Keith Ahue, the current Director of Labor and Industrial Relations for the State of Hawaii, and the Air Line Pilots Association, International (“ALPA”) appeal the district court’s summary judgment in favor of Aloha Airlines, Inc. (“Aloha”) in Aloha’s action seeking declaratory judgment that Hawaii Payment of Wages Law, Hawaii Revised Statute (“H.R.S.”) § 388-6(6) is preempted by section 514(a) of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1144(a). Ahue also appeals the district court’s determination that H.R.S. § 388-6(6) is not a generally applicable criminal law of a state under ERISA § 514(b)(4), 29 U.S.C. § 1144(b)(4), which saves such laws from ERISA preemption. We have jurisdiction over this appeal pursuant to 28 U.S.C. § 1291, and we now affirm.
We review the district court’s grant of summary judgment de novo.
Greany v. Western Farm Bureau Life Ins. Co.,
I
Under Federal Aviation Administration (“FAA”) regulations, airline pilots of the rank of captain and first officer must undergo semiannual and annual medical examinations, respectively, to maintain their Airline Transport Pilot (“ATP”) Certificates. See 14 C.F.R. § 61.151; 14 C.F.R. § 67.13. These exams, the procedures of which are outlined in 14 C.F.R. § 67.13, are intensive in nature and must be given by an FAA-certified physician. See 14 C.F.R. § 67.23.
Pursuant to a collectively bargained labor agreement between Aloha and ALPA, the pilot employees’ labor union, Aloha provides its pilot employees a choice of two comprehensive employee group medical plans: a Kaiser Permanente (“Kaiser”) plan and a *1501 Hawaii Medical Service Association (“HMSA”) plan. Aloha pays for the entire cost of each health care plan. The Kaiser plan covers the cost of one annual FAA-mandated medical examination, and the HJáSA plan pays for an FAA-mandated examination only if the examination is required by a physician.
In June 1991, Mario E. Ramil, the Director of the Department of Labor and Industrial Relations (“DLIR”) for the State of Hawaii and Ahue’s predecessor, issued an opinion that H.R.S. § 388 — 6(6), 1 which requires an employer to pay or provide for the cost of medical examinations mandated by federal law, applies to periodic medical examinations mandated by the FAA for airline pilots of the rank of captain or first officer.
In response to a letter from Aloha requesting that the DLIR reconsider its position, Ramil reaffirmed his opinion, stating that the Hawaii legislature intended H.R.S. § 388-6(6) to require employers to pay any costs associated with mandatory examinations.
On April 17, 1992, Aloha filed a complaint against Ahue in federal district court seeking a declaration that H.R.S. § 388-6(6) was preempted by ERISA § 514(a), 29 U.S.C. § 1144(a). On June 25, 1992, the magistrate judge permitted a motion for intervention by ALPA. Ahue moved for summary judgment on June 26, 1992. On September 3, 1992, Aloha filed a cross motion for summary judgment.
On October 13, 1992, the district court entered a judgment granting summary judgment in favor of Aloha and against Ahue.
II .
ERISA is a comprehensive legislative scheme enacted by Congress “to promote the interests of employees and their beneficiaries in employee benefit plans.”
Shaw v. Delta Air Lines, Inc.,
To ensure uniformity .and consistency in such laws throughout the states, Congress included within ERISA “one of the broadest preemption' clauses ever enacted by Congress.”
PM Group Life Ins. v. Western Growers Assur. Trust,
any plan, fund, or program .:. • established or maintained by an employer or by an employee organization, or by both, ... for the purpose of providing for its participants or their beneficiaries, through the *1502 purchase of insurance or otherwise, (A) medical, surgical, or hospital care or benefits, or benefits'in the event of sickness, accident, disability, death or unemployment, or vacation benefits, apprenticeship or other training programs, or day care centers, scholarship funds, or prepaid legal services, or (B) any benefit described in section 186(c) of this title (other than pensions on retirement or death, and insurance to provide such pensions).
29 U.S.C. § 1002(1). 2
Ill
Ahue contends that the district court erred in holding that to the extent that H.R.S. § 388-6(6) requires Aloha to pay or provide for periodic FAA-mandated medical examinations for its pilots, it is preempted by ERISA. Specifically, Ahue argues that H.R.S. § 388-6(6) does not “relate to” an “employee welfare benefit plan” because it does not provide a “medical benefit” to a pilot within the scope of an ERISA employee welfare benefit plan. 3 ■ Given Congressional policy underlying ERISA to promote and protect employee interests, Ahue argues, only those “medical benefits” that provide personal, direct, and immediate aid to a participant employee are within ERISA’s purview. Ahue contends that an FAA-mandated medical examination is not a personal “medical benefit” under ERISA because unlike an ordinary medical examination, which a pilot undertakes voluntarily for personal health reasons, the FAA examination is a compelled obligation, undertaken by a pilot involuntarily to maintain his ATP flying certificate. In addition, the FAA examination, with its intensive tests designed to evaluate health conditions primarily relevant to a pilot’s ability fly an airplane, does not provide a direct or immediate personal benefit to the pilot, and its purpose is not to safeguard the personal health and well-being of the pilot, but ensure the safety of the general public. Since the examination is not a “medical benefit” under ERISA, Ahue concludes, H.R.S. § 388-6(6) is not governed by ERISA and necessarily .cannot be preempted. 4
Whether an FAA-mandated medical examination constitutes a “medical benefit” within ERISA’s purview cannot be conclusively determined from ERISA’s language, its legislative history, or existing case law. ERISA itself does not further define the term “medical benefit.” ERISA’s legislative history also provides no specific guidance as to the meaning of this term. In addition, no federal cases have specifically considered the scope of a “medical benefit” under an ERISA plan.
Nevertheless, we are not persuaded by Ahue’s contentions. Although the ultimate purpose of an FAA-mandated medical examination appears to be to ensure the safety of the general public, this purpose is achieved only by ensuring and safeguarding the pilot’s personal health. The safety of a plane’s passengers is inextricably linked to the personal health of the pilot charged with flying the plane. While the examination is geared primarily to test a pilot’s ability to fly a plane safely, at the same time it evaluates various aspects of the pilot’s health and provides the pilot with a direct and immediate assessment of his personal medical condition.
Furthermore, ERISA’s legislative history does not suggest that Congress intended to limit the scope of employee “medical benefits” to encompass only those “benefits” that solely benefit an employee recipient. Moreover, the legislative history does not imply that Congress intended to distinguish be *1503 tween voluntarily obtained benefits and compelled benefits.
Finally, ERISA was enacted to promote and protect employer, interests as well as employee interests. By including FAA-mandated medical examinations under ERISA’s broad umbrella of “medical benefits,” airline employers are protected from conflicting and disparate state and local regulation of these medical provisions in employee benefit plans.
For these reasons, and given ERISA’s broad language and Congress’ express intent to preempt the field of state laws pertaining to employee welfare benefit plans, we hold that an FAA-mandated medical examination constitutes a “medical benefit” within the meaning of an ERISA employee welfare benefit plan.
IV
Ahue next contends that H.R.S. § 888-6(6) is not preempted by ERISA because the employer payments required by the’ statute for FAA-mandatéd medical examinations do not implicate ERISA’s primary concerns, which involve safeguarding employees from the abuse and mismanagement of funds accumulated to finance employee benefits.
See Massachusetts v. Morash,
On the contrary, the Morash Court’s reasoning supports the conclusion that employer payments for FAA-mandated examinations implicate ERISA’s principal concerns. Unlike the fixed, regularly paid vacation payments considered in Morash, payments for FAA-mandated medical examinations are not necessarily fixed or paid regularly and may depend on contingencies outside the pilot employee’s control. Here, although captains and first officers must undergo the examinations on a semiannual and annual basis, respectively, an airline does not typically know in advance how many of its pilot employees will be required to have such examinations. For example, during the course of a year, a pilot’s status may change from first officer to captain (or vice versa), depending upon an airline’s needs. In addition, an airline cannot often predict how many pilots of a particular status it will need during the coming year. Moreover, a pilot may elect to take his examination before the period for his previous examination has expired. Thus, unlike the employer in Morash, an airline employer cannot necessarily determine the amount of monies to budget for such payments well in advance of the expected payment date. Such periodic payments for semiannual and annual medical' examinations of pilots, even if paid from an airline’s general assets, are not analogous to salary payments, as were the vacation payments in Morash, and would require an airline to establish a plan to administer and manage them. Therefore, we reasonably can conclude that payments for these examinations do involve ERISA’s concerns.
Ahue, however, argues further that ERISA’s concerns with the abuse and mismanagement of funds accumulated to finance employee benefits are absent here because Aloha has a self-interest in ensuring that its pilot employees undergo FAA-required medical examinations so as to maintain their ATP flying certificates. This contention fails. All employers have self-interests in ensuring their employees’ health; such interests do not preclude ERISA’s application.
V
Because we hold that an FAA-medical examination is a “medical benefit” within *1504 ERISA’s purview, we must next decide whether H.R.S. § 388-6(6) is preempted by ERISA.
The threshold question. in an ERISA preemption inquiry is whether a state law “relates to” an employee welfare benefit plan. A state law “relates to” an employee welfare benefit plan “if it has a connection with or reference to such a plan.” Shaw,
Distinguishing between state laws that “relate to” employee welfare benefit plans and those that have only a “tenuous, remote, or peripheral impact” upon such plans is not a simple task. In determining whether a state law “relates to” an ERISA plan, we consider the following factors: (1) whether the state law regulates the types of benefits of ERISA employee welfare benefit plans
(Shaw,
On the other hand, state laws that have a remote or peripheral relationship with an ERISA benefit plan are typically “laws of general application — often traditional exercises of state power or regulatory authority — whose effect on ERISA plans is incidental.”
Aetna Life Ins. Co. v. Borges,
Applying the above factors to this case, we hold that H.R.S. § 388-6(6) “relates to” an ERISA plan. Like the statutes in
Shaw
and
Standard Oil,
the statute in this case regulates a type of benefit of an ERISA plan.
See, e.g., Shaw,
H.R.S. § 388-6(6) also “relates to” an ERISA plan because it requires Aloha alternatively to create a separate benefit plan to provide for these FAA-mandated medical examinations.
5
Unlike the state law in
Fort Halifax,
which required an employer to make a one-time, lump-sum severance payment, H.R.S. § 388-6(6) requires Aloha to establish an administrative scheme to pay recurring medical benefits for the FAA-required examinations at varying times in varying amounts for different numbers of pilots, depending upon a pilot’s current rank. The establishment of such a scheme clearly implicates an ERISA plan.
See Fort Halifax,
Moreover, because H.R.S. § 388-6(6) creates potential reporting requirements for Aloha’s ERISA plans, as in
Standard Oil,
and prompts disclosure and funding requirements, as outlined in
Shaw,
it satisfies the “relates to” standard.
See, e.g., Shaw,
Finally, H.R.S. § 388-6(6) “relates to” an ERISA plan because it regulates the relationships between Aloha and its pilot employees and the obligations flowing from these relationships.
Castonguay,
[t]he key to distinguishing between what ERISA preempts and what it does not lies ... in recognizing that the statute comprehensively regulates certain relationships: for instance, the relationship between plan and plan member, between plan and employer, [and] between employer and employee (to the extent an employee benefit plan is involved).... [Bjecause state laws regulating these relationships (or the obligations flowing from these relationships) are particularly" likely to interfere with ERISA’s scheme, these laws are presumptively preempted.
Id. (emphasis in original) (citations omitted). Here, H.R.S. § 388-6(6) clearly regulates the relationships between Aloha and its pilot employees and between Aloha and its employee benefit plan. Additionally, the statute regulates the obligations arising from these relationships.
Consequently, H.R.S. § 388-6(6) has more than a tenuous, peripheral, or tangential relationship with such a plan. Unlike the law’s in
Aetna Life
and
Mackey,
H.R.S. § 388-6(6) is not a generally applicable state law whose impact on an ERISA plan is merely incidental.
See Aetna Life,
We conclude that no reasonable factfinder could find that H.R.S. § 388-6(6) does not “relate to” or has a tenuous, remote, or peripheral relationship with Aloha’s ERISA plans. Because H.R.S. § 388-6(6) relates to an ERISA plan, it is preempted. Accordingly, we affirm the district court’s summary judgment on this claim.
VI
Ahue contends alternatively- that even if H.R.S. § 388-6(6) “relates to” an employee benefit plan, it is nevertheless saved from ERISA preemption because it is generally applicable criminal law under ERISA § 514(b)(4), 29 U.S.C. § 1144(b)(4), which provides that ERISA preemption “shall not apply to any generally applicable
*1506
criminal law of a State.” Ahue argues that H.R.S. § 388-6(6) is a “criminal law” because Chapter 388 H.R.S. contains a criminal penalty for employers that violate the other sections of the chapter, including H.R.S. § 388-6(6), and that H.R.S. § 388-6(6) is “generally applicable” because it affects all employers within the state.
6
Ahue bases his argument upon
Goldstein v. Mangano,
We reject this contention. No federal courts have followed
Goldstein,
and at least one federal court has criticized
Goldstein
as conflicting with ERISA’s language, its legislative history, and its construction by the courts.
Calhoon v. Bonnabel,
Here, H.R.S. § 388-6(6) does not represent a “generally applicable criminal law” because failure by an employer to pay or provide its employees with employment-related expenses is not general criminal conduct such as larceny and embezzlement. Clearly, Congress did not intend to save from ERISA’s broad preemptive reach a statute imposing a criminal penalty on such conduct. Thus, ERISA § 514(b), 29 U.S.C. § 1144(b)(4), does not save H.R.S. § 388-6(6) from ERISA preemption.
AFFIRMED.
Notes
. H.R.S. § 388-6(6) provides in relevant part:
Withholding of wages. No employer may deduct, retain, or otherwise require to be paid, any part or portion of any compensation earned by any employee except where required by federal or state statute or by court process or when such deductions or retentions are authorized in writing by the employee, provided that the following may not be so authorized, or required to be borne by the employee:
(6) Medical or physical examination or medical examination or medical report expenses which accrue due to services rendered to any employee or prospective employee, where such examination or report is requested or required by the employer or prospective employer or required by any law or regulation of federal, state or local governments or agencies thereof.
Haw.Rev.Stat. § 388-6(6).
. State laws that regulate insurance, banking, or securities are exempt from the ERISA preemption provision under ERISA § 514(b)(2)(A), 29 U.S.C. § 1144(b)(2)(A). These exemptions are not applicable in this case.
. Intervenor ALPA joins Ahue in this argument.
. Ahue does not dispute that the Kaiser and HMSA health care plans Aloha provides for its pilot employees are ERISA employee welfare benefit plans. Rather, he argues that because the FAA-mandated medical examinations are not “medical benefits” within the meaning of an ERISA plan, 29 U.S.C. § 1002(1), the provisions in Aloha's health care contracts that provide for partial coverage of the FAA-required examinations are not "part" of either ERISA plan. He contends that only those provisions of the health care contracts that do not pertain to the FAA-required examinations comprise the ERISA plans.
. Ahue argues that H.R.S: § 388-6(6) does not require Aloha to establish an ERISA "employee welfare benefit plan" because FAA-mandated medical examinations are not "medical benefits” within ERISA's scope. Because we hold that FAA-mandated medical examinations do constitute medical benefits under ERISA, this contention fails.
. H.R.S. § 388-6(6) applies to all employers except government employers, as indicated by H.R.S. § 388-1.
