Eileen D. Mlsna v. Unitel Communications, Inc., Defendant-Third Party/plaintiff-Appellant v. Theodore M. Mlsna, Third Party/defendant-Appellee

41 F.3d 1124
CourtCourt of Appeals for the Third Circuit
DecidedJanuary 5, 1995
Docket94-1477
StatusPublished
Cited by25 cases

This text of 41 F.3d 1124 (Eileen D. Mlsna v. Unitel Communications, Inc., Defendant-Third Party/plaintiff-Appellant v. Theodore M. Mlsna, Third Party/defendant-Appellee) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eileen D. Mlsna v. Unitel Communications, Inc., Defendant-Third Party/plaintiff-Appellant v. Theodore M. Mlsna, Third Party/defendant-Appellee, 41 F.3d 1124 (3d Cir. 1995).

Opinions

FLAUM, Circuit Judge.

Eileen Mlsna (“Eileen”) filed suit against Unitel Communications, Inc. (“Unitel”) alleging that it violated the Consolidated Omnibus Budget Reconciliation Act of 1986 (“COBRA”), 29 U.S.C. §§ 1161-68, by failing to provide her with notice of her right to elect continuation coverage through Unitel’s group health plan after her husband, Theodore Mlsna (“Theodore”), resigned from the company. Unitel asserted that it did not owe Eileen any notice or continuation coverage because it had fired Theodore for gross misconduct, and that it did not have to pay Eileen’s medical bills because of her subsequent actions. In addition, Unitel filed a third-party complaint against Theodore, alleging that any liability the court might find was due to his willful actions. The district court granted summary judgment for Eileen and Theodore. 825 F.Supp. 862. We reverse the court’s award of summary judgment to Eileen and affirm its award of summary judgment to Theodore.

I.

Theodore Mlsna worked as Unitel’s Controller from February, 1987, to January, 1989. On January 23, 1989, Theodore tendered his resignation with one week’s notice to Paul Mallín (“Mallín”), Unitel’s President, [1127]*1127saying that he was leaving Unitel to work in a family canning business. The actual day of Theodore’s departure, however, remains in dispute. In his deposition Theodore testified that Mallín told him to leave the office immediately, which Theodore did, effectively ending his employment with Unitel the same day that he tendered his resignation. Mallín contradicts this story in his affidavit, saying he fired Theodore on January 25, 1989, upon learning that Theodore had formed a competing business, Corporate Systems of America (“CSA”), and had solicited Unitel employees and customers for CSA.

While employed by Unitel, Theodore and his family received medical insurance through Unitel’s employee group health plan. Unitel never sent notice to the Mlsnas about their right to continue this coverage after Theodore left its employ. On March 3,1989, Eileen applied for medical insurance through CSA and its carrier, Pan-American Life Insurance Company. On the application Eileen stated that she had not received medical treatment in the last 12 months, when in fact she had been treated for health problems as recently as January, 1989. Eileen subsequently obtained coverage through National Insurance Services (“NIS”), a Pan-American subsidiary. She had surgery in June, 1989, and incurred significant medical bills over the next several months. While doing a routine check before paying for these expenses, NIS realized that Eileen had made material misrepresentations on her application. NIS consequently rescinded her coverage retroactively. During this time, Eileen did not submit any of these claims to Unitel’s plan for payment.

Left without health insurance, Eileen filed this suit asserting that Unitel, as its plan’s administrator, had failed to give her notice of her right to continue her medical coverage through its plan, as required by COBRA. Unitel raised three primary defenses: that no qualifying event had triggered its duty to send the notice because it had fired Theodore for gross misconduct, that Eileen’s right to continued coverage had ended when she obtained insurance through NIS, and that Eileen’s failure to submit her claims to Unitel in a timely fashion had relieved it of its duty to pay them. Unitel also filed a third-party complaint against Theodore, alleging that he was liable to Eileen for his failure, as Controller, to send her COBRA notice before he left Unitel’s employ. All parties moved for summary judgment.

The district court held that Theodore’s tender of his resignation with notice constituted a qualifying event that triggered Uni-tel’s duties under COBRA. It granted Theodore’s motion for summary judgment in its entirety, denied Unitel’s motion in its entirety, and granted Eileen’s motion as to liability. Mlsna v. Unitel Communications, Inc., 825 F.Supp. 862 (N.D.Ill.1993). The court ordered Unitel to reimburse Eileen for medical costs she incurred during the time she would have been eligible for continuation coverage under its plan. The court also imposed on Unitel a statutory fine of $10 per day, for a total of $15,740, and awarded attorney’s fees and costs to the Mlsnas in the amount of $22,523.93. This appeal followed.

II.

We review a district court’s grant of summary judgment de novo. Karazanos v. Navistar International Transportation Corp., 948 F.2d 332, 334 (7th Cir.1991). Like the district court, we must review the record, and all reasonable inferences which can be drawn from it, in the light most favorable to the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255,106 S.Ct. 2505, 2513-14, 91 L.Edüd 202 (1986). Summary judgment is appropriate where “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c).

A.

COBRA requires plan administrators, such as Unitel, to provide continued health insurance coverage to covered employees and their qualified beneficiaries and to notify them of the right to elect such coverage upon the occurrence of a “qualifying event.” 29 U.S.C. § 1161. The statute defines a “qualifying event” in relevant part as “any of the [1128]*1128following events which, but for the continuation coverage required under this part, would result in the loss of coverage of a qualified beneficiary: ... (2) The termination (other than by reason of such employee’s gross misconduct), or reduction of hours, of the covered employee’s employment.” 29 U.S.C. § 1163. Eileen, as Theodore’s spouse, is a qualified beneficiary. 29 U.S.C. § 1167(3)(A)(i).

The district court held that Theodore’s tender of his resignation with notice constituted a qualifying event regardless of whether he actually stopped working for Uni-tel on that same day or on January 25, when Mallín allegedly fired him for gross misconduct. The definition of a qualifying event, however, says nothing about resignations with notice. Instead, it states that a qualifying event occurs at the “termination” of an employment relationship. 29 U.S.C. § 1163(2). We read this to mean that a qualifying event takes place when an employee actually stops working for an employer, not when he gives notice of his intention to do so. Sometimes, as under the scenario recounted by Theodore, this happens simultaneously. Other times, an employee may give days, weeks, or even months prior notice, which an employer will accept. In the interim the employment relationship continues.

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Bluebook (online)
41 F.3d 1124, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eileen-d-mlsna-v-unitel-communications-inc-defendant-third-ca3-1995.