Carparts Distribution Center, Inc. v. Automotive Wholesaler's Association of New England, Inc.

37 F.3d 12, 131 A.L.R. Fed. 637, 3 Am. Disabilities Cas. (BNA) 1237, 1994 U.S. App. LEXIS 28319, 1994 WL 543530
CourtCourt of Appeals for the First Circuit
DecidedOctober 12, 1994
Docket93-1954
StatusPublished
Cited by204 cases

This text of 37 F.3d 12 (Carparts Distribution Center, Inc. v. Automotive Wholesaler's Association of New England, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carparts Distribution Center, Inc. v. Automotive Wholesaler's Association of New England, Inc., 37 F.3d 12, 131 A.L.R. Fed. 637, 3 Am. Disabilities Cas. (BNA) 1237, 1994 U.S. App. LEXIS 28319, 1994 WL 543530 (1st Cir. 1994).

Opinion

TORRUELLA, Chief Judge.

Plaintiffs-appellants Carparts Distribution Center, Inc., Daniel W. Dirsh, and Shirley M. Senter, appeal from the district court’s order dismissing their complaint for illegal discrimination based on disability under state and federal laws. The court granted judgment under Fed.R.Civ.P. 12(b)(6) in favor of defendants.

I.

STANDARD OF REVIEW

Our review of dismissal under Fed.R.Civ.P. 12(b)(6) is plenary. Roth v. United States, 952 F.2d 611, 613 (1st Cir.1991). We accept as true all of the allegations in the complaint and draw all reasonable inferences in favor of the plaintiffs. Id.

II.

BACKGROUND

In May 1986, Plaintiff Ronald J. Senter (“Senter”) was diagnosed as infected with Human Immunodeficiency Virus (“HIV positive”). In March 1991, he was diagnosed as suffering from Acquired Immune Deficiency Syndrome (“AIDS”). He died on January 17, 1993.

Senter was the sole shareholder, president, chief executive director, and an employee of Carparts Distribution Center, Inc. (“Car-parts”), an automotive parts wholesale distributor incorporated in New Hampshire.

Since 1977, Carparts has been a participant in a self-funded medical reimbursement plan known as Automotive Wholesalers Association of New England Health Benefit Plan (“the Plan”) offered by the defendants in this case, Automotive Wholesalers Association of New England, Inc. (“AWANE”) and its administering trust, Automotive Wholesalers Association of New England, Inc. Insurance Plan (“AWANE Plan”). Senter was enrolled in the Plan since 1977. In October 1990, AWANE Plan informed members of AWANE, including Carparts, of its intention to amend the Plan in order to limit benefits for AIDS-related illnesses to $25,000, effective January 1, 1991. Otherwise, lifetime benefits under the Plan were, and are, afforded in the amount of $1 million per eligible plan member.

On a number of occasions during and after 1989, Senter had several serious illnesses, many of which were HIV or AIDS related. Senter directly submitted claims for payment of his medical treatment and medications to AWANE and the AWANE Plan until spring or summer of 1991, when Carparts submitted the claims on Senter’s behalf because he became too sick or matters were too complicated for him to do so.

Senter and Carparts (“plaintiffs” or “appellants”) alleged, 1 that the Trustees of the Plan were aware of Senter’s condition at the time the amendments to the plan were adopted. Plaintiffs claim that the cap on AIDS-related illnesses was instituted by defendants with knowledge that Senter was diagnosed HIV positive, suffering from AIDS, and subject to AIDS-related medical expenses and that the lifetime cap on AIDS related expenses was instituted in response to Senter’s illness and related claims that he had filed during the previous several months. According to plaintiffs, after Senter reached the lifetime cap on AIDS related illnesses, defendants breached their contractual obligation to provide, at a minimum, medical coverage to Senter for non-AIDS related treatments, by failing, neglecting or refusing to make payments for non-AIDS related matters in a complete or consistent manner.

Plaintiffs brought this action alleging that the lifetime cap on health benefits for individuals with AIDS, instituted by defendants, represented illegal discrimination on the basis of a disability. Such a discriminatory provision allegedly rendered Carparts responsible for payments to healthcare providers on Senter’s behalf and effectively put *15 Carparts out of compliance with anti-discrimination laws, subjecting Carparts to potential liability under N.H.Rev.Stat.Ann. § 354-A:l (“Section 354-A:l”), a state anti-discrimination law, and the Americans with Disabilities Act (“the ADA”), 42 U.S.C. § 12101, et seq.

The district court dismissed all of plaintiffs’ claims on July 19, 1993. This appeal followed.

III.

DISCUSSION

A. Notice of Proposed Dismissal

Plaintiffs first contend that the district court erred in dismissing their complaint without affording them notice of the court’s intended dismissal. We agree.

Plaintiffs commenced this action in the state courts of New Hampshire ten days before the ADA became effective. They asserted claims under state law only. The defendants removed the case to federal court claiming that the issues raised were governed and preempted by the Employee Retirement Income Security Act of 1974, as amended, 29 U.S.C. § 1001, et seq. (“ERISA”).

At a pretrial conference on April 15, 1993, the defendants indicated their intention to move to dismiss the pendent claims, and the' plaintiffs moved to amend their complaint to assert claims under the ADA. The plaintiffs’ motion was granted and they amended their complaint to include, among others, claims alleging violations of Title I and Title III of the ADA. 42 U.S.C. §§ 12112(a), 12182(a). The defendants filed an objection to the amendment and the district court treated the defendants’ objection as a motion to dismiss under Fed.R.Civ.P. 12(b)(6). The court dismissed plaintiffs claims, holding that neither Title I nor Title III of the ADA applied to this ease because neither defendant, AWANE or AWANE Plan, was an “employer” with respect to plaintiffs as required by Title I, and that neither defendant was a “public accommodation” as required by Title III.

Where no motion to dismiss has been filed, “a district court may, in appropriate circumstances, note the inadequacy of the complaint and, on its own initiative, dismiss the complaint. Yet a court may not do so without at least giving plaintiffs notice of the proposed action and affording them an opportunity to address the issue.” Literature, Inc. v. Quinn, 482 F.2d 372, 374 (1st Cir.1973) (internal citations omitted); see also Pavilonis v. King, 626 F.2d 1075, 1078 & n. 6 (1st Cir.), cert. denied, 449 U.S. 829, 101 S.Ct. 96, 66 L.Ed.2d 34 (1980).

Although AWANE filed an objection to plaintiffs’ motion to amend the complaint, and plaintiffs filed a response to AWANE’s objection, neither filing addressed the substantive issues regarding Title I and Title III of the ADA on which the district court based its dismissal order.

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37 F.3d 12, 131 A.L.R. Fed. 637, 3 Am. Disabilities Cas. (BNA) 1237, 1994 U.S. App. LEXIS 28319, 1994 WL 543530, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carparts-distribution-center-inc-v-automotive-wholesalers-association-ca1-1994.