Board of Educ. v. EDUC. ASS'N

598 A.2d 518, 251 N.J. Super. 379
CourtNew Jersey Superior Court Appellate Division
DecidedDecember 4, 1990
StatusPublished
Cited by14 cases

This text of 598 A.2d 518 (Board of Educ. v. EDUC. ASS'N) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Board of Educ. v. EDUC. ASS'N, 598 A.2d 518, 251 N.J. Super. 379 (N.J. Ct. App. 1990).

Opinion

251 N.J. Super. 379 (1990)
598 A.2d 518

BOARD OF EDUCATION OF THE TOWNSHIP OF BLOOMFIELD, PLAINTIFF-RESPONDENT,
v.
BLOOMFIELD EDUCATION ASSOCIATION, DEFENDANT-APPELLANT.

Superior Court of New Jersey, Appellate Division.

Argued October 30, 1990.
Decided December 4, 1990.

*380 Before Judges BRODY, GRUCCIO and D'ANNUNZIO.

Tanya E. Pushnack argued the cause for appellant (Zazzali, Zazzali, Fagella & Nowak, attorneys).

Nathanya G. Simon argued the cause for respondent (Schwartz, Pisano, Simon, Edelstein & Ben-Asher, attorneys).

PER CURIAM.

Defendant Bloomfield Education Association (the Association) appeals from an order of the Chancery Division permanently enjoining arbitration of a health insurance coverage dispute with plaintiff Board of Education of the Township of Bloomfield (the Board). The Association represents the teachers employed by the Board. Under the contract agreed to by the parties for the 1986-1988 school years, disputes concerning the contract's conditions of employment and their interpretation were subject to resolution through a grievance process. At the *381 conclusion of the grievance process, the Association, if dissatisfied, could choose to submit the dispute to arbitration.

Article 28 of the contract provided for health insurance coverage for all teachers:

A. The Board of Education will pay the premium for each employee and his/her eligible dependents (full family coverage) limited to one family premium for the head of household, when more than one member is employed in the District who enrolls in the health-care insurance programs provided by the Board of Education.
B. Provisions of the health-care insurance program shall be detailed in master policies on file in the Board of Education office and in individual certificates issued to those employees who enroll. The provisions of the health-care insurance program shall include:
1. Hospital room and board and miscellaneous covered charges.
2. Out-patient benefits.
3. Laboratory fees, diagnostic expenses and therapy treatment.
4. Maternity costs.
5. Surgical costs.
6. Major medical.
7. The Board will continue to pay the full premium cost for employee dental and prescription insurance coverage except as modified below.
8. The Board's contribution toward the cost of family dental insurance shall not exceed a maximum of $325 per year per family enrollee.
9. The prescription insurance plan shall be a $2.00 co-pay plan. The Board will pay the premium cost.
10. The Major Medical insurance program shall include a catastrophic coverage Rider to cover one hundred percent (100%) payment after $5,000. The Major Medical deductible shall be $200 per person.
11. In 1987-88 the Board will make available $30,000 to maintain the dental plan and/or improve existing insurance benefits.
C. The Board will not be required to pay insurance premiums for teachers on unpaid leaves of absence. Teachers on unpaid leaves of absence may continue in the insurance program (where permitted by the carrier) by reimbursing the Board for the cost of premiums. Reimbursement shall be made prior to the premium date.

Pursuant to Article 28, the Board timely paid health insurance premiums to the health insurance carrier, Group Health Insurance of New Jersey (G.H.I.). In September 1987, G.H.I. notified the Board that it had been declared insolvent "and placed into receivership under the control of the Commissioner of Insurance of the State of New Jersey."

*382 Although the Board had obtained coverage through a new carrier, effective August 1, 1987, teachers' claims for covered medical expenses which had accrued prior to that date and were G.H.I.'s responsibility remained unpaid. The Association, on behalf of its affected members, looked to the Board to satisfy those claims. By letter dated March 10, 1989, the Board Secretary informed the Association "that the Board has no obligation regarding these outstanding sums as I think the Board has met the obligations by paying the required premiums for this coverage." The Association responded by filing a grievance which it defined as "the failure of the Board to provide medical and related insurance benefits as required by Article 28 of the contract."

The Board rejected the grievance and the Association filed a demand for arbitration with the American Arbitration Association. The arbitration demand described the controversy as a "[d]ispute over coverage of medical and health insurance," and demanded as remedy, "[b]oard to cover medical costs incurred by teaching staff."

The arbitration clause provided:

If the association is not satisfied with the disposition of the grievance at Level 3, or if no decision has been rendered within the fifteen (15) days after the grievance was delivered to the Board, it may, within five (5) days after a decision by the Board or twenty (20) days after the grievance was delivered to the Board, whichever is sooner, submit the grievance to arbitration through the American Arbitration Association, with a copy to the Board. The parties shall then be bound by the rules and procedures of the American Arbitration Association.
The arbitrator's decision shall be in writing and shall set forth his findings of fact, reasoning and conclusions on the issues submitted. The arbitrator shall be without power or authority to make any decision which requires the commission of an act prohibited by law or which is violative of the terms of this Agreement. The arbitrator cannot add to, modify, or delete from the contract. The decision of the arbitrator shall be submitted to the Board and the Association and shall be final and binding on the parties.

The Board responded to the Association's arbitration demand by commencing this action to enjoin the arbitration. In the Chancery Division, the Board contended that the dispute was not arbitrable because the collective bargaining agreement *383 merely obligated the Board to pay premiums, which it did pay. Thus, contended the Board, an arbitrator's finding that the Board was obligated to provide or guarantee coverage would constitute a modification of the contract which the arbitration clause prohibits.

The Board also contended that the remedy the Association sought would result in a self-insurance scheme which would be ultra vires and, therefore, also beyond the arbitrator's authority to order under the contract. In support of this contention the Board relied on Irvington Ed. Assoc. v. Bd. of Ed. of the Township of Irvington, A-4805-82T5 (App.Div., decided Feb. 9, 1984), an unpublished opinion in which this court affirmed a ruling by the State Board of Education[1] that boards of education lacked statutory authority to self-insure a health benefits program. See N.J.S.A. 18A:16-13.

The Chancery Division agreed with both of the Board's contentions and entered judgment enjoining arbitration. We now reverse.

The parties agree that health benefits are proper subjects of collective bargaining, see

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598 A.2d 518, 251 N.J. Super. 379, Counsel Stack Legal Research, https://law.counselstack.com/opinion/board-of-educ-v-educ-assn-njsuperctappdiv-1990.