Local Union 2134, United Mine Workers v. Powhatan Fuel, Inc.

640 F. Supp. 731, 1986 U.S. Dist. LEXIS 23172
CourtDistrict Court, N.D. Alabama
DecidedJuly 3, 1986
DocketCV 83-G-1426-S
StatusPublished
Cited by4 cases

This text of 640 F. Supp. 731 (Local Union 2134, United Mine Workers v. Powhatan Fuel, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Local Union 2134, United Mine Workers v. Powhatan Fuel, Inc., 640 F. Supp. 731, 1986 U.S. Dist. LEXIS 23172 (N.D. Ala. 1986).

Opinion

MEMORANDUM OPINION

GUIN, District Judge.

This is an action under the Employee Retirement Income Security Act of 1974 (ERISA). Plaintiff, Local Union 2134, United Mine Workers of America (UMWA), is a labor organization representing the employees of defendant Powhatan Fuel, Inc. The individual plaintiffs are former employees of Powhatan Fuel and were all, at various times pertinent hereto, members of the UMWA who seek damages resulting from the nonpayment of health care insurance premiums and for alleged breach of fiduciary duty by defendants.

This action was originally instituted against defendants Powhatan Fuel, Leroy Osborne, Wayne Brewster, and Jim Henderson. Henderson has since been dismissed as a defendant, and all claims against Powhatan Fuel have been stayed under the “automatic stay” provision of 11 U.S.C. § 162(a) pursuant to its filing of a Chapter 7 petition in bankruptcy court on June 21, 1983.

Powhatan Fuel entered into and was signatory to the National Bituminous Coal Wage Agreements of 1978 and 1981. The 1978 and 1981 wage agreements are collective bargaining agreements between the UMWA and the signatory employers, including Powhatan Fuel. Defendant Leroy *733 Osborne, Jr., had been president of Powhatan Fuel since Powhatan’s incorporation in 1978. Osborne signed the 1978 and 1981 collective bargaining wage agreements as president of Powhatan Fuel. Osborne owned 90-95 per cent of Powhatan’s corporate stock. Osborne was primarily responsible for, and had authority over, the daily operations of Powhatan Fuel, including mining and loading, and hiring and firing at the Port Osborne, Alabama, facility. Defendant Wayne Brewster was the secretary-treasurer of Powhatan Fuel. Brewster owned approximately 5 per cent of Powhatan’s corporate stock.

Pursuant to both the 1978 and the 1981 wage agreements, signatories are required to provide health care benefits to active employees, their spouses and their dependants. It is undisputed that for periods of time during 1982 and 1983, the required health care insurance premiums were not paid, thereby resulting in the lapse of medical and dental health care insurance coverage required by the 1978 and the 1981 wage agreements.

Defendant Osborne undertook the responsibility for making arrangements to establish and implement, through several different insurance carriers, an employee benefits plan to provide health care benefits to employees and their dependents, as required under the 1978 and 1981 wage agreements. During the period from September 1978 through June 1983, Powhatan Fuel and defendant Osborne contracted with several insurance carriers for health care benefits, including Massachusetts Mutual, Equitable Life, Blue Cross-Blue Shield, SIBCO and Aetna. Each contract was subsequently terminated by the respective company due to nonpayment of premiums. As a result of the nonpayment of premiums which caused the termination of health insurance coverage, the plaintiffs and their families were without insurance for periods of sometimes several months at a time. During these lapse periods plaintiffs incurred health care expenses that were not paid by the insurance carriers.

On May 2, 1986, the parties filed a stipulation of damages setting forth the amount of unpaid medical expenses for each individual plaintiff, as follows:

Henry Arnold $ 1,219.10
James Barnes 5,059.45
James L. Barnett 6,129.53
Jimmy Dill 800.50
J.W. Harmon 323.00
Horace Jones 7,582.04
Hilda Kendrick 6,172.25
Ricky McCarty 142.50
Hugh Pentecost 6,275.30
Leroy Thomas 1,105.81
Herschel Woods 387.40
Roger Dale Wilson 6,474.35
Thomas Davis 66,032.67

Plaintiffs contend that defendants Osborne and Brewster were fiduciaries as defined by the Employee Retirement Income Security Act, 29 U.S.C. §§ 1002(21) et seq., with respect to the responsibility of maintaining in force and effect health care insurance coverage as required by the 1978 and 1981 wage agreements.

Defendants deny liability for any damages. Defendants contend that they are not fiduciaries of any plan or fund under ERISA, nor did they have any fiduciary duties as defined by section 1104 of the Act. Further, defendants argue that they never established a fund for payment of any benefits. Defendants contend that ERISA does not apply, because only a health insurance contract is involved and no employee welfare benefit plan is present.

The initial issue for the court’s determination is whether the plan in this case is an employee welfare benefit plan under ERISA. ERISA § 3(1), 29 U.S.C. § 1002(1), defines “employee welfare benefit plan” or “welfare plan” as:

any plan, fund, or program which was heretofore or is hereafter established or maintained by an employer or by an employee organization, or by both, to the extent that such plan, fund, or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise, (A) *734 medical, surgical, or hospital care or benefits, or benefits in the event of sickness, accident, disability, death or unemployment, or vacation benefits, apprenticeship or other training programs, or day care centers, scholarship funds, or prepaid legal services,____

29 U.S.C. § 1002(1), see Donovan v. Dillingham, 688 F.2d 1367 (11th Cir.1982).

In determining whether a plan, fund or program has been established a court must determine from the surrounding circumstances whether a reasonable person could ascertain the intended benefits, beneficiaries, source of financing, and procedures for receiving benefits. Donovan v. Dillingham, supra, 688 F.2d at 1373. It is undisputed that while the purchase of insurance does not conclusively establish the existence of a plan, fund or program, the purchase is evidence of the establishment thereof; likewise, the purchase of a group policy or multiple policies covering a class of employees offers substantial evidence that a plan, fund, or program has been established. Id.

In this case, in accordance with the wage agreement, the employer, Powhatan Fuel, established an employee benefit plan based upon the purchase of insurance. The plan was established and maintained by the employer for the purpose of providing medical, surgical, and hospital care benefits.

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Bluebook (online)
640 F. Supp. 731, 1986 U.S. Dist. LEXIS 23172, Counsel Stack Legal Research, https://law.counselstack.com/opinion/local-union-2134-united-mine-workers-v-powhatan-fuel-inc-alnd-1986.