Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291 (11th Cir. 2004). · Go Syfert
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291 (11th Cir. 2004). Cases Citing This Book View Copy Cite
140 citation events (140 in the last 25 years) across 24 distinct courts.
Treatment trajectory · 2004 → 2026 · click a year to view as-of
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Top citers, strongest first. 50 distinct citers. How cited ↗
discussed Cited as authority (verbatim quote) West Virginia United Health System, Inc. v. GMS Mine Repair and Maintenance, Inc. Employee Medical Plan
N.D.W. Va. · 2025 · quote attribution · 1 verbatim quote · confidence high
because erisa-governed plans are contracts, the parties are free to bargain for certain provisions in the plan-like assignability.
discussed Cited as authority (verbatim quote) Prestige Institute For Plastic Surgery, PC v. Aetna, Inc.
D. Conn. · 2024 · quote attribution · 1 verbatim quote · confidence high
we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the erisa benefit plan contains an unambiguous anti-assignment provision.
discussed Cited as authority (verbatim quote) Murphy Medical Associates, LLC v. Yale University
D. Conn. · 2023 · quote attribution · 1 verbatim quote · confidence high
we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision
discussed Cited as authority (verbatim quote) Be Well Providers, LLC v. Anthem Health Plans of Kentucky, Inc.
W.D. Ky. · 2022 · quote attribution · 1 verbatim quote · confidence high
an unambiguous anti-assignment provision in an erisa- governed welfare benefit plan is valid and enforceable.
examined Cited as authority (verbatim quote) North Carolina Baptist Hospitals, Inc. v. Dula
W.D.N.C. · 2020 · quote attribution · 1 verbatim quote · confidence high
because erisa- governed plans are contracts, the parties are free to bargain for certain provisions in the plan-like assignability. thus, an unambiguous anti-assignment provision in an erisa-governed welfare benefit plan is valid and enforceable.
discussed Cited as authority (verbatim quote) McCulloch Orthopaedic Surgical Services, PLLC v. Aetna Inc.
2d Cir. · 2017 · signal: see also · quote attribution · 1 verbatim quote · confidence high
we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the erisa benefit plan contains an unambiguous anti-assignment provision.
examined Cited as authority (verbatim quote) Griffin v. Habitat for Humanity International, Inc. (2×) also: Cited as authority (rule)
N.D. Ga. · 2015 · quote attribution · 1 verbatim quote · confidence high
considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.
examined Cited as authority (verbatim quote) Griffin v. Verizon Communications, Inc. (2×) also: Cited as authority (rule)
N.D. Ga. · 2015 · quote attribution · 1 verbatim quote · confidence high
considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.
examined Cited as authority (verbatim quote) Griffin v. Southern Co. Services, Inc. (2×) also: Cited as authority (rule)
N.D. Ga. · 2015 · quote attribution · 1 verbatim quote · confidence high
considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.
examined Cited as authority (verbatim quote) Griffin v. Health Systems Management, Inc. (2×) also: Cited as authority (rule)
N.D. Ga. · 2015 · quote attribution · 1 verbatim quote · confidence high
considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.
examined Cited as authority (verbatim quote) Griffin v. Focus Brands, Inc. (2×) also: Cited as authority (rule)
N.D. Ga. · 2015 · quote attribution · 1 verbatim quote · confidence high
considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.
examined Cited as authority (quoted) Bobby P. Kearney, MD, PLLC v. Blue Cross & Blue Shield Northcarolina
M.D.N.C. · 2019 · quote attribution · 1 verbatim quote · confidence low
because erisa-governed plans are contracts, the parties are free to bargain for certain provisions in the plan-like assignability. thus, an unambiguous anti-assignment provision in an erisa-governed welfare benefit plan is valid and enforceable.
discussed Cited as authority (rule) Benjamin J. Cousins, M.D., P.A. v. Blue Cross and Blue Shield of Florida, Inc., et al. (2×) also: Cited "see"
S.D. Fla. · 2026 · confidence medium
The Eleventh Circuit has held, however, that “a healthcare provider is barred from bringing claims under § 502(a) based on an assignment from a plan participant or beneficiary” where “a plan contains an unambiguous anti-assignment provision.” Griffin v. United Healthcare of Ga., Inc., 754 F. App’x 793 , 796 (11th Cir. 2018) (citing Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1296 (11th Cir. 2004)); see also Richard W.
cited Cited as authority (rule) CSMN Operations LLC v. Aetna Life Insurance Company
D. Colo. · 2025 · confidence medium
Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir. 2004)) (further citation omitted); Bland v. ExxonMobil Med.
cited Cited as authority (rule) Thorn v. Buffalo Rock Company
N.D. Ala. · 2024 · confidence medium
Recovery, 813 F.3d at 1338 (citing Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir. 2004)).
discussed Cited as authority (rule) W. A. Griffin, M.D. v. Blue Cross Blue Shield Healthcare Plan of Georgia (2×)
11th Cir. · 2024 · confidence medium
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1293 (11th Cir. 2004).
discussed Cited as authority (rule) Hoogenboom v. The Trustees of Allied Services Division Welfare Fund (2×)
N.D. Ill. · 2022 · confidence medium
Blue Cross Blue Shield, 890 F.3d 445, 453 (3d Cir. 2018) (finding an anti- assignment clause enforceable against provider and noting that it joins the First, Second, Fifth, Tenth, Ninth, and Eleventh Circuits in doing so).5 For example, the Eleventh Circuit held that “an 5 See Beverly Oaks Physicians Surgical Ctr., LLC v. Blue Cross & Blue Shield of Ill., 983 F.3d 435 , 440– 43 (9th Cir. 2020) (“Anti-assignment clauses in ERISA health plans are valid and enforceable” (quoting assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.” Physicians Multispe…
discussed Cited as authority (rule) Worldwide Aircraft Services, Inc. v. Anthem Insurance Companies, Inc.
M.D. Fla. · 2022 · confidence medium
However, “[b]ecause ERISA–governed plans are contracts, the parties are free to bargain for certain provisions in the plan—like assignability.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1296 (11th Cir. 2004).
discussed Cited as authority (rule) Classic Air Care v. Aetna Life Insurance Company
D. Utah · 2021 · confidence medium
Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir. 2004) (collecting cases); IHC Health Sys. v. Railserve Employee Benefits Plan, No. 2:06-CV- 588 TS, 2007 WL 3069902 , at *3 (D.
cited Cited as authority (rule) Atrium Medical Center v. United Healthcare Services, Inc.
S.D. Ohio · 2020 · confidence medium
Mich. Nov. 16, 2016) (citing Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir. 2004) (collecting cases)).
discussed Cited as authority (rule) Richard W. Kaplan, D.D.S., M.D., P.A. v. Blue Cross and Blue Shield of Florida, Inc.
S.D. Fla. · 2020 · confidence medium
The Eleventh Circuit has held that “an unambiguous anti-assignability provision in an ERISA-governed welfare benefit plan voids any purposed assignment.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc » 371 F.3d 1291, 1296 (11th Cir. 2004).
discussed Cited as authority (rule) GVB MD, LLC v. BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
S.D. Fla. · 2019 · confidence medium
As the Eleventh Circuit Court of Appeals recently reaffirmed, “[t]o maintain an action under ERISA, a plaintiff must have standing to sue under the statute, which is not jurisdictional, Article III standing, but a right to make a claim under the statute.” Griffin v. Coca-Cola Enters., Inc., 686 F, App’x 820, 821 (11th Cir. 2017) (citing Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1293-94 (11th Cir. 2004)).
discussed Cited as authority (rule) Air Trek, Inc. v. Capital Steel & Wire, Inc.
W.D. Mich. · 2019 · confidence medium
And “the majority of federal courts . . . have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision.” Physicians Multispeciality Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir. 2004).
discussed Cited as authority (rule) SLEEP TIGHT DIAGNOSTIC CENTER, LLC v. AETNA, INC.
D.N.J. · 2019 · confidence medium
Orthopedic & Sports Med. v. Independence Blue Cross Blue Shield, 890 F.3d 445, 453 (3d Cir. 2018) (“We now join that consensus and hold that anti-assignment clauses in ERISA-governed health insurance plans as a general matter are enforceable.”); McCulloch Orthopaedic Surgical Servs., PLLC v. Aetna Inc., 857 F.3d 141, 147 (2d Cir. 2017); Physicians Multispeciality Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295-96 (11th Cir. 2004); LeTourneau Lifelike Orthotics & Prosthetics, Inc. v. Wal-Mart Stores, 298 F.3d 348, 352 (5th Cir. 2002); City of Hope Nat'l Med.
cited Cited as authority (rule) W. A. Griffin v. United Healthcare of Georgia, Inc.
11th Cir. · 2018 · confidence medium
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir. 2004).
discussed Cited as authority (rule) University Spine Center v. Horizon Blue Cross Blue Shield
D.N.J. · 2017 · confidence medium
Citing, e.g., Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc,, 371 F.3d 1291, 1294-96 (11th Cir. 2004) ("Because ERISA-governed plans are contracts, the parties are free to bargain for certain provisions in the plan — like assignability.
discussed Cited as authority (rule) W.A. Griffin v. Coca-Cola Enterprises, Inc. (2×) also: Cited "see"
11th Cir. · 2017 · confidence medium
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1293-94 (11th Cir. 2004).
discussed Cited as authority (rule) Griffin v. Habitat for Humanity International, Inc.
11th Cir. · 2016 · confidence medium
As we have explained, “[hjealthcare providers ,.. are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) Griffin v. Habitat for Humanity International, Inc. (2×) also: Cited "see"
N.D. Ga. · 2016 · confidence medium
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).” • “ ‘[A]n unambiguous anti-assignment provision in an ERISA-governed welfare benefit plan is valid and enforceable.’ Id. at 1296 .” • “In Physicians Multispecialty Grp., the plaintiff was a medical group that obtained a written assignment of benefits from an ERISA plan beneficiary.” • Plaintiff “sued to recover to recover the cost of medical services it rendered to the beneficiary.” • “Recognizing ERISA {was] silent on whether a beneficiary [could] assign …
discussed Cited as authority (rule) W.A. Griffin v. Verizon Communications, Inc.
11th Cir. · 2016 · confidence medium
As we have explained, “[hjealthcare providers ... are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) W.A. Griffin, MD v. Southern Company Services, Inc.
11th Cir. · 2015 · confidence medium
As we have explained, “[h]ealthcare providers ... are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispedalty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) W. A. Griffin, MD v. Focus Brands Inc.
11th Cir. · 2015 · confidence medium
As we have explained, “[Healthcare providers ... are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) W. A. Griffin, MD v. Health Systems Management, Inc.
11th Cir. · 2015 · confidence medium
As we have explained, “[hlealthcare providers ... are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) W.A. Griffin, MD v. General Mills, Inc.
11th Cir. · 2015 · confidence medium
As we have explained, “[h]ealthcare providers .,. are generally not ‘participants’ or ‘beneficiaries’ under ERISA and thus lack independent standing to sue under ERISA.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) Griffin v. Blue Cross & Blue Shield
N.D. Ga. · 2015 · confidence medium
The Cagle court expressly declined to consider the issue with which we are faced today: “whether a provider-assignee can sue an ERISA plan, where the terms of the plan forbid such an assignment.” Cagle, 112 F.3d at 1516, n. 3 . 371 F.3d 1291, 1294-95 (11th Cir.2004).
discussed Cited as authority (rule) University of Wisconsin Hospitals & Clinics Authority v. Aetna Health & Life Insurance
W.D. Wis. · 2015 · confidence medium
In the face of continued congressional silence on this question, however, other circuits have overwhelmingly held that anti-assignment clauses in ERISA employee welfare benefit plans are enforceable, and therefore medical provider plaintiffs lack standing to pursue payment as “beneficiaries.” See, e.g., Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir.2004) (holding that “an assignment is ineffectual if the plan contains an unambiguous anti-assignment”) (citing cases from the First, Ninth and Tenth Circuits in support); LeTourneau …
cited Cited as authority (rule) Bloom v. Independence Blue Cross
E.D. Pa. · 2015 · confidence medium
Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir.2004); City of Hope Nat.
cited Cited as authority (rule) Griffin v. General Mills, Inc.
N.D. Ga. · 2015 · confidence medium
Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294-1296 (11th Cir.2004).
discussed Cited as authority (rule) Rubenstein v. Florida Bar
S.D. Fla. · 2014 · confidence medium
See Bochese v. Town of Ponce Inlet, 405 F.3d 964, 974 (11th Cir.2005) (holding that a court lacks subject matter jurisdiction to hear a case if the “case or controversy” requirements of Article III are not satisfied); Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1293 (11th Cir.2004) (contrasting statutory standing with “the subject-matter-jurisdictional doctrine of justiciability which considers injury, traceability to the defendant, and redressability”) (citing Northeastern Fla. Chapter of Associated Gen.
discussed Cited as authority (rule) Emerus Hospital Partners, LLC v. Health Care Service Corp.
N.D. Ill. · 2014 · confidence medium
“Healthcare providers may acquire derivative standing ... by obtaining a written assignment from a ‘beneficiary’ or ‘participant’ of his right to payment of benefits under an ERISA-governed plan.” Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004).
discussed Cited as authority (rule) Medicomp, Inc. v. United Healthcare Insurance Co.
11th Cir. · 2014 · confidence medium
The standing issue presented in this case is not of the “subject-matter-jurisdictional doctrine of justi-ciability which considers injury, traceability to the defendant, and redressability.” Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1293 (11th Cir.2004) (citation omitted).
discussed Cited as authority (rule) Ward v. RETIREMENT BD. OF NFL PLAYER RETIRE. PLAN (2×)
11th Cir. · 2011 · confidence medium
Alternatively, the Ward Firm contends that even if the provision was unambiguous the district court erred by finding this case was controlled by our holding in Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1296 (11th Cir.2004), which held that anti-assignment provisions in ERISA welfare benefits plans are valid and enforceable.
discussed Cited as authority (rule) Ward v. Retirement Board of Bert Bell/Pete Rozelle NFL Player Retirement Plan (2×)
11th Cir. · 2011 · confidence medium
Alternatively, the Ward Firm contends that even if the provision was unambiguous the district court erred by finding this case was controlled by our holding in Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1296 (11th Cir.2004), which held that anti-assignment provisions in ERISA welfare benefits plans are valid and enforceable.
discussed Cited as authority (rule) Regency Hospital Co. v. United Healthcare of Georgia, Inc. (2×)
N.D. Ga. · 2005 · confidence medium
Inc., 371 F.3d 1291, 1294 (11th Cir.2004); Hobbs, 276 F.3d at 1241 .
discussed Cited as authority (rule) Regency Hospital Company of South Atlanta, L.L.C. v. United HealthCare Insurance Company (2×)
N.D. Ga. · 2005 · confidence medium
Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir. 2004); Hobbs, 276 F.3d at 1241 .
discussed Cited as authority (rule) Trinity Health-Michigan v. Blue Cross Blue Shield (2×) also: Cited "see"
W.D. Mich. · 2005 · confidence medium
Although health care providers are generally not considered participants *485 or beneficiaries of an ERISA welfare plan, see Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir.2004), most circuits, including the Sixth Circuit, have held that a person not otherwise qualifying as a participant or beneficiary may obtain derivative standing by obtaining a valid assignment of rights -under a plan from a participant or beneficiary under the plan.
discussed Cited "see" W.A. Griffin, MD v. Verizon Communications Inc.
11th Cir. · 2018 · signal: see · confidence high
See Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294 (11th Cir. 2004) (noting that “[h]ealthcare providers . . . [generally] lack independent standing to sue under ERISA,” but “may acquire derivative standing . . . by obtaining a written assignment from a ‘beneficiary’ or ‘participant’ of his right to payment of benefits under an ERISA-governed plan”). 4 Case: 17-14761 Date Filed: 08/20/2018 Page: 5 of 11 noted only that Hishmeh involved “another male [] provider,” but did not elaborate on how Hishmeh fit the pattern of alleged d…
discussed Cited "see" Neurological Surgery, P.C. v. Travelers Co.
E.D.N.Y · 2017 · signal: see · confidence high
Id. at 351 ; see Physicians Multispecialty Group v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir. 2004); LeTourneau Lifelike Orthotics & Prosthetics, Inc. v. Wal-Mart Stores, Inc., 298 F.3d 348, 352 (5th Cir. 2002); City of Hope Nat.
discussed Cited "see" Merrick v. UnitedHealth Group Inc.
S.D.N.Y. · 2016 · signal: see · confidence high
See Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1295 (11th Cir.2004) (“we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision”); LeTourneau Lifelike Orthotics & Prosthetics, Inc. v. Wal-Mart Stores, Inc., 298 F.3d 348, 349, 352 (5th Cir.2002) (“Applying universally recognized canons of contract interpretation to the plain wording of the instant anti-assignment clause[,]” which stated “[ejxcept as permitted by the…
cited Cited "see" Griffin v. General Mills, Inc.
N.D. Ga. · 2016 · signal: see · confidence high
See Physicians Multispecialty Grp. v. Health Care Plan of Horton Homes, Inc., 371 F.3d 1291, 1294-96 (11th Cir.2004).
Retrieving the full opinion text from the archive…
PHYSICIANS MULTISPECIALTY GROUP, Plaintiff-Appellee,
v.
the HEALTH CARE PLAN OF HORTON HOMES, INC., Horton Homes, Inc., Defendants-Appellants
03-14202.
Court of Appeals for the Eleventh Circuit.
Jun 3, 2004.
371 F.3d 1291
R. Carl Cannon, Constangy, Brooks & Smith, Atlanta, GA, for Defendants-Appellants., Robert Edward Hoskins, Foster & Foster, Greenville, SC, for Plaintiff-Appellee.
Dubina, Cox, Owens.
Cited by 64 opinions  |  Published
3 passages pin-cited by 3 cases
Pinpoint authority: bottom 91%
Citer courts: Second Circuit (1) · N.D. Illinois (1) · M.D. North Carolina (1)
DUBINA, Circuit Judge:

Appellants, Horton Homes, Inc. (“Horton Homes”) and Health Care Plan of Horton Homes, Inc. (the “Plan”), appeal the district court’s order granting summary judgment to Plaintiff-Appellee Physicians’ Multispecialty Group (“PMG”), on its Employee Retirement Income Security Act (“ERISA”) claim. Answering a question of first impression in our circuit, we reverse the district court’s order granting summary judgment on the basis that the anti-assignment clause in the Plan precludes PMG from maintaining an ERISA action based on its reliance upon an assignment of benefits.

I. BACKGROUND

Horton Homes offered and funded a medical benefit plan to its employees pursuant to ERISA, 29 U.S.C.A. § 1001, el seq. The Plan extended coverage to de[*1293] pendents of Horton Homes employees as long as the dependents met certain conditions.

In September 1999, Linton Franklin (“Franklin”) began working for Horton Homes and enrolled himself, his daughter Candace Murray (“Murray”), and four other minor children in the Plan. In June 2001, Murray contracted a severe infection for which she was hospitalized and treated by physicians practicing with PMG. Murray remained hospitalized for over a month until she died on July 21, 2001.

Shortly after Murray’s death, PMG obtained a written assignment from the administrator of Murray’s estate and filed a claim with the Plan for $68,230 to recover the cost of medical services it rendered to Murray. ACS Benefit Services, Inc. (“ACS”), the Plan’s third-party administrator, denied PMG’s claim on the ground that Murray was not an eligible dependent child of Franklin because she was not “principally dependent” upon Franklin for financial support, as required by the Plan. PMG appealed ACS’s denial of benefits to Horton Homes, which upheld ACS’s decision. Horton Homes concluded that Murray was not “principally dependent” upon Franklin for support because Franklin’s limited support of Murray was outweighed by other sources of support, such as Murray’s own earnings from her part-time job.

PMG then initiated the present action, asserting an ERISA claim seeking to establish Murray’s eligibility for benefits and to recover the costs of its medical services rendered, and two state law claims. PMG also sought attorneys’ fees and costs. The district court dismissed the state law claims by consent order. Concerned about PMG’s ability to maintain an ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), action, the district court raised the issue sua sponte at the summary judgment hearing. Horton Homes followed the district court’s lead and argued that PMG lacked statutory standing to bring suit. However, when Horton Homes declined to further address the statutory standing issue in its supplementary summary judgment briefing, the district court concluded that any dispute about PMG’s standing was moot. Therefore, the district court granted PMG’s motion for summary judgment and directed Horton Homes to pay PMG $68,230, or an amount that otherwise reflected the proper costs of the medical services PMG rendered to Murray.

II.ISSUE

Whether the district court erred in granting summary judgment for PMG.

III.STANDARD OF REVIEW

This court reviews de novo the district court’s order granting summary judgment. McCormick v. City of Fort Lauderdale, 333 F.3d 1234, 1242-43 (11th Cir.2003).

IV.DISCUSSION

Initially, PMG contends that Horton Homes waived the issue whether PMG had “standing” to sue under ERISA. We disagree since Horton Homes argued this issue to the district court. We also note that the “standing” at issue here is not the standing label given to the subject-matter-jurisdictional doctrine of justiciability which considers injury, traceability to the defendant, and redressability. See Northeastern Fla. Chapter of Associated Gen. Contractors v. City of Jacksonville, 508 U.S. 656, 663-64, 113 S.Ct. 2297, 2302, 124 L.Ed.2d 586 (1993). The jurisdictional question here, where PMG has asserted a federal statutory cause of action, and where Horton Homes has challenged PMG’s ability to maintain the action, is whether PMG has made a nonfrivolous claim under the statute that it invokes.[*1294] McGinnis v. Ingram Equip. Co., 918 F.2d 1491, 1494 (11th Cir.1990) (en banc).

Thus, in the context of this ERISA case, we must determine whether PMG’s claim that it was a beneficiary of the ERISA plan by virtue of its assignment from the administrator of Murray’s estate is either clearly immaterial and made solely for the purpose of obtaining jurisdiction or is wholly insubstantial or frivolous. See Blue Cross & Blue Shield of Ala. v. Sanders, 138 F.3d 1347, 1352-54 (11th Cir.1998) (finding subject matter jurisdiction as Blue Cross’s claim that it was a fiduciary for purposes of ERISA was not frivolous or made solely to obtain federal jurisdiction). We conclude that PMG’s claim is not frivolous because it depends on our answer to the question of whether a provider-assign-ee can sue an ERISA plan, where the terms of the plan forbid such an assignment, which is an issue of first impression in this circuit. See Cagle v. Bruner, 112 F.3d 1510, 1516, n. 3 (11th Cir.1997).

Under ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B), two categories of persons exist who can sue for benefits under an ERISA-governed plan: plan beneficiaries [1] and plan participants. [2] 29 U.S.C. § 1132(a)(1); Hobbs v. Blue Cross Blue Shield of Ala., 276 F.3d 1236, 1241 (11th Cir.2001). Healthcare providers, such as PMG, are generally not “participants” or “beneficiaries” under ERISA and thus lack independent standing to sue under ERISA. Hobbs, 276 F.3d at 1241; see also Cagle, 112 F.3d at 1514. Healthcare providers may acquire derivative standing, however, by obtaining a written assignment from a “beneficiary” or “participant” of his right to payment of benefits under an ERISA-governed plan. Hobbs, 276 F.3d at 1241.

Although ERISA § 206(d), 29 U.S.C. § 1056(d), expressly prohibits assignment of pension benefits, this court has commented that “neither 1132(a) nor any other ERISA provision prevents derivative standing based upon an assignment of rights from [ERISA participants or beneficiaries.]” HCA Health Servs, of Ga., Inc. v. Employers Health Ins. Co., 240 F.3d 982, 991 (11th Cir.2001) (quoting Cagle, 112 F.3d at 1515). This court stated in Cagle that:

[i]f provider-assignees cannot sue the ERISA plan for payment, they will bill the participant or beneficiary directly for the insured[’s] medical bills, and the participant or beneficiary will be required to bring suit against the benefit plan when claims go unpaid. On the other hand, if provider-assignees can sue for payment of benefits, an assignment will transfer the burden of bringing suit from plan participants and beneficiaries to providers, who are better situated and financed to pursue an action for benefits owed for their services.

Cagle, 112 F.3d at 1515 (internal citations and quotations omitted).

Although Cagle favors the recognition of assignments in ERISA-governed plans, Cagle does not control the outcome of this case. The Cagle court expressly declined to consider the issue with which[*1295] we are faced today: “whether a provider-assignee can sue an ERISA plan, where the terms of the plan forbid such an assignment.” Cagle, 112 F.3d at 1516, n. 3. The Plan at issue contains such a provision:

ASSIGNABILITY
Amounts payable at any time may be used to make direct payments to health care providers. Except as applicable law may otherwise require, no amount payable at any time hereunder shall be subject in any manner to alienation by ... assignment ... of any kind[]. Any attempt to ... assign ... any such amount, whether presently or hereafter payable, shall be void....

[Vol. 1, Doc. 14, Exh. A, at 24].

Considering this issue, we are persuaded by the reasoning of the majority of federal courts that have concluded that an assignment is ineffectual if the plan contains an unambiguous anti-assignment provision. See, e.g., City of Hope Nat’l Med. Ctr. v. Healthplus, Inc., 156 F.3d 223, 229 (1st Cir.1998) (“Consistent with the other circuits which have addressed this issue, we hold that ERISA leaves the assignability or non-assignability of health care benefits under ERISA-regulated welfare plans to the negotiations of the contracting parties.”); St. Francis Reg’l Med. Ctr. v. Blue Cross & Blue Shield of Kan., Inc., 49 F.3d 1460, 1464-65 (10th Cir.1995) (“ERISA’s silence on the issue of the assignability of insurance benefits leaves the matter to the agreement of the contracting parties.”); Davidowitz v. Delta Dental Plan of Cal., Inc., 946 F.2d 1476, 1478 (9th Cir.1991) (“As a general rule of law, where the parties’ intent is clear, courts will enforce non-assignment provisions.”); Washington Hosp. Ctr. Corp. v. Group Hospitalization and Med. Servs., Inc., 758 F.Supp. 750, 755 (D.D.C.1991) (holding that an anti-assignment provision was valid and enforceable after concluding that enforcement of the provision was not contrary to public policy); see also, e.g., Neurological Res., P.C. v. Anthem Ins. Cos., 61 F.Supp.2d 840, 845-46 (S.D.Ind.1999); Renfrew Ctr. v. Blue Cross & Blue Shield of Cent. N.Y., Inc., No. 94-CV-1527, 1997 WL 204309, at *3-4 (N.D.N.Y. Apr.10, 1997); Home Nutritional Servs., Inc. v. Blue Cross & Blue Shield of Mass., Inc., Nos. 93-CV-10211-Z, 93-CV-10658-Z, 1993 WL 343674, at *1-2 (D.Mass. Aug. 24, 1993); Parkside Lutheran Hosp. v. R.J. Zeltner & Assocs., Inc., 788 F.Supp. 1002, 1004-05 (N.D.Ill. 1992).

In deciding that an unambiguous anti-assignability provision in an ERISA-gov-erned plan voids any purposed assignment, the Ninth Circuit began by noting that any construction of ERISA must be consistent with Congressional intent. Davidowitz, 946 F.2d at 1480. “Even if it could be said that required assignability promotes certain ERISA policies, this Court would not create a construction requiring assignability in the face of Congressional silence on the issue.” Id. See also St. Francis Reg’l Med. Ctr., 49 F.3d at 1465.

The Davidomtz court further noted that the Supreme Court has stated that Congress carefully considered assignment of both pension and welfare benefit plans and consciously decided to prohibit assignment of pension plans but remained silent on the assignment of welfare benefit plans. See Mackey v. Lanier Collection Agency & Service, Inc., 486 U.S. 825, 837, 108 S.Ct. 2182, 2189, 100 L.Ed.2d 836 (1988) (“[Congress] had before it a provision to bar the alienation or garnishment of ERISA plan benefits, and chose to impose that limitation only with respect to ERISA pension benefit plans, and not ERISA welfare benefit plans. In a comprehensive regulatory scheme like ERISA, such omissions are significant ones.”). In sum, the Davidow-itz court found that it could not agree that[*1296] Congressional silence on the issue shows a Congressional intent to mandate assigna-bility. “On the contrary, if Congress had intended this result, it could have said so.” Davidowitz, 946 F.2d at 1480. The court concluded that Congress “intended instead to allow the free marketplace to work out such competitive, cost effective, medical expense reducing structures as might evolve.” Id. at 1481.

We agree with Davidowitz and St. Francis Reg’l. Med. Ctr. that Congressional silence on the issue does not mandate a Congressional intent to mandate assigna-bility. Because ERISA-governed plans are contracts, the parties are free to bargain for certain provisions in the plan— like assignability. Thus, an unambiguous anti-assignment provision in an ERISA-governed welfare benefit plan is valid and enforceable.

Having determined that an unambiguous anti-assignability provision in an ERISA-governed welfare benefit plan voids any purposed assignment, we must consider whether the anti-assignability provision in this Plan is unambiguous. We conclude that it is. The provision states in clear terms that “[e]xcept as applicable law may otherwise require, no amount payable at any time ... shall be subject in any manner to alienation by ... assignment ... of any kind[ ].” By its own terms, the provision clearly and unambiguously prohibits Murray from assigning benefits to PMG. Accordingly, the anti-assignment clause precludes PMG’s maintenance of an ERISA action.

V. CONCLUSION

We conclude that ERISA’s silence on the assignability issue cannot be interpreted to mandate affirmatively an absolute right to assign. Rather, we conclude that ERISA’s silence on the assignability issue leaves the matter of assignability of welfare benefits to the agreement of the contracting parties. The Plan provision in this case clearly provides that a participant or beneficiary cannot assign benefits. This is a valid, enforceable provision. Thus, PMG cannot maintain an ERISA action. Accordingly, we reverse the district court’s grant of summary judgment and remand this case to the district court for further proceedings consistent with this opinion.

REVERSED and REMANDED.

1

. ERISA defines "beneficiary” to mean “a person designated by a participant, or by the terms of an employee benefit plan, who is or may become entitled to a benefit thereunder.” 29 U.S.C. § 1002(8).

2

. ERISA defines "participant” as

any employee or former employee of an employer, or any member or former member of an employee organization, who is or may become eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer or members of such organization, or whose beneficiaries may be eligible to receive any such benefit.

29 U.S.C. § 1002(7).