Brent Kamler v. H/n Telecommunication Services, Inc.

305 F.3d 672, 2002 WL 31050940
CourtCourt of Appeals for the Seventh Circuit
DecidedNovember 8, 2002
Docket01-2995
StatusPublished
Cited by58 cases

This text of 305 F.3d 672 (Brent Kamler v. H/n Telecommunication Services, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brent Kamler v. H/n Telecommunication Services, Inc., 305 F.3d 672, 2002 WL 31050940 (7th Cir. 2002).

Opinion

CUDAHY, Circuit Judge.

In this appeal, Brent Kamler challenges a grant of summary judgment entered against him on his ERISA-related claims against H/N Telecommunication Services, Inc., formerly known as PAL Telecom Group, Inc. (PAL), PAL Telecom Group, Inc. Employee Welfare Plan (PAL Plan) and Royal & SunAUiance (Royal). This case presents a tangled factual scenario which we will try to untangle as best as we can.

I.

The relationship between Kamler and PAL arose when PAL decided to hire three managers for a construction project in Brazil. George Lamplota, PAL’s director of project management, telephoned Kamler for an initial telephone interview. During this interview, Kamler asked Lam-plota for an annual salary of $95,000, full medical benefits plus per diem expenses. Kamler, who resides in California, demanded health insurance before he would go to Brazil. Lamplota allegedly responded that Kamler would be insured. Lam-plota offered Kamler medical benefits under the PAL Plan, but there is a factual dispute about whether Kamler stated that he did not want PAL’s health insurance if he had to pay premiums. See Kamler v. H/N Telecommunication Serv., Inc., No. 00-C-4024, 2001 WL 740516, *1 (N.D.Ill. June 29, 2001).

On March 17, Kamler signed a letter of commitment memorializing the agreement with respect to his compensation package, but this letter is silent about health insurance coverage. Two days later, Kamler left for Brazil. A short time later, Lam-plota obtained a personnel manual and an enrollment form for the PAL Plan for Kamler, which was to be faxed via PAL’s office in Sao Paolo, Brazil. The personnel manual’s section on insurance states “medical, life and long-term disability insurance are carried by the firm on a group basis for the benefit of its employees.” Kamler, 2001 WL 740516, at *2.

The PAL Plan was an employee welfare benefit plan established by PAL for eligible employees through participation in a group medical, life and disability insurance program. The PAL Plan is governed by the Employee Retirement Income Security Act (ERISA). The PAL Plan was underwritten by Trustmark Insurance Company and administered by Star Marketing & *676 Administration, Inc. (Starmark). Kamler, 2001 WL 740516, at *3. The Plan provided that all eligible employees must apply for coverage by filling out an enrollment form. Id. If an employee applied before working 30 continuous days, his effective date occurred at the end of the 30-day period, and if he applied after this date, the effective date was the first day of the month following the date he applied. Id. This 30-day period could be waived by a request submitted with the enrollment form. Id. The enrollment form provided in part:

To be completed by the employees only. Failure to provide complete facts may be cause for cancellation of your coverage as of its effective date.
NOTE: As part of our routine underwriting procedure, you may receive a phone call ... to obtain personal information needed to evaluate your insura-bility .... Unless waived above, I request insurance under my employer’s insurance plan .... I authorize my employer to make deductions from my earnings for my share of the cost, if any, for the benefits for which I may become entitled.

Kamler, 2001 WL 740516, at *4. The PAL Plan also provided that, after an employee filled out an enrollment form and was accepted by Trustmark (the insurance company providing coverage), the employee would receive a certificate of insurance.

On March 30, Lamplota faxed the personnel manual and enrollment form to Victor Jaworski in PAL’s Brazil office with the following cover memorandum:

Victor: Enclosed please find [PAL’s] ... Personnel Manual and the Employee Enrollment Form (Insurance) to be forwarded to Brent Kamler .... [He] should fill out the Employee Enrollment Form and return it back to me as soon as possible, the coverage is to start by 05-01-1998.

Kamler, 2001 WL 745016, at *3. Jaworski did not recall receiving this fax before May 1998.

On May 5, Lamplota resent the March 30th memorandum with the attachments to Jaworski. Id. On May 6, Jim Oliva faxed this information to Kamler’s hotel in Brazil, with a cover note that read: *‘Hi Brent: I was asked by Victor [Jaworski] to follow up on George Lamplota’s fax. Please fill out the requested forms and fax back to Sao Paulo office.” Id. Oliva then followed up with a phone call to Kamler.

After Kamler received the enrollment form, he promptly called Lamplota with questions about it. This was the first time since his initial telephone interview in mid-March 1998 that Kamler had discussed health insurance coverage with Lamplota. Id. Kamler told Lamplota that he was concerned that the enrollment form required him to provide information that he felt violated his right of privacy. Kamler asked Lamplota for verification of exactly what information the insurance company wanted, and why. Lamplota told Kamler that he would contact the insurance company and call Kamler back. Lamplota did not tell Kamler that Kamler would not receive coverage without filling out and submitting the form. Lamplota also did not advise Kamler to contact Starmark or anyone else for answers to his questions. Lamplota allegedly did not call Kamler back with answers to his inquiries, and Kamler never completed the enrollment process.

On June 3, 1998, Lamplota telephoned Kamler to terminate him because Kamler had completed his assignment early and there was no further work to do. Kamler returned to the United States. Two weeks later, Kamler had a heart attack and was admitted to a hospital for treatment. On his hospital bill, the name of his insurance carrier is blank because he was never able *677 to provide the hospital with the information. Id.

On August 4, 1998, Kamler submitted a claim to PAL (but not to the PAL Plan) for payment of the medical expenses arising from his heart attack. This claim was subsequently submitted, either by Kamler or PAL, to Royal (PAL’s liability insurance carrier). Neither PAL nor the PAL Plan has ever paid Kamler’s medical expenses.

In October 1999, CH2M HILL Telecommunications Group, LLP (“Hill”), and PAL transitionally merged, and in October 2000, Hill purchased PAL’s assets. Kamler, 2001 WL 740516, at *5. On December 31, 1999, the PAL Plan was terminated. Id. The former PAL employees were covered under a new group plan that used a different insurance carrier than the PAL Plan did. Id.

On March 6, 2000, Lamplota received a letter from Kamler’s attorney requesting the PAL Plan insurance documents. Id. The letter was referred by Lamplota to Nestor Popowych, the president of PAL, and eventually to legal counsel. It was then passed on to Royal. On November 24, Royal denied Kamler’s claim for payment of his hospital bill based upon the results of its investigation. Kamler never contacted Starmark, and no one requested information regarding the PAL Plan or submitted a claim for benefits to Starmark.

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Cite This Page — Counsel Stack

Bluebook (online)
305 F.3d 672, 2002 WL 31050940, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brent-kamler-v-hn-telecommunication-services-inc-ca7-2002.