20 Employee Benefits Cas. 1761, Pens. Plan Guide P 23924k Tommy J. Abbott v. Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan Trustees of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan and Joseph Warren, in His Official Capacity as a Trustee of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan

94 F.3d 236
Court of Appeals for the Sixth Circuit·Decided August 29, 1996·No. 95-5063·Published·Cited by 8 cases

Opinion

94 F.3d 236

20 Employee Benefits Cas. 1761, Pens. Plan Guide P 23924K
Tommy J. ABBOTT, et al., Plaintiffs-Appellants,
v.
PIPEFITTERS LOCAL UNION NO. 522 HOSPITAL, MEDICAL, AND LIFE
BENEFIT PLAN; Trustees of the Pipefitters Local Union No.
522 Hospital, Medical, and Life Benefit Plan; and Joseph
Warren, in his official capacity as a trustee of the
Pipefitters Local Union No. 522 Hospital, Medical, and Life
Benefit Plan, Defendants-Appellees.

No. 95-5063.

United States Court of Appeals,
Sixth Circuit.

Argued May 20, 1996.
Decided Aug. 29, 1996.

Charles L. Berger (argued and briefed), Evansville, IN, for Tom Abbott, et al.

John D. Dyche (argued and briefed), Tachau, Maddox & Hovious, Louisville, KY, for Local 522 & 633 Plumbers Health & Welfare Benefit Plan, Local 522 & 633 Trustees of the Plumbers Health & Welfare Benefit Plan.

Before: RYAN and NORRIS, Circuit Judges; JOINER, District Judge.*

JOINER, District Judge.

Plaintiffs, 147 members of Pipefitters Local 633, appeal the judgment against them in this action brought under the Employee Retirement Income Security Act (ERISA), 29 U.S.C. §§ 1001-1461. Plaintiffs claim that the trustees of the welfare benefit plan to which they belonged violated two provisions of ERISA by charging plaintiffs a contribution rate higher than that charged to plan members who belonged to Local 522. The district court concluded that the trustees permissibly could differentiate between the two locals in setting the contribution rates, and dismissed plaintiffs' claims. We affirm.

I.

A.

The essential facts are not in dispute. In 1955, Pipefitters Local 522, based in Louisville, Kentucky, established the Pipefitters Local No. 522 Hospital, Medical, and Life Benefit Plan (the "plan"). In 1970, members of Local 633, which is based in Owensboro, Kentucky, were permitted to join the plan as a group. The plan is a multi-employer, union-sponsored welfare benefit plan that pays scheduled medical, health, and life benefits on claims made by participants. The plan is funded primarily with contributions from the employers of plan participants. The amount of employer contributions is governed by the collective bargaining agreement entered into between the local and the association of employers for whom the local's members work, and is calculated as an hourly rate based on hours worked by each employee. If a participant does not work and thus does not earn employer contributions, he may make direct contributions to the plan to continue coverage. Prior to 1990, the contribution amount did not vary depending on the local to which the employee belonged; as of 1990, the hourly rate was $1.70.

In March 1990, the plan actuary reported an operational loss of $80,449 for the first three months of the 1990 plan year. Further investigation revealed that for the preceding 44-month period, the claims and expenses for Local 633 participants totalled $2,176,611, while contributions by or on behalf of these participants totalled only $1,232,702, resulting in a loss of $943,909. The contributions made by or on behalf of Local 522 participants, on the other hand, exceeded their claims by $337,432. The plan thus suffered a net operational loss of $606,477 for this 44-month period. The plan ultimately suffered a loss of $359,140 for the 1990 plan year.

The trustees conferred with counsel, and then voted unanimously to require that each local operate in the black. The trustees promptly communicated their decision to the participants, and informed them as well that a significant increase in the contribution level would be implemented soon. After receiving the actuary's calculations, the trustees sent a letter to participants, stating that in order for each local to be self-supporting, Local 633 participants would be charged $3.36 per hour, and that Local 522 participants would be charged $1.90 per hour. The trustees further explained that if the participants did not pay the designated amounts, the schedule of benefits would be reduced to correspond with the amount paid per hour. Evidently treating the issue before them as one involving plan administration, the trustees did not formally amend the plan to institute the differentiated contribution rates. In response to the alternatives given to them, a majority of the Local 633 participants voted to obtain insurance from another source, and left the plan.

Plan Structure and Provisions

The plan's definitional sections state that "union" means both Local 522 and Local 633. "Employee" and "eligible employee" are defined without reference to local affiliation. There are no provisions in the plan that authorize the trustees to differentiate between participants from the two locals in setting contribution rates, nor any provisions that prohibit differentiation between the two locals.

The permissible structure of a union-sponsored benefit plan such as the one involved in this case is governed by § 302(c)(5) of the Labor Management Relations Act (LMRA), 29 U.S.C. § 186(c)(5). As required by § 302(c)(5)(B), the plan is administered by a body of trustees, with employers and employees having equal representation. Local 633 joined the plan in 1970 with the understanding that the trustees of the plan would continue to be drawn from Local 522. The trust agreement states that the trustees are to be drawn from Local 522 and the employers for whom that local's members work, and that Local 633 is entitled to one alternate trustee (who serves on a temporary basis in the absence of a regular trustee). In 1990, the two employer trustees were members of the employers association in Louisville, and the two employee trustees were the business manager and senior business representative of Local 522.

The trustees' powers and duties are detailed in both the plan and the trust agreement. Article IX of the plan states that the trustees are named fiduciaries, and imposes on them the duty to "act solely in the interest of Employees, Dependents, Survivors and Beneficiaries and for the exclusive purpose of providing benefits and defraying reasonable administrative expenses." (Section 9.01.) Article VIII of the plan governs amendments, and provides that the plan "may be amended in any respect at any time ... by a resolution adopted by a majority vote of the Trustees, effective as of the date set forth in the resolution[.]"1 Article X states that "[a]ny rules, regulations, or procedures that may be necessary for the proper administration or functioning of this Plan that are not covered in this Plan or the Trust Agreement shall be promulgated and adopted by the Trustees."

The trust agreement grants broad powers to the trustees:

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20 Employee Benefits Cas. 1761, Pens. Plan Guide P 23924k Tommy J. Abbott v. Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan Trustees of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan and Joseph Warren, in His Official Capacity as a Trustee of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan, 94 F.3d 236 (6th Cir. 1996).

94 F.3d 236 (20 Employee Benefits Cas. 1761, Pens. Plan Guide P 23924k Tommy J. Abbott v. Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan Trustees of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan and Joseph Warren, in His Official Capacity as a Trustee of the Pipefitters Local Union No. 522 Hospital, Medical, and Life Benefit Plan) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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