Bryant v. Board of Education

21 A.D.3d 1134, 800 N.Y.S.2d 778, 2005 N.Y. App. Div. LEXIS 8861
Appellate Division of the Supreme Court of the State of New York·Decided September 1, 2005·Published·Cited by 17 cases

Opinion

Lahtinen, J.

Appeal from a judgment of the Supreme Court (Rumsey, J.), entered May 20, 2004 in Broome County, which granted petitioners’ application, in a proceeding pursuant to CFLR article 78, to annul a determination of respondent terminating reimbursement of certain Medicare premiums.

The issue before us is whether respondent ran afoul of a statute aimed at protecting the health insurance benefits of school district retirees (see L 2003, ch 48) when it stopped reimbursing the cost of Medicare Fart B coverage. Respondent notified its employees and petitioners, who are retired teachers or spouses of retired teachers, that it would no longer reimburse the cost of Medicare Fart B premiums as of July 2003. At that time, respondent was reportedly reimbursing petitioners more than $100,0001 per year for those premiums. Fetitioners commenced this CPLR article 78 proceeding seeking to require respondent to continue to reimburse Medicare Part B premiums. Supreme Court granted the petition (4 Misc 3d 423 [2004]). Respondent appeals.

The relevant statute provides that “a school district. . . shall be prohibited from diminishing the health insurance benefits [1135] provided to retirees and their dependents or the contributions such . . . district makes for such health insurance coverage below the level of such benefits or contributions made on behalf of such retirees and their dependents by such district . . . unless a corresponding diminution of benefits or contributions is effected from the present level during this period by such district . . . from the corresponding group of active employees for such retirees” (L 2003, ch 48). The progenitor of this statute was enacted in 1994 (see L 1994, ch 729) as the “interim recommendation” of the “Temporary Task Force on Health Insurance for Retired Educational Employees” with a purpose to “limit the risk of benefit reductions to educational retirees until the Temporary Task Force has made its final recommendations on this issue” (Governor’s Approval Mem, 1994 McKinney’s Session Laws of NY, at 3015). Although no comprehensive legislation ensued, clones of the 1994 statute have been enacted annually (see L 1995, ch 139; L 1996, ch 83; L 1997, ch 80; L 1998, ch 68; L 1999, ch 43; L 2000, ch 47; L 2001, ch 31; L 2002, ch 70; L 2003, ch 48; L 2004, ch 25; L 2005, ch 16).

When the statute was extended in 1996, the Assembly, in a memorandum setting forth the history of the issue, explained that “because [educational] retirees are not represented in the collective bargaining process, they are powerless to stop unilateral depreciation or even elimination of health insurance benefits once the contract under which they retired has expired,” and added that “[c]learly, reimbursement for medicare premiums is within the protective ambit of these provisions” (Assembly Mem in Support, 1996 McKinney’s Session Laws of NY, at 2049-2050). The 2003 extension was supported by a Senate memorandum observing that the law “protects retirees by in effect making them part of the collective bargaining process” and that “[t]he law does not . . . prevent school districts from taking cost-cutting measures, so long as these apply equally to active employees and retirees” (Senate Mem in Support, 2003 McKinney’s Session Laws of NY, at 1624).

It is noteworthy that the parties apparently agree that, in 1990, the contract in effect between active employees and respondent included health insurance coverage under the Empire Plan and such plan required respondent to pay Medicare Part B. That year, a new contract was negotiated and health insurance coverage was changed to Blue Cross/Blue Shield (hereinafter BC/BS). Under the new contract and the concomitant new health insurance plan, there was no obligation for respondent to pay Medicare Part B. Also, commencing with the 1990 contract, retirees were specifically named in the contract as being covered [1136] under the section addressing health insurance. Section 8.13 provided:

“It is further understood and agreed that there shall be included in the [health insurance] Plan:

“(1) retired employees (past and future) in the Plan at the 100/75 participation rate (exclusive of those retirees who accept employment wherein they have equal or better health care coverage); . . .

“(2) surviving spouse and dependents (as defined in the Internal Revenue Service Code) are coverable through payment by said spouse or dependent of 100% of the cost of the plan.” Similar language was included in the ensuing contracts included in the record.

It is apparent that at no time since 1990 has respondent been under a contractual obligation to reimburse Medicare Part B payments to either current employees2 or retirees. Respondent’s current superintendent averred that the making of such payments for retirees from 1990 to 2003 was done “gratuitously . . . due in part to administrative turnover and accompanying oversight and in part to the availability of sufficient funds.” Moreover, petitioners have been and continue to be specifically provided for in the contracts since 1990. This addresses, in part, the concern expressed by both the Assembly and the Senate that retirees not be ignored in the collective bargaining process. These retirees have not been ignored.

Nevertheless, the broad language of the statute protects retirees from a diminution of health insurance benefits in the absence of a corresponding diminution exacted from active employees. It cannot be seriously contemplated, as suggested by respondent, that Medicare Part B should not be considered within the ambit of the statute. Medicare is a federal “medical insurance plan” for those who meet its criteria (New York City Health & Hosps. Corp. v Bane, 87 NY2d 399, 402 [1995]; see Myers v City of Schenectady, 244 AD2d 845, 846 [1997], lv denied 91 NY2d 812 [1998]; Matter of New York State Radiological Socy. v Wing, 244 AD2d 823, 823 [1997], lv denied 92 NY2d 802 [1998]) and, while the benefits of Part A (hospitalization) are provided at no extra charge, there is a fee for those participating in Part B (physician and outpatient services). Accordingly, it is evident that Part B coverage may comprise a component of health insurance coverage protected by the statute.

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Bryant v. Board of Education, 21 A.D.3d 1134, 800 N.Y.S.2d 778, 2005 N.Y. App. Div. LEXIS 8861 (N.Y. Ct. App. 2005).

21 A.D.3d 1134 (Bryant v. Board of Education) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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