Cox v. Graphic Communications conference/international Brotherhood of Teamsters

District Court, District of Columbia·Decided March 25, 2009·No. Civil Action No. 2008-0873·Published

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

MADELINE M. COX,

Plaintiff, Civil Action No. 08-873 (CKK)

v.

GRAPHIC COMMUNICATIONS CONFERENCE OF THE INTERNATIONAL BROTHERHOOD OF TEAMSTERS, et al.

Defendants.

MEMORANDUM OPINION

(March 25, 2009)

Plaintiff Madeline M. Cox brings the above-captioned action to challenge the denial of her health care benefits from the Graphic Communications National Health and Welfare Fund (the “Fund”), following her retirement from Graphic Communications Conference of the International Brotherhood of Teamsters (her “Employer”). Plaintiff’s three-count Complaint alleges that the denial of her benefits constituted a breach of contract and a violation of Section 502(a)(1)(B) of the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1132(a)(1)(B), and that the actions of George Tedeschi, President of her Employer, constituted an interference with her right to benefits in violation of Section 510 of ERISA, 29 U.S.C. § 1140. Plaintiff has asserted these claims against her Employer, Mr. Tedeschi (in his individual and official capacities), the Fund, and the Fund’s Board of Trustees.

Defendants have responded with a Motion to Dismiss, or in the alternative, Motion for Summary Judgment, which the Court shall construe as one for summary judgment. Both parties

have attached to their filings various declarations and exhibits outside the scope of the Complaint and have submitted statements of material fact pursuant to Local Civil Rule 7(h)(1) (“[e]ach motion for summary judgment shall be accompanied by a statement of material facts” and “[a]n opposition to such a motion shall be accompanied by a separate concise statement”).1 After thoroughly reviewing the parties’ submissions in connection with Defendants’ Motion for Summary Judgment, including the attachments thereto, and all relevant case law and applicable statutory authority, the Court shall GRANT Defendants’ [7] Motion for Summary Judgment, for the reasons that follow.

I. BACKGROUND

Plaintiff worked at her Employer2 for over thirty-two years as an Executive Secretary to the President and Executive Assistant to the President.3 Defs.’ Stmt. ¶ 1. The Employer participated in an employee benefits plan administered by the Fund and provided eligible retirees

1 In addition, Plaintiff (as the party opposing Defendants’ Motion) has not indicated that she requires discovery to oppose Defendants’ Motion. See Fed. R. Civ. P. 56(f) (“[i]f a party opposing the motion shows by affidavit that, for specified reasons, it cannot present facts essential to justify its opposition, the court may,” issue an appropriate order, including the allowance of discovery). The Court also finds that further supplementation of the record is not necessary to resolve Defendant’s Motion.

2 The Court’s use of the term “Employer” includes the Employer’s predecessor, the Graphic Communications International Union.

3 As a preliminary matter, the Court notes that it strictly adheres to the text of Local Civil Rule 7(h)(1). The Court issued an Order on May 27, 2008, explaining that the Court would “assume facts identified by the moving party in its statement of material facts [were] admitted” unless controverted by the non-moving party. Thus, in most instances the Court shall cite only to Defendants’ Statement of Material Facts (“Defs.’ Stmt.”) or Plaintiff’s Response to Defendants’ Stmt. (“Pl.’s Resp. Stmt.”), which included additional facts not included in Defs.’ Stmt. The Court shall also cite to Defendants’ Response to Pl.’s Resp. Stmt. (Defs.’ Resp. Stmt.”), as necessary, as well as cite directly to evidence in the record to provide additional information not covered in the parties’ Statements.

with Employer-paid health insurance until age sixty-five. Defs.’ Stmt. ¶¶ 5, 8. On March 6, 2006, Plaintiff informed Mr. Tedeschi, President of the Employer, that she intended to retire as of March 31, 2006, and expected the Employer to continue paying for her health insurance. Id. ¶ 3. Mr. Tedeschi explained that the Employer would not pay for Plaintiff’s health insurance because she was retiring at fifty-five years old, id. ¶ 2, and “it was the policy of the Employer that health care premiums would not be paid on behalf of employees who left employment prior to age [sixty] . . . .”4 Id. ¶ 4.

Plaintiff retired on March 31, 2006. Defs.’ Stmt. ¶ 1. Consistent with Mr. Tedeschi’s representations to Plaintiff, the Employer submitted a “Termination and Change Form” to the Fund indicating that Plaintiff retired on March 31, 2006, and advising that her coverage should terminate effective April 1, 2006.5 Id. ¶ 27. On April 7, 2006, the Fund sent Plaintiff a “Termination of Health Insurance Coverage” notice informing her that “[she] and [her] spouse/dependents [were] no longer eligible to be covered under the [Fund]” as of April 1, 2006. Defs.’ Mot., Ex. B-8 at 1 (4/7/06 Termination of Coverage Notice).

Of central significance to this case is a document called the Summary Plan Description (“SPD”), which the Fund distributes to its participants and which Plaintiff received. Defs.’ Stmt.

4 Although immaterial to resolution of Plaintiff’s claims, the Court notes that Plaintiff subsequently sought to appeal this stated policy in a subsequent letter to the General Board of the Employer. See Defs.’ Mot., Ex. A-2 at 1 (5/25/06 Letter from Mr. Tedeschi to Plaintiff). Mr. Tedeschi drafted a letter to Plaintiff indicating that her appeal would not be presented to the Board because “[u]nder the [Employer’s] Constitution, only members of the [union] are entitled to appeal actions . . . . to the General Board.” Id.

5 Plaintiff interposes the objection that she did not receive the Termination and Change Form in April 2006, but she does not object to the relevant fact that the Employer sent this notice to the Fund in April 2006. See Pl.’s Resp. Stmt. ¶ 27.

¶¶ 21, 22. The SPD describes specific procedures available to challenge a partial or complete denial of coverage, which require a plan participant to (1) submit a claim for coverage within one year of incurred expenses, and if the claim is denied, (2) file an appeal to the Fund’s Board of Trustees within 120 days of the denial:

Time Limit for Filing Claims

All claims must be submitted to the Plan within one year following the date on which the expenses were incurred. No Plan Benefits will be paid for any claim not submitted within this period.

Review Procedure if Your Claim Is Denied

The Administrator will notify you in writing within 90 days of receipt of the claim if payment of your claim is denied in whole or in part. It will explain the reasons why, with reference to the Plan provisions on which the denial was based . . .

You will be told what steps you may take to submit your claim for review and reconsideration.

Your request for review or reconsideration must be made in writing to [the Fund], within 120 days after you receive notice of denial.

Defs.’ Mot., Ex. B-2 at 46-47 (SPD) (emphasis in original omitted). Although the Fund also provides participants with a “Plan Document” containing a description of these procedures, Defs.’ Stmt. ¶ 13, Plaintiff did not receive a copy of that document.6 See Pl.’s Resp. Stmt. ¶ 11; Defs.’ Resp. Stmt. ¶ 11.

On April 2, 2007 (i.e., more than 120 days but less than one year after Plaintiff’s health insurance was terminated), Plaintiff’s attorney submitted a “Notice of Claim of Plan Benefits” to the Fund asking that the Fund to reinstate Plaintiff’s insurance coverage. Pl.’s Opp’n, Ex. B-9 at

6 For this reason, the Court shall focus only the SPD and not the Plan Document for purposes of this Motion for Summary Judgment.

1 (4/2/07 Letter from G. Bohn to the Fund). The Fund responded on April 17, 2007, indicating that Plaintiff was ineligible for coverage under the plan:

Free access — add to your briefcase to read the full text and ask questions with AI

Cox v. Graphic Communications conference/international Brotherhood of Teamsters, (D.D.C. 2009).

Cox v. Graphic Communications conference/international Brotherhood of Teamsters (Cox v. Graphic Communications conference/international Brotherhood of Teamsters) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
North Star Steel Co. v. Thomas
515 U.S. 29 (Supreme Court, 1995)
Aetna Health Inc. v. Davila
542 U.S. 200 (Supreme Court, 2004)
Ross J. Laningham v. United States Navy
813 F.2d 1236 (D.C. Circuit, 1987)
Edmond C. Teumer v. General Motors Corporation
34 F.3d 542 (Seventh Circuit, 1994)
Brown v. National Academy of Sciences
844 A.2d 1113 (District of Columbia Court of Appeals, 2004)
Hunter v. Metropolitan Life Insurance
251 F. Supp. 2d 107 (District of Columbia, 2003)
Walker v. Pharmaceutical Research & Manufacturers
439 F. Supp. 2d 103 (District of Columbia, 2006)
Williams v. Callaghan
938 F. Supp. 46 (District of Columbia, 1996)
Tao v. Freeh
27 F.3d 635 (D.C. Circuit, 1994)