CIGNA HealthCare of Texas, Inc. v.  Calad et al., and Aetna  Health Inc. v. Davila held that the Employee Retirement Income  Security Act (ERISA) completely took the place of all common law or  statutory remedies of the employees and dismissed their claims for  damages. The plaintiffs were left with only equitable remedies against  the plan. Most plans have built in procedures to appeal benefit denial  decisions that must be followed. Employees may in the event of a denial  pursue equitable remedies in federal court. It has been suggested that  they also demand arbitration under the Texas healthcare liability act,  but this would seem to be a precluded legal remedy unless it was  included in the plan.