Derogatis v. Board of Trustees of Central Pension Fund of the International Union of Operating Engineers

167 F. Supp. 3d 574, 2016 WL 873126
CourtDistrict Court, S.D. New York
DecidedMarch 2, 2016
DocketNos. 14 Civ. 8788 (CM), 14 Civ. 8863 (CM)
StatusPublished
Cited by3 cases

This text of 167 F. Supp. 3d 574 (Derogatis v. Board of Trustees of Central Pension Fund of the International Union of Operating Engineers) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Derogatis v. Board of Trustees of Central Pension Fund of the International Union of Operating Engineers, 167 F. Supp. 3d 574, 2016 WL 873126 (S.D.N.Y. 2016).

Opinion

AMENDED MEMORANDUM DECISION AND ORDER GRANTING DEFENDANTS’ MOTION FOR SUMMARY JUDGMENT

McMahon, United States District Judge

This is a very sad case.

Plaintiffs husband, formerly a member of the International Union of Operating Engineers Local 15 (“Local 15”), died of lung cancer in September 2011. It was his wish and intent that his wife receive a 100% survivor’s benefit upon his demise. Mr. DeRogatis’s pension Plan of Benefits expressly provides that only a 50% benefit will be paid out to a surviving spouse if a Local 15 member dies while still employed, and Plaintiff and her husband were specifically told, six months before he died, that he would have to retire before he died for her to get a full pension benefit. So when her husband took a turn for the worse, Plaintiff went to the office of the Welfare Fund of the International Union of Operating Engineers Local 15,15A, 15C & 15D, AFL-CIO (the “Local 15 Welfare Fund”), which provided her husband with medical benefits, with retirement papers, intending to file them on her husband’s behalf.

She did not do so.

Plaintiff maintains (and for the purposes of this motion I will take as true) that she received bad, or at least incomplete, information from an employee of the Local 15 Welfare Fund about the possibility that she and her husband would lose their health insurance if he retired. Based on this advice — which was not about her pension benefit, but about a different benefit — she did not file the retirement papers. As a result, her husband was still a union employee when he died just two months later. Plaintiff is now being paid a 50% survivor’s benefit, per the terms of the Plan.

Plaintiff commenced two separate actions — one against the Board of Trustees of the Central Pension Fund of the International Union of Operating Engineers and Participating Employers (the “CPF”) and nine individual trustees (collectively the “CPF Defendants”), and one against the Local 15 Welfare Fund and three individual trustees (collectively the “Local 15 Welfare Fund Defendants”) — seeking to recover from someone the difference between the 50% benefit she is receiving and the 100% benefit that she and her husband always intended that she would receive.

On this motion, Local 15 seeks summary judgment dismissing the claims against it. Despite the court’s deep sympathy for Plaintiff, that motion must be granted.

BACKGROUND

The Court has previously ruled on a motion for summary judgment made by [576]*576the CPF Defendants. (Dkt. No. 20 (the “CPF Order”).) The background facts are discussed extensively in that opinion and familiarity with them is presumed. I will limit my discussion to the facts needed to dispose of the Local 15 Welfare Fund Defendants’ motion.

Plaintiff Emily DeRogatis is the surviving spouse of Frank DeRogatis. (Statement of Undisputed Material Facts Submitted by the Local 15 Welfare Fund Defs. Pursuant to R. 56.1 ISO Their Summ. J. Mot. (“Defs.’ Rule 56.1 Statement”) ¶ 1.) Members of Local 15, like Mr. DeRogatis, receive health benefits from the Local 15 Welfare Fund and a pension, upon retirement, from the CPF, a multiemployer “employee benefit plan” under ERISA whose Board of Trustees sits in Washington, D.C. (Id. ¶¶ 4-11.) Though the Local 15 Welfare Fund does not administer Local 15 members’ pensions, its employees regularly meet with Local 15 members at the Local 15 Welfare Fund office to discuss their welfare and pension benefits.

In March of 2011, after Mr. DeRogatis had been diagnosed with what proved to be terminal cancer, Plaintiff and her husband met with Patrick Keenan, a Local 15 Welfare Fund employee, to discuss the welfare and pension benefit options that would be available to Plaintiff after Mr. DeRogatis passed away. (Id. ¶ 17.) In a letter to Plaintiff and her husband dated March 17, 2011, Keenan summarized the substance of the meeting. He drew their attention to sections of the Summary Plan Description (“SPD”), and set forth Mr. DeRogatis’s available options. (Id. ¶ 21; Decl. of James M. Steinberg ISO Mot. for Summ. J. (“Steinberg Decl.”) Exh. F.) None of the options discussed that were in the SPD or in Keenan’s letter permitted Plaintiff to receive an amount equivalent to a 100% monthly benefit if Mr. DeRogatis passed away before retiring. However, a 100% monthly benefit was available to Plaintiff if her husband elected to retire before he died. (Id.)

In late July or early August of 2011, Mr. DeRogatis was hospitalized with pneumonia. (Defs.’ Rule 56.1 Statement ¶ 26.) At that time, Plaintiff went to the Local 15 Welfare Fund office .with a signed copy of her husband’s CPF pension application, in which Mr. DeRogatis elected to retire and selected a 100% survivor’s benefits option. (Id. ¶ 27.) It was her intention to file his election to retire.

While at the Local 15 Welfare Fund office, Plaintiff met (in a foyer) with a Local 15 Welfare Fund employee named Richard Lopez. (Id. ¶¶30, 38.) Lopez was a claims processor specialist; his job responsibilities included processing medical, dental, and optical claims and speaking with plan participants about health coverage upon retirement (not death benefits). (Id. ¶¶ 31-33.) Lopez reported to Keenan, who was the office’s day-to-day operator. (Id. ¶ 19.)

Exactly what was said during the brief (15 minute) conversation between Plaintiff and Mr. Lopez is in dispute. Taking Plaintiffs version as true for purposes of the motion, Plaintiff told Mr. Lopez that she wanted to get her husband’s retirement and pension paperwork in order, because her husband was in the hospital with pneumonia. (Id. ¶ 40.) According to Plaintiff Lopez advised her not to file the pension papers at that time. He explained that if Mr. DeRogatis retired prior to the age 62, they DeRogatises would lose their health insurance unless Mr. DeRogatis had received a Social Security Disability award. (Pl.’s Response to Defs.’ Statement of Undisputed Material Facts Pursuant to Local. R. 56.1, and Statement of Additional Material Facts (“Pl.’s Rule 56.1 Statement”) ¶ 39.) This is, apparently, true; however, Lopez did not tell Plaintiff about alternative services or health insur-[577]*577anee that would be available to a newly retired employee, such as COBRA coverage (which by law is available for 18 months, as long as the retired employee pays the necessary premiums) or even Medicaid (for which application would need to be made).

Plaintiff testified that she did not submit the application at that time because of her conversation with Lopez. (Id.) Instead, she helped her husband apply for a short term disability benefit from the Local 15 Welfare Fund. (Defs.’ Rule 56.1 Statement ¶ 43.)

Mr. DeRogatis died on September 13, 2011. When he died, his retirement application had not yet been filed. (Defs.’ Rule 56.1 Statement ¶ 48.)

Plaintiff filed the retirement application together with an application for survivor’s benefits soon after her husband passed away. However, the CPF processed the benefits application as a claim for a 50% Qualified Pre-Retirement Survivor Annuity, which, is standard practice under the Plan of Benefits when an employee dies before retiring. (CPF Order at 6.)

On May 7, 2012, the Plaintiff sent a letter to the CEO of the CPF, asking that the CPF issue her 100% survivor’s benefit as her husband had selected on his retirement application. (Id.

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Bluebook (online)
167 F. Supp. 3d 574, 2016 WL 873126, Counsel Stack Legal Research, https://law.counselstack.com/opinion/derogatis-v-board-of-trustees-of-central-pension-fund-of-the-international-nysd-2016.