International Ass'n of Entrepreneurs of America v. Foster

883 F. Supp. 1050, 1995 U.S. Dist. LEXIS 6352, 1995 WL 286189
CourtDistrict Court, E.D. Virginia
DecidedApril 28, 1995
DocketCiv. A. 3:94cv454
StatusPublished
Cited by13 cases

This text of 883 F. Supp. 1050 (International Ass'n of Entrepreneurs of America v. Foster) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
International Ass'n of Entrepreneurs of America v. Foster, 883 F. Supp. 1050, 1995 U.S. Dist. LEXIS 6352, 1995 WL 286189 (E.D. Va. 1995).

Opinion

MEMORANDUM OPINION

PAYNE, District Judge.

This action was initiated by International Association of Entrepreneurs Benefit Trust and related entities seeking: (1) a declaratory judgment that the Commissioner of Insurance . lacks jurisdiction under Va.Code § 38.2-3420 to regulate the IAEA Trust in its offering and providing of employee bene *1054 fits; (2) a declaratory judgment that application of Virginia Insurance Regulation No. 31 to the IAEA Trust is preempted by ERISA; and (3) a permanent injunction prohibiting the Commissioner and his agents from exceeding their jurisdictional authority with regard to the IAEA Trust and from applying Insurance Regulation No. 31 to the IAEA Trust and its related benefits plan. The thrust of the plaintiffs’ claims is that the Virginia statutes are pre-empted by the Employee Retirement Income Security Act of 1974, 29 U.S.C. §§ 1001, et seq. (“ERISA”). Following completion of discovery, the parties submitted affidavits, documentary evidence and briefs in support of their respective positions. Eschewing further evidentia-ry' proceedings, they then submitted the action for decision on those pleadings and supporting papers. For the reasons set forth below, judgment is entered in favor of the defendant and the action will be dismissed.

STATEMENT OF FACTS

' The International Association of Entrepreneurs of America (“IAEA Association”) was formed in 1990 as a Texas unincorporated association of approximately 40 employers who were signatories to a collective bargaining agreement with United Labor Council Local Union 615 (“Local 615”). In December 1992, the IAEA Association was incorporated as a Texas non-profit corporation. Also in December of 1992, the Association established the International Association of Entrepreneurs Benefit Trust (“IAEA Trust”) under the laws of the state of Wisconsin. Ross N. Fuller is the trustee of the IAEA Trust (“Fuller” or the “Trustee”). A corresponding benefit plan (“IAEA Plan”) was subsequently adopted.

Sometime in 1992, shortly before the IAEA Trust and IAEA Plan were established, defalcations in the operation of Local 615’s benefit plan were discovered and it was determined that Local 615’s plan was insolvent. The employer members of the IAEA Association who were Trust participants authorized the Trustee to pay outstanding benefit claims to their members who had been covered by the now defunct Local 615 Plan. 1

The IAEA Association provides a number of services to its member employers. These include a safety engineering program, an auto rental program, discounts on dining and eye wear, emergency cash advances, lost credit card notification, a travelers physician network, periodic newsletters and various other informational material.

The IAEA Trust was established to provide health care services and benefits,’ disability benefits, death benefits and accident benefits to eligible employees of the employer members of the IAEA Association and to employees of the IAEA Association. The Trust is formally controlled by a Benefit Review Committee (“BRC”). The BRC consists of not fewer than three and not more than nine employers, or officers or employees of employers, who are members of the IAEA Association participating in the Trust. However, according to the Restatement of Agreement and Declaration of Trust, the Trustee served as the initial BRC until June 30,1993. *1055 (Restatement of Agreement and Declaration of Trust, p. 25, Complaint, Exhibit A). It was during this period, in December of 1992, that the BRC, at that time the Trustee, established the IAEA Plan.

The Restatement of Agreement and Declaration of Trust provides that there will be a written agreement between the BRC and an Administrator, by which the BRC may confer duties and responsibilities on the Administrator. The BRC may. confer on the Administrator any responsibility or duty conferred upon it by the Restatement of Agreement and Declaration of Trust, including “general and complete managerial authority over the day to day affairs of the' Trust and any Employee Welfare Benefit Plan established pursuant to this Trust.” Restatement of Agreement and Declaration of Trust, p. 22 (Complaint, Exhibit A). The Trustee, Mr. Fuller, is responsible for holding and investing any trust funds held by the IAEA Trust.

The plaintiffs do not make clear how, in theory, the IAEA Association was to solicit new members. The Commissioner, however, has submitted evidence of how this actually occurs. The evidence indicates that independent insurance agents were used to market membership in the IAEA Association in much the same way that an entrepreneurial insurance venture would market itself. There is nothing in the solicitation materials or application for membership in the IAEA Association that suggests that IAEA Association membership is limited to businesses in any particular industry or to businesses of any particular type.

On October 20, 1993, the Bureau of Insurance of the State Corporation Commission (“SCC”) initiated an inquiry into the insurance related activity of the IAEA Trust in Virginia. The Commissioner informed the Trustee that the Trust may be subject to Virginia Insurance Regulation No. 31 (“Regulation 31”) which provides in pertinent part:

[A] multiple employer welfare arrangement that is not fully insured as defined in this regulation shall not operate in this Commonwealth without first meeting the criteria and becoming appropriately licensed as an insurance company, health maintenance organization, health services plan, or a dental or optometric services plan pursuant to Title 38.2 of the code of Virginia.

Regulation 31, § 5(A) (Complaint, Exhibit E) (emphasis added).

Over the course of several months following the October 20 letter, a series of letter exchanges followed between Mr. Gales of the SCC and counsel for the Trust and Trustee addressing the structure and operations of the IAEA Trust.

On April 25, 1994, Mr. Gales received a memorandum from a licensed Virginia Insurance company indicating that a representative of Employers Cost Management Company, Inc., a Virginia corporation, had made a presentation to a Virginia Employer about benefits available through the IAEA Trust. (Gales Affidavit, March 23,1994 (“First Gales Affidavit”), Exhibit 15). Accompanying this memorandum were copies of solicitation materials concerning the IAEA Trust and Plan. (First Gales Affidavit, Exhibit 15).

On April 27, 1994, the SCC sent a Property and Casualty Insurance Investigator to the office of Employers Cost Management Company in an attempt to obtain information about the insurance operations of the IAEA Trust in Virginia. The investigator was denied access to any records.

On May 3, 1994, the SCC advised the Trustee that the IAEA Trust must comply with Regulation 31 on or before May 13, 1994. That deadline was subsequently extended to May 20, 1994. On May 20, 1994, the IAEA Trust communicated to the SCC the basis for its position that the IAEA Trust is not subject to Virginia Code § 38.2-3420 and Regulation 31.

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883 F. Supp. 1050, 1995 U.S. Dist. LEXIS 6352, 1995 WL 286189, Counsel Stack Legal Research, https://law.counselstack.com/opinion/international-assn-of-entrepreneurs-of-america-v-foster-vaed-1995.