filed in WDWA (Seattle) If Filed in NDCal (Bay Area)
Detroit 6th 43.1% (EDMI, 72 cases) 61.3% (62 cases) 48.4% (122 cases)
Chicago 7th 46.9% (NDIL, 81 cases) 61.3% 48.4%
Minneapolis 8th 36.7% (D.Minn., 60 cases) 61.3% 48.4%
Indianapolis 7th 19.0% (S.D.Ind., 21 cases) 61.3% 48.4%
Denver 10th 37.5% (D.Colo., 56 cases) 61.3% 48.4%
Boulder 10th 37.5% (D.Colo., 56 cases) 61.3% 48.4%
Nashville 6th 28.0% (M.D.Tenn., 25 cases) 61.3% 48.4%
Charlotte 4th 45.0% (W.D.N.C., 20 cases)† 61.3% 48.4%
Philadelphia 3rd 29.4% (E.D.Pa., 51 cases) 61.3% 48.4%
Durham 4th 30.0% (M.D.N.C., 10 cases)† 61.3% 48.4%
Arlington, VA 4th 25.0% (E.D.Va., 28 cases) 61.3% 48.4%
Boston 1st 26.2% (D.Mass., 65 cases) 61.3% 48.4%
New York 2nd 25.0% (S.D.N.Y., 92 cases) 61.3% 48.4%
Dallas 5th 18.8% (N.D.Tex., 32 cases) 61.3% 48.4%
Austin 5th 19.4% (W.D.Tex., 36 cases) 61.3% 48.4%
Houston 5th 15.2% (S.D.Tex., 79 cases) 61.3% 48.4%
Orlando 11th 13.2% (M.D.Fla., 53 cases) 61.3% 48.4%
Miami 11th 17.5% (S.D.Fla., 40 cases) 61.3% 48.4%
Atlanta 11th 17.3% (N.D.Ga., 52 cases) 61.3% 48.4%

†Small sample sizes (Charlotte n=20, Durham n=10) — treat with caution; circuit-level 4th Circuit rate (28.0%, 164 cases) is more statistically reliable for these cities.

All win rates: Lexis/Nexis data, January 2015–present, all cases listed as deciding whether a claim denial was improper, all standards of review combined. WDWA = Western District of Washington (Seattle), 62 decided cases. NDCal = Northern District of California (San Francisco Bay Area), 122 decided cases. These figures represent blended outcomes across all plan types and counsel experience levels and are not predictions of individual case outcomes. See the “What These Numbers Measure” section for why these figures understate the advantage available in properly litigated de novo cases.

What These Numbers Measure — And What They Don’t

Before proceeding, the data requires an important qualification that affects how it should be understood and used.

The Lexis/Nexis analysis captures all ERISA benefit denial cases deciding whether or not a claim denial was proper. It does not separate cases by type (pension vs disability vs health vs life), or by the legal standard of review applied. Every decided case in every circuit is included in the same pool, whether the court applied de novo review or the far more deferential “abuse of discretion” (arbitrary and capricious) standard. The figures are blended outcomes: a weighted average of both standards across all plan types and all levels of counsel sophistication.

This matters for two interconnected reasons.

First, most ERISA cases nationwide are still decided under the abuse of discretion standard. The California and Washington bans on discretionary clauses apply only to fully insured plans, where an insurance company funds and administers the claims. They also only apply to health and disability plans.

Large employers can still use self-funded plans, in which the employer pays claims directly and merely hires an insurance company as a third-party administrator. Self-funded plans are not subject to state insurance regulations under ERISA’s preemption framework, regardless of where the plan is administered or which state’s law would otherwise apply. Even in California and Washington, a significant share of ERISA benefit denial cases involve self-funded plans, as a majority of employers self-insure their short term disability benefits and fully insure their long term disability benefits. The abuse of discretion standard applies to those self-funded plans, which suppresses the plaintiff win rate below what it would be if only fully insured, de novo-eligible cases were counted.

According to a study by Georgetown University’s Health Policy Institute comparing outcomes across thousands of ERISA benefit denial cases, claimants win approximately 68% of cases decided under de novo review but only 28% of cases decided under the abuse of discretion standard. That forty-percentage-point gap is, for most claimants, the difference between recovering benefits and walking away empty-handed.

Second, even for insured plans subject to the state bans, the discretionary clause is not automatically voided in court. Federal courts do not independently research and apply state discretionary clause bans on a plaintiff’s behalf. If plaintiff’s counsel does not specifically demonstrate that a discretionary ban applies and that the plan is fully insured, and then request de novo review, the court will default to abuse of discretion review simply because the plan document contains discretionary language and the insurer’s counsel will not call attention to the issue. ERISA is a highly specialized practice area. Plaintiffs represented by counsel unfamiliar with this analysis may litigate an entire case under the wrong standard, significantly harming you in the process. This suppresses plaintiff win rates even in the most favorable jurisdictions, because the cases that should be decided under de novo review are instead decided under abuse of discretion.

The practical implication: the 49.5% Ninth Circuit blended win rate, and the 59.4% Washington state win rate, are understatements of the advantage available in properly litigated, fully insured, de novo-eligible cases. The Health Policy Institute has documented that plaintiffs win approximately 68% of ERISA benefit denial cases decided under de novo review, versus approximately 28% under abuse of discretion. The blended district data is what plaintiffs actually achieve across the entire docket, including self-funded plans, mislabeled standards, and counsel unfamiliar with ERISA’s standard-of-review doctrine.

With that essential context established, the geographical disparity in the underlying data is both striking and real.

Why the Standard of Review Is the Most Consequential Variable in ERISA Litigation

In ERISA disability insurance benefit cases, two standards of review govern.

Under de novo review, the judge examines the evidence fresh and decides whether the plaintiff is entitled to benefits — full stop. The insurance company’s prior decision receives no special deference. The judge weighs the medical evidence, the plan language, and the claimant’s circumstances independently, as if the case were before the court for the first time.

Under abuse of discretion (also called the “arbitrary and capricious” standard), the judge defers to the insurance company’s decision and upholds it unless it was so unreasonable as to constitute an abuse of that discretion. Critically, the judge can believe the insurance company was wrong, personally concluding that the claimant is disabled, and still rule for the insurer as long as the insurer’s contrary conclusion had some rational basis. Courts have upheld denials of benefits to paraplegics, to claimants whose treating physicians unanimously supported the claim, and to employees whose files were reviewed only by in-house physicians with financial relationships with the insurer. In each case the court determined that the insurer’s decision was not so irrational as to constitute an abuse of discretion.

The 1989 Supreme Court decision in Firestone Tire & Rubber Co. v. Bruch established de novo review as the legal default, but allowed an exception for plans that grant the administrator discretionary authority. The insurance industry responded immediately. Within years, virtually every group disability, life, and health insurance policy in the country contained such language. What was supposed to be the exception became the dominant standard. The result, measured from the Health Policy Institute empirical study, is that plaintiffs win approximately 68% of de novo cases and approximately 28% of abuse of discretion cases. This is a 40-point gap that is, for most claimants, the difference between recovering benefits and walking away empty-handed.

How California, Washington, and Oregon Changed the Equation

A handful of states responded by enacting laws that ban discretionary clauses in insurance policies, restoring de novo review for covered plans. California, Washington, and Oregon are the most consequential of those states for national ERISA strategy, and all three are within the Ninth Circuit.

California Insurance Code § 10110.6, effective January 1, 2012, declares that any discretionary authority clause in a life, disability, or health insurance policy “offered, issued, delivered, or renewed, whether or not in California, that provides or funds life insurance or disability insurance coverage for any California resident” is “void and unenforceable.” The Ninth Circuit confirmed the statute’s validity in Orzechowski v. Boeing Co. Non-Union LTD Plan, 856 F.3d 686 (9th Cir. 2017), holding that it falls within ERISA’s savings clause for state insurance laws and is not preempted by federal law.

Washington Administrative Code § 284-96-012 similarly prohibits discretionary clauses in disability insurance policies, effective September 2009.

Oregon Administrative Rule 836-010-0026 provides Oregon’s ban: no policy “offered or issued in this state by an insurer” may contain “a discretionary clause or other language purporting to reserve discretion to the insurer to interpret the terms of the contract, or to provide standards of interpretation or review that are inconsistent with the laws of this state.” The rule is self-executing; any such clause in a renewed policy is automatically void and courts must treat it as unenforceable. Oregon’s rule defines “discretionary clause” broadly, encompassing any provision that gives deference to the insurer’s decision in subsequent proceedings, including any provision that establishes a deferential legal standard of review.

The District of Oregon carries a 67.5% plaintiff win rate in ERISA benefit denial cases decided from January 2015 to the present, 27 plaintiff wins out of 40 decided cases, which is the highest of any district in the nation. This result is directly traceable to Oregon’s categorical ban, combined with the Ninth Circuit’s plaintiff-favorable ERISA culture. The District of Oregon is one of the districts where we practice. With our admission to the courts in Washington, Oregon and California, we are able to represent insureds nationwide who obtain their disability insurance through employers based in these states.

Where to File an ERISA Claim: Venue Rules Explained

ERISA’s civil enforcement provision, 29 U.S.C. § 1132(e)(2), allows plaintiffs to bring suit in the federal district court where the plan is administered, where the breach occurred, or where any defendant resides or may be found. This venue flexibility is the critical mechanism for employees of California, Washington, or Oregon employers who live in other states.

If your employer’s ERISA plan is administered in California, Washington, or Oregon, you likely have proper venue in the federal district court covering that location: the Northern or Central District of California, the Western District of Washington, or the District of Oregon, all of which are within the Ninth Circuit.

Once you file there, with California, Washington, or Oregon law applying to void the discretionary clause, de novo review governs. And as the federal court data shows, plaintiff win rates in those specific districts are the highest measured anywhere in the country.

The National Picture: Circuit-by-Circuit Data

The following table presents the actual Lexis/Nexis data for ERISA cases decided from January 2015 to the present on the basis of proper or improper denials, by circuit, organized from the most plaintiff-friendly circuit courts to the least friendly circuit courts. “Plaintiff win” means the court found an improper claim denial. “Insurer win” means the court found no improper claim denial. These are blended figures across all standards of review and all plan types. Of interest, for the Tenth Circuit, the 37.8% rate is artificially inflated by the District of Utah, which disproportionately finds in favor of plaintiffs compared to the other districts in the Circuit. Without Utah, the Tenth Circuit hovers around 30%.

Circuit States Cases Decided Plaintiff Wins Plaintiff Win Rate Insurer Win Rate
9th CA, WA, OR, AZ, NV, ID, MT, AK, HI 535 265 49.5% 50.5%
10th CO, UT, KS, NM, OK, WY 222 84 37.8% 62.2%
7th IL, IN, WI 192 69 35.9% 64.1%
6th OH, MI, KY, TN 396 122 30.8% 69.2%
4th MD, VA, NC, SC, WV 164 46 28.0% 72.0%
3rd PA, NJ, DE 194 50 25.8% 74.2%
2nd NY, CT, VT 195 49 25.1% 74.9%
8th MN, MO, IA, NE, AR, ND, SD 192 44 22.9% 77.1%
1st MA, ME, NH, RI, PR 106 23 21.7% 78.3%
DC D.C. 14 3 21.4% 78.6%
5th TX, LA, MS 264 44 16.7% 83.3%
11th FL, GA, AL 196 32 16.3% 83.7%
NATIONAL All circuits 2,670 831 31.1% 68.9%

Source: Lex Machina analysis of PACER federal court data, January 2015 to present, cases decided on “improper claim denial” or “no improper claim denial.” All standards of review and plan types combined.

California, Washington, and Oregon Within the 9th Circuit

Jurisdiction Cases Decided Plaintiff Wins Plaintiff Win Rate
All California districts (combined) 333 156 46.8%
All Washington districts (combined) 69 41 59.4%
CA + WA combined 402 197 49.0%
Northern District of California (San Francisco) 122 59 48.4%
Central District of California (Los Angeles) 165 77 46.7%
Western District of Washington (Seattle) 62 38 61.3%

Washington’s 59.4% blended plaintiff win rate is the highest of any multi-district state in the nation. The Western District of Washington at 61.3% is, along with the District of Oregon, one of the two highest-performing districts in the country. This is consistent with Washington’s strong WAC § 284-96-012 ban and the Western District’s documented application of de novo review for insured plans.

What This Means City by City

The following analysis applies the circuit and district-level data to employees in each covered city. Each section includes the actual measured plaintiff win rate for the relevant home district court.

A reminder that applies across every city: the home-district win rates are blended across all standards of review, all plan types, and all counsel experience levels. Properly litigated, de novo cases in any circuit significantly outperform the blended circuit average. The Ninth Circuit’s blended figures are themselves suppressed by the large number of abuse of discretion cases within them. The comparison is between what plaintiffs actually achieve at home and what the 9th Circuit data shows as a floor for the best-positioned cases.

Chicago (Seventh Circuit / N.D. Ill.)

Actual plaintiff win rate, Northern District of Illinois: 46.9% (38 of 81 decided cases).

Chicago is a notable exception to the general pattern: the Northern District of Illinois produces outcomes comparable to the California districts of the Ninth Circuit. This reflects Illinois’s own discretionary clause ban (50 Ill. Admin. Code § 2001.3) and the Seventh Circuit’s enforcement of it, confirmed in Fontaine v. Metropolitan Life Insurance Co. (7th Cir. 2015). Illinois’s ban operates similarly to California’s, and the favorable judges of the Northern District of Illinois produces outcomes that reflect this.

For a Chicago employee of Microsoft or Amazon, the Northern District of Illinois’ 46.9% success rate is still unimpressive compared to the Western District of Washington’s 61% success rate. A reasonable Microsoft or Amazon employee located in Chicago should seek counsel who can file suit for them in Washington state, with experience with those plans.

Boston (First Circuit / D. Mass.)

Actual plaintiff win rate, District of Massachusetts: 26.2% (17 of 65 decided cases).

Massachusetts has no discretionary clause ban, and the First Circuit’s 21.7% overall blended rate (23 of 106 cases) reflects an abuse of discretion-dominated docket with relatively few pathways to de novo review. The District of Massachusetts, at 26.2%, is somewhat better than the circuit average but is still roughly half the 9th Circuit’s blended rate and less than half of what properly litigated de novo cases produce.

For a Massachusetts employee whose plan is administered in California or Washington, the measured gap is approximately 20-35 percentage points, from 26.2% locally to 46-61% in the California and Washington districts. The argument for 9th Circuit venue for fully insured plans with California or Washington administration is well-supported.

New York (Second Circuit / S.D.N.Y.)

Actual plaintiff win rate, Southern District of New York: 25.0% (23 of 92 decided cases).

New York City is in the District Court for the Southern District of New York. SDNY’s blended plaintiff win rate is 25.0%, and the circuit’s overall rate is 25.1%, both near or slightly below the national average. New York has its own discretionary clause restrictions through the Department of Financial Services, but the data suggests the judges hearing the cases in the Second Circuit are less friendly to insureds than in the Ninth Circuit. For a New York employee whose plan is administered in California or Washington, the California districts (46-48%) and WDWA (61.3%) offer measured advantages of 21-36 percentage points over the SDNY baseline.

Employees of California or Washington corporations such as Amazon, Microsoft, Apple, Meta, Alphabet, etc. would benefit enormously from retaining counsel who can double their chances of winning in court by filing in the Ninth Circuit.

Austin/San Antonio/Dallas/Houston (Fifth Circuit / W.D. Tex.)

Actual plaintiff win rate, Western District of Texas: 19.4% (7 of 36 decided cases). Fifth Circuit overall: 16.7% (44 of 264 cases).

The Fifth Circuit is the most defendant-favorable circuit in the country, by a significant margin in the data. Texas has a discretionary clause ban for insured plans, but the Fifth Circuit’s narrow approach to de novo triggers, its restriction of review to the administrative record, and its historically high deference to plan administrators produce the second-lowest blended plaintiff win rate in the dataset.

The measured gap from the Western District of Texas (19.4%) to WDWA (61.3%) is more than 40 percentage points, a more than three-to-one ratio in favor of the Western District of Washington. For an Austin, or San Antonio employee of Apple or Alphabet/Google, the 9th Circuit venue is the strongest of any city in this analysis. For Microsoft employees in Dallas, they can choose to bring suit in the Northern District of Texas, where they have an 18.8% chance of prevailing, or in the Western District of Washington, where their chances of success are 61%. Dallas, in the Northern District of Texas, is home to major satellite offices of Microsoft, Alphabet/Google, Meta, Apple, Salesforce, Wells Fargo, Adobe and more. Amazon has a large hub in Houston, in the Southern District of Texas, where only 15% of ERISA plaintiffs find success. The choice is clear.

Miami (Eleventh Circuit / S.D. Fla.)

Actual plaintiff win rate, Southern District of Florida: 17.5% (7 of 40 decided cases). Eleventh Circuit overall: 16.3% (32 of 196 cases), the lowest of any circuit.

Florida has no discretionary clause ban. The Eleventh Circuit is the most defendant-favorable circuit in the country for ERISA. The Southern District of Florida’s 17.5% rate means that more than four out of five ERISA claimants who reach a merits decision lose. The Western District of Washington’s 61% success rate is approximately three times the Southern District of Florida baseline. For a Miami employee of Amazon or Microsoft with a disability claim, hiring counsel in the Seattle area is a necessity.

Atlanta (Eleventh Circuit / N.D. Ga.)

Actual plaintiff win rate, Northern District of Georgia: 17.3% (9 of 52 decided cases).

Georgia has no discretionary clause ban, and the Northern District of Georgia’s rate is virtually identical to the Southern District of Florida figure. This is consistent with the Eleventh Circuit’s uniform and pervasive deference to plan administrators across its entire territory. The result is that roughly five in six decided ERISA benefit denial cases in the Northern District of Georgia result in a win for the insurer.

The 9th Circuit advantage is the same as Miami: a three-to-one measured outcome difference, and the same legal pathway through California’s § 10110.6 or Washington’s WAC § 284-96-012 for fully insured plans with administration in those states.

Nashville (Sixth Circuit / M.D. Tenn.)

Actual plaintiff win rate, Middle District of Tennessee: 28.0% (7 of 25 decided cases). Sixth Circuit overall: 30.8% (122 of 396 cases).

Tennessee has no ban on discretionary clauses, resulting in cases being decided on an abuse of discretion standard of review. The Middle District of Tennessee’s 28.0% rate reflects that fact. As Starbucks moves thousands of employees from Washington to Nashville, the gap between the 28.0% of ERISA claimants who prevail in Nashville to the 61.3% success rate in Seattle is huge. Fully 33% more claimants prevail in Washington, making the decision of where to retain counsel obvious.

Durham/Charlotte (Fourth Circuit / M.D.N.C. and W.D.N.C.)

Actual plaintiff win rate, Middle District of North Carolina: 30.0% (3 of 10 decided cases — note small sample size), Western District of North Carolina: 45% (9 of 20 decided cases). Fourth Circuit overall: 28.0% (46 of 164 cases).

North Carolina has no discretionary clause ban. The Fourth Circuit applies standard abuse of discretion review, upholding decisions if “reasonable” even where the court would have concluded otherwise. The Middle District of North Carolina sample is small enough that its 30.0% rate should be treated with caution; the circuit’s 28.0% is more statistically reliable. Charlotte, located in the Western District, has a statistically higher chance of success, but it remains significantly lower than if a Microsoft employee in Charlotte were to file in Seattle, where the chance of success is 61%. The gap from Fourth Circuit abuse of discretion outcomes of 28% to the Western District of Washington’s success rate of 61% for ERISA claimants creates a compelling argument for employees of Microsoft in North Carolina.

Denver and Boulder (Tenth Circuit / D. Colo.)

Actual plaintiff win rate, District of Colorado: 37.5% (21 of 56 decided cases). Tenth Circuit overall: 37.8% (84 of 222 cases) — second-highest circuit rate after the 9th Circuit.

Colorado has its own discretionary clause ban, which likely contributes significantly to the elevated 10th Circuit outcomes compared to circuits without bans.

However, the Tenth Circuit’s Ellis v. Liberty Life Assurance Co. (10th Cir. 2020) created a significant limitation: if the plan contains a choice-of-law provision designating a state without a ban, the Tenth Circuit enforces that provision over Colorado’s ban. California courts, by contrast, have applied § 10110.6 even over contrary choice-of-law provisions ( Hirschkron v. Principal Life, N.D. Cal. 2015). Washington law invalidates all discretionary bans and declines to accept choice of law arguments that go against public policy in Washington state.

For a Denver or Boulder employee of a Ninth Circuit employer, filing suit where the employer is located offers both a higher measured outcome baseline and strong legal protection against a discretionary clause.

Arlington, Virginia (Fourth Circuit / E.D. Va.)

Actual plaintiff win rate, Eastern District of Virginia: 25.0% (7 of 28 decided cases).

Virginia has no discretionary clause ban. Maryland (also Fourth Circuit) has enacted a discretionary clause ban under Md. Code Ann. Ins. § 12-211(b), and the District of Maryland shows 25.6% plaintiff wins (6 of 25 decided cases). This is marginally better but not dramatically so, likely because Maryland’s ban has not been validated in court in ERISA cases.

The structural comparison is consistent with all other cities outside the 9th Circuit: the Eastern District of Virginia at 25.0% versus 9th Circuit at 49.5-61.3% demands that an intelligent insured in those areas retain counsel who can bring suit for them in the Ninth Circuit.

Philadelphia (Third Circuit / E.D. Pa.)

Actual plaintiff win rate, Eastern District of Pennsylvania: 29.4% (15 of 51 decided cases). Third Circuit overall: 25.8% (50 of 194 cases).

Pennsylvania has no discretionary clause ban. New Jersey (also Third Circuit) has a ban under N.J. Admin. Code § 11:4-58.3, but the rate of success in New Jersey remains disappointingly low in ERISA litigation.

The Eastern District of Pennsylviania’s 29.4% blended rate is slightly above the national average but well below the 9th Circuit’s California and Washington figures.

Detroit (Sixth Circuit / E.D. Mich.)

Actual plaintiff win rate, Eastern District of Michigan: 30% (31 of 103 decided cases). Western District of Michigan: 42% (19 of 45 decided cases). Sixth Circuit overall: 30.8% (122 of 396 cases).

Michigan has its own discretionary clause ban. In 2007, the Michigan Office of Financial and Insurance Services promulgated rules prohibiting insurers from “issuing, delivering, or advertising insurance contracts or policies that contain ‘discretionary clauses.'” The insurance industry challenged the ban immediately, and the Sixth Circuit in American Council of Life Insurers v. Ross, 558 F.3d 600 (6th Cir. 2009), became the first federal appellate court to uphold a state’s discretionary clause ban against an ERISA preemption challenge. Despite this, its judges tend to rule against plaintiffs. For Microsoft employees in Detroit, the Ninth Circuit option provides access to the same de novo review in courts with an even higher measured win rate the Western District of Washington at 61.3%.

Indianapolis (Seventh Circuit / S.D. Ind.)

Actual plaintiff win rate, Southern District of Indiana: 19.0% (4 of 21 decided cases). Northern District of Indiana: 27.3% (3 of 11 cases). Seventh Circuit overall: 35.9% (69 of 192 cases).

Indiana lacks a discretionary ban. The Southern District of Indiana reflects this: its 19.0% blended plaintiff win rate is well below the Seventh Circuit average and near the bottom of the national distribution.

Indianapolis is a significant hub for Salesforce, which lists it as one of its largest US offices alongside San Francisco, New York, Chicago, and Atlanta, with Customer Success teams headquartered there. For Indianapolis-based Salesforce employees and employees of other West Coast companies, the gap between Indianapolis (19.0%) California (49.5%) or Washington (61.3%) is massive. Filing in the Ninth Circuit offers a dramatically better litigation posture than the Southern District of Indiana.

Orlando (Eleventh Circuit / M.D. Fla.)

Actual plaintiff win rate, Middle District of Florida: 13.2% (7 of 53 decided cases), the lowest of any district in the nation. Southern District of Florida (Miami): 17.5% (7 of 40 cases). Eleventh Circuit overall: 16.3% (32 of 196 cases).

The Middle District of Florida, which covers Orlando, Tampa, and Jacksonville, produces the worst ERISA outcomes for plaintiffs of any federal district in the country. Across 53 decided cases over a decade, plaintiffs prevailed in only 7, a rate of 13.2%. Florida has no discretionary clause ban.

For Orlando employees whose ERISA plans are administered in California, Washington, or Oregon, the contrast with the Ninth Circuit’s outcomes is the starkest of any city in this analysis. The 13.2% local baseline versus 61.3% in Seattle represents a more than five-to-one difference in measured plaintiff outcomes. Even the most conservative comparison, 13.2% locally versus the California districts’ 46-48%, represents more than a three-fold improvement. For Orlando employees of technology, financial services, or professional services firms based on the West Coast, the Ninth Circuit filing strategy is the single most consequential litigation decision available.

Minneapolis (Eighth Circuit / D. Minn.)

Actual plaintiff win rate, District of Minnesota: 36.7% (22 of 60 decided cases). Eighth Circuit overall: 22.9% (44 of 192 cases).

Minneapolis stands out within the Eighth Circuit, producing a plaintiff win rate of 36.7%, nearly 14 points above the circuit’s overall average of 22.9%, which is among the lowest in the country. The explanation mirrors Detroit: Minnesota has its own discretionary clause ban, which elevates outcomes in the District of Minnesota above the circuit baseline. The Eighth Circuit is generally extremely deferential to plan administrators, but Minnesota’s ban disrupts that pattern for covered insured plans within the district.

Minneapolis is home to the Wells Fargo Center, one of Wells Fargo’s largest hub offices outside San Francisco. It also hosts Salesforce, Adobe, and Microsoft offices. For Minneapolis employees of West Coast companies, the 36.7% approval rate compares favorably to the Eighth Circuit overall but still trails significantly behind California courts (49.5%) or the Western District of Washington (61.3%).

Conclusion

The federal court data is unambiguous. When ERISA benefit denial cases are litigated in California or Washington, their chances of success skyrocket. For the millions of American employees who live in one state and receive benefits through a plan administered in another, the geography of ERISA litigation is not an abstraction. It is the most determinative variable.

If your employer’s ERISA plan is administered in California or Washington, you have the right to litigate in the Ninth Circuit, and to do so under de novo review where the facts of your claim determine the outcome. The statistical difference is massive. A claimant who would win 13% of the time in Orlando under abuse of discretion may win 61% of the time in the Western District of Washington under de novo. That is a compelling reason to understand your options before you hire counsel, to ensure that your counsel understands the magnitude of this difference and is qualified to represent you where you can obtain a fair hearing.

You are a strategic thinker in your career. You would never make a decision at work to hire a vendor or partner with a business simply because they are local to you, if that decision would dramatically increase the likelihood of the failure of your project. The same global economy that benefits you as an executive is available to you as a claimant. Don’t make the mistake of blindly hiring local counsel when protecting the income on which you and your family rely. Hire counsel, such as Monahan Tucker Law, who can represent you in California and Washington and maximize your chances of success.

Disclaimer

This post is for informational purposes only and does not constitute legal advice. ERISA litigation is highly fact-specific. The win rates cited from Lex Machina represent actual outcomes across all decided cases and all standards of review; they are not predictive of any individual case outcome. Whether the Ninth Circuit or California/Washington/Oregon law applies to your claim depends on the specific terms of your plan, the nature of its funding and administration, and the applicable choice-of-law rules. Consult an experienced ERISA attorney before making any filing decisions.

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We are one of the rare firms that can provide first-hand knowledge of how your insurer thinks and reacts, and has consistently prevailed in some of the most complex and high value insurance disputes seen in ERISA and non-ERISA litigation.

Strength

Our attorneys trained at some of the most aggressive large law firms in the world. Though we believe there are usually better ways to litigate and resolve disputes, our opposition does not always agree. When necessary, we are masters of unrelenting, tenacious litigation. When you hire us, you turn the insurer’s previous weapon against it.

Compassion

We do this work because we want to be here, for you. We understand what you have been through, and that everyone has times where they need support. One of the strongest steps for yourself and your family is to ask us for help. Together, we’ve got this.

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Helping insureds nationwide with policies based in California, Oregon, Washington, Nevada and Arizona.