Insurance & Prepaid Benefits Trusts v. Marshall

90 F.R.D. 703, 2 Employee Benefits Cas. (BNA) 1629, 1981 U.S. Dist. LEXIS 14888
CourtDistrict Court, C.D. California
DecidedJuly 21, 1981
DocketNo. CV 79-3029-RMT
StatusPublished
Cited by1 cases

This text of 90 F.R.D. 703 (Insurance & Prepaid Benefits Trusts v. Marshall) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Insurance & Prepaid Benefits Trusts v. Marshall, 90 F.R.D. 703, 2 Employee Benefits Cas. (BNA) 1629, 1981 U.S. Dist. LEXIS 14888 (C.D. Cal. 1981).

Opinion

MEMORANDUM

TAKASUGI, District Judge.

This matter having come before this court for trial on January 28, 1981 through January 30, 1981, and thereupon having been submitted, this court now issues this Memorandum in lieu of findings of fact and conclusions of law pursuant to Rule 55 of the Federal Rules of Civil Procedure.

BACKGROUND

In November 1975, plaintiff Insurance and Prepaid Benefits Trust (“IBT”) was formed by Mr. Thomas Wilkie with Mr. Wilkie as trustee. IBT was formed pursuant to state law which required such a trust to be formed as a condition to the issuance of a group insurance policy. Said group insurance policy was sold by Insurance Benefits, Inc. (“IBI”), a company wholly owned by Mr. Wilkie.

In 1977, the 1975 trust document was redrafted, resulting in the division of the single trust into five successor trusts established by five separate trust agreements.1 Collectively, the five successor trusts are referred to as IBT. The new trust documents provide for a Benefit Committee to serve as trustees and supervise the operation of IBT.2 By contract between IBT and IBI, IBI was retained as the contract administrator of IBT.

ISSUES

The sole issue before this court was whether IBT, as of July 23,1979, fell within the coverage of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq.

29 U.S.C. § 1002

29 U.S.C. § 1002(3) provides that an employee benefit plan covered by ERISA includes either an employee welfare benefit plan as defined by 29 U.S.C. § 1002(1) or an employee pension benefit plan as defined by 29 U.S.C. § 1002(2).3 Because the parties [705]*705have stipulated that IBT does not constitute an employee pension benefit plan, IBT falls within the coverage of ERISA only if it constitutes an employee welfare benefit plan pursuant to § 1002(1).

The parties have stipulated that the types of benefits offered by and through IBT are the types of benefits referred to by § 1002(1). The parties have also stipulated that IBT is not an “employee organization” for purposes of § 1002(1).

Therefore, whether IBT was an ERISA plan on July 23, 1979 rests upon whether or not IBT was “.. . established or maintained by an employer . . . for its participants or beneficiaries.” 29 U.S.C. § 1002(1).

I

“ESTABLISHED OR MAINTAINED”

Plaintiff contends that the “maintained” language permits a plan not initially intended to be or not established as an ERISA plan to be transformed into an ERI-SA plan. Under plaintiff’s view, a non-ER-ISA plan established by an insurance company could be turned over to employers to be “maintained” as an ERISA plan. In the absence of clear case, statutory, or legislative authority to the contrary, this court finds plaintiff’s interpretation of “maintain” to be consistent with the statutory language of 29 U.S.C. § 1002(1). A plan, although not originally established as an ERISA plan, may be entitled to ERISA status if it is subsequently restructured as an ERISA plan which complies with the requirements of 29 U.S.C. § 1002(1).

II

“BY AN EMPLOYER”

29 U.S.C. § 1002(5) defines an employer as follows:

“Any person acting directly as an employer, or indirectly in the interest of an employer, in relation to an employee ben-ef it plan; and includes a group or association of employers acting for an employer in such capacity.” (Emphasis added.)

Defendant contends that there was no identifiable “group or association of employers” which acted for its member employers and, therefore, IBT was not “established or maintained by an employer.” Defendant’s contention is apparently based upon the judicial and legislative rejection of multiple employer trusts (“METs”) as ERI-SA plans.

METs are entities utilized by insurance companies to sell group insurance coverage to unrelated groups, i. e., as an insurance funding vehicle. METs are usually characterized by the following: Employers have no business or social connections with one another; employers are actively solicited by the insurer; the plan is promoted by the insurer; it is a profit-generating enterprise; and, what this court considers to be most important, all decisions regarding the trust are made by the insurer, i. e., the participating employers possess no actual decision-making powers.

The courts have refused to view these METs as being “maintained by an ‘association or group of employers acting for an employer.’ ” The courts and Congress have characterized these METs as mere insurance vehicles established, maintained, and controlled by private insurance companies for the purpose of marketing insurance. Hamberlin v. VIP Insurance Trust, 434 F.Supp. 1196 (D.Ariz.1977); The Activity Report of the House Committee on Education and Labor, House Report No. 94-1785, January 3, 1977. See also Bell v. ESBA, 437 F.Supp. 382 (D.Kan.1977); NBC-EBA v. Anderson, 451 F.Supp. 458 (S.D.Iowa 1977).

Resolving whether IBT, like a MET, was merely a vehicle to promote and sell insurance, or whether, instead, it was an ERISA [706]*706trust requires the following factual determinations: a) whether there existed an association of employers; b) whether the Benefit Committee of IBT was representative of the participating employers; and c) whether the Benefit Committee was the true decision-making body for IBT, independent of and distinct from IBI.

A.

ASSOCIATION OF EMPLOYERS

This court finds that there was an “association of employers” for purposes of ERISA. All participating employers had knowledge of the 1977 restructuring of IBT (i. e., its transformation into an ERISA plan) and voluntarily chose to participate in the new trust intending to provide employee benefits. Therefore, these participating employers formed an “association” of employers insofar as they had joined together for a specific purpose.

B.

BENEFIT COMMITTEE REPRESENTATIVE OF EMPLOYERS

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90 F.R.D. 703, 2 Employee Benefits Cas. (BNA) 1629, 1981 U.S. Dist. LEXIS 14888, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-prepaid-benefits-trusts-v-marshall-cacd-1981.