( May 9, 2025, 12:57 PM EDT) -- CINCINNATI — Affirming a ruling against BlueCross BlueShield of Tennessee Inc. (BlueCross or BCBST) in a dispute involving coverage for fertility treatments, the Sixth Circuit U.S. Court of Appeals on May 8 agreed with application of the Employee Retirement Income Security Act “saving clause” and a Tennessee federal court’s conclusion that the focus of a New Hampshire regulatory proceeding was BCBST’s role as an insurer, not its role as an ERISA fiduciary....