Brown v. Neely Truck Line, Inc.

884 F. Supp. 1534, 1995 WL 235619
CourtDistrict Court, M.D. Alabama
DecidedApril 17, 1995
DocketCiv. A. 92-D-659-E
StatusPublished
Cited by8 cases

This text of 884 F. Supp. 1534 (Brown v. Neely Truck Line, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. Neely Truck Line, Inc., 884 F. Supp. 1534, 1995 WL 235619 (M.D. Ala. 1995).

Opinion

MEMORANDUM OPINION

De MENT, District. Judge.

A hearing in the above-styled action was-held on January 10, 1994, in the United States District Court for the Middle District of Alabama, Eastern Division. Earl and Linda Brown (collectively the “Browns” or the “Plaintiffs”) allege that Earl Brown’s employer, Neely Truck Line, Inc. (hereinafter “Neely” or the “Defendant”), did not provide no *1537 tice of the opportunity for continued health benefit coverage under the Employee Retirement Income Security Act (hereinafter “ERISA”), 29 U.S.C. § 1001 et seq. The Browns contend that in failing to provide the notice, Neely violated the Consolidated Omnibus Budget Reconciliation Act (hereinafter “COBRA”), 29 U.S.C. 1166.

JURISDICTION & VENUE

Jurisdiction is proper under 28 U.S.C. § 1331 because Plaintiffs allege a violation of a federal statute, 29 U.S.C. § 1166. 1 Personal jurisdiction and venue are not contested.

BACKGROUND

Plaintiffs instituted the above-styled cause in the Circuit Court of Lee County, Alabama, on May 12, 1992. Earl Brown (hereinafter “Mr. Brown”) was employed by Neely for a number of years. Between December, 1990, and June, 1991, Defendant deducted a prescribed premium from Mr. Brown’s paycheck for health insurance. Mr. Brown’s wife, Linda Brown (hereinafter “Mrs. Brown”), was also covered under this plan.

During the time the plan was effective, Mrs. Brown suffered from diabetes and resulting complications which required medical attention. Mr. Brown contends that Neely communicated to him that Blue Cross and Blue Shield of Alabama (hereinafter “Blue Cross”), the provider of Neely’s health benefit plan, would cover Mrs. Brown’s needs according to the policy. Mrs. Brown sought and received the needed medical treatment. Mrs. Brown then presented her claims to Blue Cross. Blue Cross then purportedly informed Plaintiffs that the contract between it and Neely had been canceled in December, 1990, and requested that Plaintiffs reimburse it for moneys expended for Mrs. Brown’s medical treatment.

Neely then acquired the services of Principal Mutual Life Insurance Company (hereinafter “Principal Mutual”) 2 to replace Blue Cross as its health benefit plan insurer. J. Miller Affidavit, June 7,1993. 3 Soon thereafter, Principal Mutual began paying Mrs. Brown’s diabetes treatment, in full, under a comprehensive medical coverage policy as the plan offered by Principal Mutual contained no “preexisting condition” exclusion provision(s). 4 See id. The Browns were covered by the Neely plan provided by Principal Mutual from its effective date until Mr. Brown terminated his employment with Neely-

Mr. Brown terminated his employment with Neely on or about September, 6, 1991, and began employment with All State Packaging of Opelika, Alabama (hereinafter “All State”). All State provided health insurance coverage for its employees, and their spouses through Benefit Trust Life Insurance Company (hereinafter “Benefit Trust”). During a 15-month period following Earl’s employment with Defendant Neely, Mrs. Brown incurred medical expenses allegedly totalling approximately twenty-five thousand dollars ($25,000). Benefit Trust declined to pay a portion of these medical expenses, as the expenses resulted from a physical condition existing prior to the effective date of coverage. 5

Subsequently, Plaintiffs instituted the above-styled action in the Circuit Court of Lee County, Alabama, on May 12, 1992. 6 In their complaint, Plaintiffs alleged that they *1538 were entitled to recover under the following state law theories: fraud; breach of contract; breach of fiduciary duty; conversion; and bad faith. 7 On October 7, 1993, Plaintiffs amended their complaint to include claims of interference with ERISA rights and violations of COBRA.

Neely filed a cross complaint against Blue Cross on June 10, 1992. Neely claimed that its co-defendant breached their contract by not providing the coverage for which the parties had contracted. Neely contended that it and Blue Cross executed a contract to provide health insurance for the former’s employees on or about June 12, 1988, and that the contract was believéd to be in effect until Blue Cross delivered the notice of retroactive cancellation of the policy to Plaintiff. Neely asserted that Blue Cross had agreed to a deferred payment of premiums plan. Neely also claimed that immediately prior to the date of the termination -notice, Blue Cross accepted a renewal premium for the period commencing July 1,1991. At the same time, Blue Cross allegedly accepted a check for premiums for the prior policy term — December 1, 1990 to June 30, 1991.

On September 10, 1993, co-defendants and third party litigants, Neely and Blue Cross, entered a joint stipulation to dismiss, with prejudice, all of Neely’s claims against Blue Cross. On the same day, the court entered an order dismissing, with prejudice, Neely’s claim(s) against Blue Cross. On October 12, 1993, Plaintiffs and Blue Cross filed a joint stipulation to dismiss, with prejudice, all of Plaintiffs’ claims against Blue Cross. The Browns and Blue Cross executed a pro tanto release; therefore, the Browns’ claims against Neely remained. 8

A judicial proceeding in the above-styled action was held on January 10, 1994. Plaintiffs contend that Defendant Neely violated the notice requirements of COBRA. Plain *1539 tiffs allege that their financial loss is a direct consequence of the failure of Neely to allow Mrs. Brown to elect continuation coverage after Mr. Brown’s termination of employment with Neely. Plaintiffs contend that as plan sponsor and plan administrator Neely was required to apprise each qualified beneficiary, the employee and his spouse, that they may elect continuation coverage under the plan. Plaintiffs seek statutory damages and attorney’s fees. Plaintiffs filed a post-trial brief on January 18, 1994. Neely filed its post-trial brief on February 4, 1994.

DISCUSSION & ANALYSIS

I. COBRA Overview

Continuation coverage under previous health care benefit plans is available to qualified beneficiaries. Spouses of covered employees are included within the definition of “qualified beneficiaries.” 29 U.S.C. § 1167(3); National Companies Health Benefit Plan v. St.

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Bluebook (online)
884 F. Supp. 1534, 1995 WL 235619, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-neely-truck-line-inc-almd-1995.