DiMarco v. Michigan Conference of Teamsters Welfare Fund

861 F. Supp. 599, 1994 U.S. Dist. LEXIS 11879, 1994 WL 456662
CourtDistrict Court, E.D. Michigan
DecidedAugust 18, 1994
Docket2:93-cv-73067
StatusPublished
Cited by5 cases

This text of 861 F. Supp. 599 (DiMarco v. Michigan Conference of Teamsters Welfare Fund) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DiMarco v. Michigan Conference of Teamsters Welfare Fund, 861 F. Supp. 599, 1994 U.S. Dist. LEXIS 11879, 1994 WL 456662 (E.D. Mich. 1994).

Opinion

OPINION AND ORDER REGARDING CROSS-MOTIONS FOR SUMMARY JUDGMENT

ROSEN, District Judge.

I. INTRODUCTION

This action stems from the denial of death benefits to Plaintiff Geneva DiMarco (“Plaintiff”) by Defendant Michigan Conference of Teamsters Welfare Fund (“the Fund”). In her January 10, 1994 first amended complaint, Plaintiff alleges two causes of action. The first is a claim against the Fund for the death benefits under ERISA § 502(a)(1)(B), 29 U.S.C. § 1132(a)(1)(B). The second is against the Fund’s Board of Trustees (“the Board”) for an alleged breach of its fiduciary duties to Plaintiff. Count II arises under ERISA § 404(a), 29 U.S.C. § 1104(a).

The parties have filed cross-motions for summary judgment, and oral argument was heard on April 14, 1994. Having reviewed the pleadings and argument of the parties, the Court is now prepared to rule on the pending motions. This opinion and order sets forth that ruling.

II.FACTUAL BACKGROUND

The following facts of this ease are undisputed. Plaintiff lived with Tom DiMarco for 29 years, although she and Mr. DiMarco never married. DiMarco Dep., p. 19. Mr. DiMarco worked for Western Waterproofing Company from 1968 until his death on November 15, 1989. Mr. DiMarco was a member of the International Brotherhood of *602 Teamsters, and, as such, was a participant in the Fund. 1

The Fund was established pursuant to a trust agreement between the union and the employers/contributors. This trust agreement was last amended in March of 1985, and it specifically provides that the Board of Trustees is to both create and administer the plan. The trust agreement gives the Board the power to “establish Group Health, Accident and Death Benefit Plans, including in its discretion dependent coverages, which the Board deems adequate and actuarially sound.” See Sharon Hooper’s Dep. Ex. 5, p. II. 2 The Board is also the named fiduciary of the plan.

The Fund provides health, disability, and death benefits pursuant to a master plan document, dated April 1, 1979. See Hooper Dep., Ex. 6. This master plan document, in turn, has been modified by changes set out in subsequent summary plan descriptions (SPDs). 3 As a participant, Mr. DiMarco should have received in 1983, 1986 and 1987 SPDs sent through first-class mail either to his home or to his place of employment for in-hand distribution. See Hooper Dep., pp. 55-59; Exs. 7 (1987), 12 (1983) and 13 (1986). See'also Hooper Aff., pp. 1-2. These SPDs set out in detail the available benefits and claims procedures of the Fund.

While Plaintiff concedes that it was “highly possible” that Mr. DiMarco had in fact received such SPD booklets, she claims that she never saw them. DiMarco Dep., p. 9. Plaintiff also testified, however, that she understood the difference between the Fund’s plan A and plan B for medical care. Id. at 8. 4 Moreover, she testified that she participated in the submission of “maybe” two claims for health care benefits under Mr. DiMarco’s plan. Id. at 7. Fund records reveal that it received and paid a claim for optical services provided to Plaintiff on May 4. 1989. Hooper Dep., p. 70.

Mr. DiMarco’s Fund identification card clearly indicates that Plaintiff is the named beneficiary for death benefits available under the Fund. Hooper Dep., Ex. 2. The death benefit is a $20,000.00 lump sum which is payable upon provision by the named beneficiary of a certified death certificate of the Fund participant. See Hooper Dep., p. 34; Ex. 7, p. 24 (1987 SPD); 5 Ex. 10, p. 6 (1991 SPD for death and disability benefits). Thus, it is undisputed that so long as Plaintiff provided a death certificate, she was entitled to the death benefits — regardless of her marital status with Mr. DiMarco. 6

Shortly after Mr. DiMarco’s death in November of 1989, Plaintiff telephoned the local union office to which Mr. DiMarco was affiliated. Plaintiff testified:

Q. Did you make any inquiries of anybody as to what benefits were payable *603 on the event of Tom’s death — your husband’s death? Pardon me.
* * * * * *
A. I call — I’ll be honest with you. I don’t remember if it was a week, two weeks, whatever. I called Local 247.
Q. [By Defendants’ counsel] 247?
A. Uh-huh, to health and welfare.
Q. Whom did you speak to, do you know?
A. No. It was a young lady. I don’t know her name. I didn’t ask, and she didn’t volunteer. So, and I just told her that he had passed away and that what did I need to do, and she said I need to come down and bring a marriage license, and I believe she also said death certificate.
Q. And what did you do after that call?
A. Nothing. Like I said, I was sick, had the operation, and just didn’t do anything.
* * * # * *
Q. [By Plaintiffs counsel] ... After your conversation with the young lady at the Local 247 within a few weeks after your husband’s death was there any reason that you did not go down to the local office other than what you’ve already indicated?
A. Yes.
Q. And what reason was that?
A. Because I didn’t have a marriage license.
Q. And the woman had indicated to you that you needed to bring a marriage license with you?
A. Yes.

DiMarco Dep., pp. 9-11, 30.

On December 26, 1989, the Fund sent to Plaintiff a notice of her rights under COBRA to continue health care coverage under Mr. DiMarco’s plan. Plaintiff responded by declining the coverage on January 4, 1990. Hooper Dep., Ex. I. 7 Sharon Hooper, Administrations Director for the Fund, testified that by waiving COBRA coverage, Plaintiffs address would have been taken off the mailing list to receive Fund SPDs. Hooper Dep., p. 54.

In the late summer of 1992, Plaintiff was experiencing difficulty in making ends meet, and she shared this problem with a Teamster friend, Dane Rich. Mr. Rich explained to her that she might be entitled to certain benefits from the Fund. He then provided her with a copy of the 1991 SPD packet. See DiMarco Dep., pp. 15-19.

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Bluebook (online)
861 F. Supp. 599, 1994 U.S. Dist. LEXIS 11879, 1994 WL 456662, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dimarco-v-michigan-conference-of-teamsters-welfare-fund-mied-1994.