Boesl v. Suburban Trust & Savings Bank

642 F. Supp. 1503, 1986 U.S. Dist. LEXIS 20794
CourtDistrict Court, N.D. Illinois
DecidedSeptember 4, 1986
Docket85 C 8269
StatusPublished
Cited by12 cases

This text of 642 F. Supp. 1503 (Boesl v. Suburban Trust & Savings Bank) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Boesl v. Suburban Trust & Savings Bank, 642 F. Supp. 1503, 1986 U.S. Dist. LEXIS 20794 (N.D. Ill. 1986).

Opinion

ORDER

BUA, Justice.

Before the Court are plaintiff’s motion to strike certain paragraphs of defendants’ motion to strike affidavits, defendants’ motion to strike affidavits, and defendants’ motion for summary judgment. For the reasons stated herein, plaintiff’s motion to strike is granted only as to footnotes 2 and 3 of defendants’ memorandum in support of their motion to strike. Defendants’ motion to strike plaintiff’s affidavits is denied. Defendants’ motion for summary judgment is granted only as to Count VII of plaintiff’s complaint and plaintiff’s claim for punitive damages under all counts.

I. FACTS

Plaintiff, Sharon Boesl, sues individually and as administratrix of the estate of her deceased husband, Peter Boesl. Defendants include the former employer of Peter Boesl, Suburban Trust & Savings Bank (Suburban), and three individual defendants: Denis Daly, the President of Suburban; Charles Hoffman, Senior Vice Presi *1506 dent; and Mary Brady, Assistant Vice President and Personnel Officer. Plaintiffs eight-count complaint alleges that Peter Boesl was wrongfully denied medical benefits under an employee benefit plan established by Suburban pursuant to the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1001 et seq.

In April of 1983, Peter Boesl (Boesl) was hired by Suburban as vice president in the loan department. At the time Boesl was hired, Suburban had an employee group health plan underwritten by the Prudential Life Insurance Company (Prudential). Boesl, as an officer, was immediately eligible for benefits under the Prudential plan. (Complaint para. 13, Answer para. 13.)

On September 22, 1983, Boesl was admitted to the hospital with what was diagnosed as pneumonia and remained out of work until November 7, 1983. On October 1, 1983, Suburban established a new employee benefits plan, which was self-funded. (Defendants’ Ex. A.) According to defendants, when Boesl returned to work in November 1983, Brady informed him that because he was not working full time on the date the plan took effect, he was not covered under it, but would still be covered under the old Prudential plan until he came back to work full time.

Boesl worked part-time from November 7, 1983 until November 19, and then on a full-time basis until November 30. Boesl was hospitalized again from December 5, 1983 until December 20. At this time he was diagnosed as having a terminal illness. Defendants claim that they were unaware of the severity and terminal nature of Boesl's illness before this suit was filed.

On December 12, 1983, Brady submitted claims to Prudential under the Major Medical Extended Benefit provision, stating in a letter that Boesl returned to work for “a very limited basis and is still unable to fulfill his duties full time.” (Defendants’ Ex. L.)

Boesl was again hospitalized from January 3 to January 11, 1984. It was during this period that Prudential informed Brady that the Extended Benefit provision only lasted 90 days after termination of Prudential’s group policy and that Prudential would not pay those claims incurred after December 31, 1983.

On or about January 14,1984, Brady met with Boesl and told him again that he was not covered under the self-funded plan or the Prudential plan, but explained to him about the possibility of obtaining a conversion policy effective upon Boesl’s termination of employment. Boesl then signed a letter of resignation dated December 31, 1983, after Brady stated that it was only a formality and that, when he was released from his doctor to work full time, Suburban would rehire him and he would be covered under the self-funded plan. Boesl was told substantially the same thing by Daly, the President of Suburban, who told Boesl that he would be re-elected vice president when he returned to work. At the time of his resignation, Suburban agreed to retain Boesl as an independent contractor at the same pay rate which he received as vice president. Under this consulting agreement, Boesl expressly waived all employee benefits. Suburban then applied for and paid a $1,168 premium through Maccabees Mutual Life Insurance Company for a conversion policy for Boesl which was supposed to provide medical insurance coverage for Boesl and his family from January 1, 1984 through June 30, 1984.

On January 23, 1984, Boesl returned to work with a doctor’s release. Although he worked a total of 185V2 hours between January 23 and March 1, 1984, Boesl’s name was never resubmitted as a vice president, and he was never rehired under his old status as an “employee,” or covered under the self-funded plan. What occurred at the end of February 1984 is disputed. Plaintiff contends that Boesl’s supervisor, Hoffman, was uncooperative and that Suburban refused to renew the independent contractor’s agreement. Defendants allege that Boesl quit. In any event, Boesl did not return to work either as an employee or an independent contractor after March 1, 1984.

*1507 On March 10, 1984, Brady assisted Boesl in applying for medical benefits under the Maccabee conversion policy. Pursuant to Maccabee’s request, Boesl’s doctors stated on a form that Boesl was suffering from a terminal illness and that he had been totally disabled since September 28, 1983. On June 21, 1984, Maccabee wrote Boesl, declining to cover any expenses related to a sickness which caused the insured to be “totally disabled” prior to the date the Maccabee policy became effective, January 1, 1984. Boesl died on September 12, 1984.

Plaintiff’s complaint consists of eight counts. Count I alleges “conspiracy,” claiming that (1) defendants “adopted and carried out a policy of ridding itself of employees considered to be heavy claimers of medical insurance,” and (2) the individual defendants conspired together to deprive Boesl of his employment and employee benefits in violation of ERISA, 29 U.S.C. § 1001, et seq. Count II alleges that defendants breached their fiduciary duties under 29 U.S.C. §§ 1104(a) and 1109. Count III alleges liability for breach of fiduciary responsibility of a co-fiduciary under 29 U.S.C. §§ 1105 and 1109. Counts IV, V, and VI allege interference with Boesl’s protected rights under 29 U.S.C. § 1140. Count VII alleges common law fraud. Count VIII purports to state a claim under the Illinois Family Expense Statute, Ill.Rev.Stat., Ch. 40, § 1015.

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642 F. Supp. 1503, 1986 U.S. Dist. LEXIS 20794, Counsel Stack Legal Research, https://law.counselstack.com/opinion/boesl-v-suburban-trust-savings-bank-ilnd-1986.