Abbruscato v. Empire Blue Cross & Blue Shield

274 F.3d 90, 27 Employee Benefits Cas. (BNA) 1139, 2001 U.S. App. LEXIS 26290, 2001 WL 1549289
CourtCourt of Appeals for the Second Circuit
DecidedDecember 6, 2001
DocketDocket No. 00-9490
StatusPublished
Cited by35 cases

This text of 274 F.3d 90 (Abbruscato v. Empire Blue Cross & Blue Shield) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Abbruscato v. Empire Blue Cross & Blue Shield, 274 F.3d 90, 27 Employee Benefits Cas. (BNA) 1139, 2001 U.S. App. LEXIS 26290, 2001 WL 1549289 (2d Cir. 2001).

Opinion

PARKER, Circuit Judge.

In this case brought pursuant to the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1001, et seq, appellants challenge defendant-appellee Empire Blue Cross and Blue Shield’s (“Empire”) reduction in life insurance benefits to former employees who retired after January 1, 1989. Our decision in Kunkel v. Empire Blue Cross and Blue Shield, 274 F.3d 76 (2d Cir.2001), also issued today, concerned a similar challenge to this same reduction. In Kunkel, we vacated the district, court’s grant of summary judgment to Empire, principally concluding that the district court had applied the wrong standard to the retirees’ claim that their life insurance benefits had vested pursuant to an alleged promise by Empire, and remanded to the district court for further proceedings. We issue a separate opinion in this case because these appellants base their claims for life insurance benefits on different documents.

For the reasons set forth below, we vacate the summary judgment and remand appellants’ claims in part, and affirm the grant of summary judgment in part.

I. BACKGROUND

The sixteen appellants are former Empire employees who retired between 1989 and 1998. Six of the retirees retired from Empire pursuant to an early incentive program offered in 1992, known as the Voluntary Separation Opportunity Program (“VSOP”).1 Two of the appellants retired from Empire pursuant to a similar program offered in 1993, known as the Voluntary Incentive Program (“VIP”).2 Some of the remaining appellants retired in the normal course, not pursuant to any early retirement incentive program. Others re[94]*94tired pursuant to a “Separation Agreement and General Release.”

As in Kunkel, we set forth in some detail the language of the documents issued by Empire which describe the life insurance benefits.

In 1987, Empire created and distributed an employee handbook, entitled “Your Handbook,” which included a summary plan description (the “1987 SPD”) of Empire’s group life insurance benefits. For retirees, this plan provided life insurance coverage at an amount equal to one’s annual salary at retirement, provided at no cost to the retiree. Specifically, the plan stated that:

If you retire ... at age 65 or older with 10 or more years of full-time service; or at age 55 or older with 20 or more years of full-time service; or at any age, with 30 or more years of full-time service, your basic life insurance will be reduced by 10% as of your retirement date, and by an equal amount on each of the next four anniversaries of your retirement date so that 50% of your life insurance coverage remains in force for the rest of your life, at no cost to you.

J.A. at 342 (emphasis added). The last sentence on the last page of this document informs employees that “[o]ther important information about [their] Group Life Insurance Plan and its administration can be found in the section entitled ‘Benefit Administration.’ ” J.A. at 348. Contained in the “Benefit Administration” section is the following statement:

Empire Blue Cross and Blue Shield maintains the Plans for the exclusive benefits [sic] of its employees. The company expects and intends to continue the Plans in your Benefits Program indefinitely, but reserves its right to end each of the Plans, if necessary. The company also reserves its right to amend each of the Plans at any time.

J.A. at 352 (the “reseiwation of rights” clause).

In 1992, Empire introduced the VSOP, a voluntary workforce reduction program. In connection with this program, Empire distributed materials outlining eligibility and program benefits. Participation in this program required eligible employees to “voluntarily resign from Empire in exchange for certain benefits.” J.A. at 141. These “certain benefits” included life insurance coverage, on substantially the same terms as provided in Empire’s earlier plans. While the VSOP’s description of health insurance benefits included an explicit reservation of Empire’s right to adjust coverage, the description of life insurance benefits did not. In the “Administration” section of these materials, however, Empire “reserve[d] the right to amend and/or terminate the VSO Program at any time for any purpose.” J.A. at 145. This section also warned that “Empire may or may not adopt new or modified programs or benefits or take other actions in the future that, depending on your individual circumstances, may be more or less advantageous to you than the current Program.” Id.

In 1993, Empire offered the VIP, another early retirement incentive program similar to the VSOP. VIP documents informed employees that “[y]our insurance benefits may be extended to you for your lifetime ..., depending on your age and years of service. You will be eligible for retiree insurance benefits if you normally qualify or if you would qualify by adding five years to your age and five years to your service under the VIP.” J.A. at 167. The VIP provided for life insurance benefits virtually identical to those described in earlier plans; that is, benefits reduced by 10% on retirement and for four subsequent years, until reaching one’s annual salary. Like the VSOP materials, the VIP’s [95]*95healthcare insurance description contained a reservation of rights, but the description of life insurance benefits did not. The VIP’s Administration section included the following language:

Empire reserves the right to amend and/or withdraw the VIP at any time for any purpose with respect to any employee, up to the date on which that employee’s Resignation and General Release and Covenant Not to Sue becomes effective. Empire also reserves the right to announce new and different plans and programs as business needs require.

J.A. at 170.

The “Separation Agreement and General Release” entered into by certain appellants provided that “Empire reserves the right to change or eliminate, at any time, these retiree medical and life insurance benefits.” J.A. at 181. It further provided that “[t]his separation agreement and release constitutes the sole and complete understanding between the parties.” J.A. at 182.

Three of the normal retirees3 received a letter upon retirement which described the retirement life insurance benefits:

The life insurance that you have under our group program ... will also be continued. You are presently insured for [two times your annual salary at retirement]. This amount will be reduced by 10% on your retirement date, ... and will continue to be reduced by 10% of the original face value during the next four anniversaries of your retirement, ... until it reaches [your annual salary] where it will remain constant (subject to the disclaimer below).

J.A. at 183-84. The disclaimer stated that “Empire retains sole discretion to modify or terminate each of the benefits described above at anytime.” J.A. at 184.

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Bluebook (online)
274 F.3d 90, 27 Employee Benefits Cas. (BNA) 1139, 2001 U.S. App. LEXIS 26290, 2001 WL 1549289, Counsel Stack Legal Research, https://law.counselstack.com/opinion/abbruscato-v-empire-blue-cross-blue-shield-ca2-2001.