Ludlow Education Ass'n v. Town of Ludlow

575 N.E.2d 359, 31 Mass. App. Ct. 110
Massachusetts Appeals Court·Decided July 23, 1991·No. No. 89-P-1364·Published·Cited by 20 cases

Opinion

Gillerman, J.

Seeking to reduce the town’s operating costs, the selectmen of Ludlow (the town) substantially modified the group health benefit plans available to its educational personnel.3 The effort was opposed by a complaint for declaratory judgment, injunctive relief, and damages brought by four individuals who appeared individually and on behalf of approximately 215 educational personnel employed by the town who had enrolled or who might in the future enroll in health insurance plans offered by the town (the class)4 and by the Ludlow Education Association (the union), the collective bargaining representative of the class. The defendants are the town and its school committee, the town’s bargaining representative.

The plaintiffs obtained partial summary judgment on the ground that the town, in making the changes in the plan, had violated applicable statutes which prohibited the shifting of the cost of insurance premiums from the governmental unit to its employees, but the judge did not award relief to the class. A second judge entered final judgment for the plaintiffs [112] on liability and, declining to award damages for the additional premiums paid by town employees, ordered the parties to the bargaining table to agree on damages. The result was cross-appeals from the final judgment, the plaintiffs claiming the'second judge was wrong, and the defendant town claiming that the first judge was wrong.

The material facts, which are not in dispute, and the statutory background, knowledge of which is necessary to an understanding of the controversy, may be summarized as follows. In 1955 the Legislature enacted G. L. c. 32B, § 3, inserted by St. 1955, c. 760, § 1, authorizing governmental units, upon acceptance of its provisions, to purchase group indemnity hospital and medical insurance, such as Blue Cross/Blue Shield, for municipal employees and their dependents. General Laws c. 32B, § 7, required that the premium cost be shared equally between the governmental unit and the employee. In 1971, § 16 was added to c. 32B, by St. 1971, c. 946, § 5. Under the terms of that act, upon its acceptance by a governmental unit, employees could elect health care coverage provided by a health care, or health maintenance, organization (HMO). As expanded by a 1976 amendment (St. 1976, c. 454, § 2), § 16 tied HMO premium cost to the cost of indemnity premiums by requiring the governmental unit to make its contribution to the cost of an HMO premium “the same amount as” its contribution to the cost of an indemnity premium.

At least since 1983, according to uncontradicted affidavits, the town offered both types of plans to the class, an indemnity plan pursuant to G. L. c. 32B, § 3, and an HMO plan pursuant to G. L. c. 32B, § 16. On July 1, 1987, the town added another HMO to these options, Health New England. The town contributed fifty percent of the premium of the indemnity plan, as it was required to do by G. L. c. 32B, § 7, and an equal dollar amount to the HMO premium, which, this court has held, the town was required to do by the provi[113] sions of G. L. c. 32B, § 16. Hemman v. Harvard Community Health Plan, Inc., 18 Mass. App. Ct. 70, 72-73 (1984).5

We observed in Hemman, supra at 74 n.7, that when § 16 was enacted the cost of HMO coverage was generally more expensive than indemnity type coverage, but in the succeeding years the cost of HMO premiums has dropped below the cost of indemnity premiums. Because of the equal dollar rule recognized in Hemman, the town’s percentage share of the less expensive HMO premiums grew to be greater than fifty percent while its share of the indemnity premiums remained at the fifty percent level specified by § 7.6 By 1988 the town’s equal dollar share of HMO premiums represented approximately eighty percent of the premium cost of family plan HMO coverage.

Beginning in April, 1987, the town’s insurance advisory committee, see c. 32B, § 3, began exploring ways to reduce the town’s over-all cost of providing group health insurance to its employees. On May 9, 1988, after five meetings, the advisory committee voted to recommend to the selectmen (i) the discontinuance of Health New England and (ii) the adoption of a “melded rate” rate plan under which employees, for identical premiums, could elect either Medical West, [114] a Blue Cross/Blue Shield affiliated HMO, or Blue Cross/ Blue Shield Master Health Plus, an indemnity plan. The advisory committee included a representative of the union who joined in the favorable vote of the majority on May 9. The financial result was a slightly lowered premium for the indemnity plan and a substantially increased premium for the HMO. At the heart of the melded rate plan was the lowered cost of the plans to the town, but more important to this litigation was the town’s contribution of exactly fifty percent to the HMO premium cost. That meant that the town reduced its percentage contribution to the HMO premium cost and increased the percentage contribution of the seventy-seven employees who were then enrolled in HMOs.

The minutes of the May 10, 1988, meeting of the selectmen refer to the discussion of two subjects which bear on this controversy. First, the melded rate plan was anticipated to yield a savings to the town of approximately $130,000. Second, the selectmen were told that an “anti-roll back bill ... is on the Governor’s desk” which, if signed, would have an “impact ... on [the] cost [of insurance to the town].” The selectmen were also told that the anti-roll back bill “is to protect the employee.”

Prior to the meeting, the selectmen were informed in writing that the union had changed its vote of May 9 and had decided to oppose any change in the group health insurance plans. Nevertheless, on May 10, 1988, the selectmen voted to adopt the melded rate plan, and, on the same day, the Governor did, indeed, sign the so-called anti-roll back amendment, St. 1988, c. 29, § 3, amending c. 23 of the Acts of 1988 by inserting § 77A, the provisions of which appear in the margin.7 Section 77A took effect upon its approval, on May 10, [115]*1151988. The new melded rate plan did not become operative until July 1, 1988. The parties assume, as do we, that the new plan became subject to the provisions of § 77A. In brief, § 77A provides that the ‘premium percentage” contributed by a municipal employee toward a group health benefit plan shall not be increased unless the increase is the product of collective bargaining.

1. Jurisdictional issues. The town makes two threshold arguments: the plaintiffs failed to pursue the grievance procedure provided by the collective bargaining agreement, and the plaintiffs failed to exhaust their administrative remedy by proceeding before the Labor Relations Commission under the provisions of G. L. c. 150E. Neither argument is persuasive.

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Ludlow Education Ass'n v. Town of Ludlow, 575 N.E.2d 359, 31 Mass. App. Ct. 110 (Mass. Ct. App. 1991).

575 N.E.2d 359 (Ludlow Education Ass'n v. Town of Ludlow) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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