Carparts v. Automotive

CourtCourt of Appeals for the First Circuit
DecidedOctober 13, 1994
Docket93-1954
StatusPublished

This text of Carparts v. Automotive (Carparts v. Automotive) 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 v. Automotive, (1st Cir. 1994).

Opinion

UNITED STATES COURT OF APPEALS FOR THE FIRST CIRCUIT

No. 93-1954

CARPARTS DISTRIBUTION CENTER, INC., ET AL., Plaintiffs-Appellants,

v.

AUTOMOTIVE WHOLESALER'S ASSOCIATION OF NEW ENGLAND, INC., ET AL., Defendants-Appellees.

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEW HAMPSHIRE

[Hon. Martin F. Loughlin, U.S. District Judge]

Before

Torruella, Circuit Judge,

Coffin, Senior Circuit Judge,

and Boudin, Circuit Judge.

James P. Reidy, with whom James Q. Shirley and Sheehan

Phinney Bass & Green Professional Association were on brief for

appellants. Samuel A. Marcosson, Attorney, with whom James R. Neely,

Jr., Deputy General Counsel, Gwendolyn Young Reams, Associate

General Counsel and Vincent J. Blackwood, Assistant General

Counsel were on brief for the Equal Employment Opportunity Commission, amicus curiae. William Garza, Cary LaCheen, Herbert Semmel, Thomas

Kendricks on brief for American Civil Liberties Union, Gay and

Lesbian Advocates and Defenders and Gay Men's Health Crisis, amici curiae. James H. Schulte, with whom Burns, Bryant, Hinchey, Cox &

Schulte, P.A. was on brief for appellees.

October 12, 1994

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TORRUELLA, Circuit 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. ("Carparts"), 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

1 Following Senter's death, Shirley M. Senter and Daniel W. Dirsh were appointed co-executors for his estate. On April 1, 1993, the district court allowed the substitution of the co- executors for Senter as plaintiffs in this action.

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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

Carparts out of compliance with anti-discrimination laws,

subjecting Carparts to potential liability under N.H. Rev. Stat.

Ann. 354-A ("Section 354-A"), 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

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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 case

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