Merkl v. Blue Cross & Blue Shield of Massachusetts, Inc.

20 F. Supp. 2d 188, 1998 U.S. Dist. LEXIS 14648, 1998 WL 637429
CourtDistrict Court, D. Massachusetts
DecidedSeptember 2, 1998
DocketCivil Action 98-10379-MEL
StatusPublished
Cited by2 cases

This text of 20 F. Supp. 2d 188 (Merkl v. Blue Cross & Blue Shield of Massachusetts, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Merkl v. Blue Cross & Blue Shield of Massachusetts, Inc., 20 F. Supp. 2d 188, 1998 U.S. Dist. LEXIS 14648, 1998 WL 637429 (D. Mass. 1998).

Opinion

MEMORANDUM AND DECISION

LASKER, District Judge.

Matthew Merkl, M.D. challenges the refusal by his former employer, Blue Cross and Blue Shield of Massachusetts, Inc. (BCBS), to pay severance benefits upon the termination of his employment. Dr. Merkl asserts a state law claim for breach of BCBS’s “Physician Contractual Agreement Policy” (the “original contract”), and a second claim under the Employee Retirement Income Security Act of 1974, 29 U.S.C. § 1001 et seq. (ERISA), based on the same document.

BCBS moves to dismiss the complaint pursuant to Fed.R.Civ.P. 12(b)(1), asserting that Dr. Merkl’s contractual arrangement at the time of termination was not an ERISA plan, and that this court therefore lacks subject matter jurisdiction over the ERISA claim, which undisputedly provides the sole basis for federal jurisdiction. BCBS’s primary argument is that an alleged collective bargaining agreement (the “CBA”) actually superseded the original contract prior to Dr. *189 Merkl’s termination, and that the agreement is not covered by ERISA. The fallback argument is that even if the original contract survived the CBA, it was not an ERISA plan.

I conclude that the collective bargaining agreement provides that the severance provision of the original contract governs. I find, however, for reasons other than those articulated by BCBS, that the original contract was not an ERISA plan, and that accordingly this court lacks subject matter jurisdiction.

I.

Dr. Merkl was employed as a physician in BCBS’s Health Centers Division through late 1997 or early 1998. Though the parties differ in their characterizations of the time of and reasons for Dr. Merkl’s termination, it suffices to note that the termination was closely related to the December, 1997 acquisition of the Health Centers Division by MedPartners, Inc., an outside company not involved in this litigation. The Complaint asserts that Dr. Merkl’s employment was governed at the time of his termination by the original contract — the BCBS “Health Centers Division Physician Contractual Agreement Policy,” and that the contract entitled Dr. Merkl to severance pay. The relevant provision, set forth here in Appendix A, states that BCBS may terminate a physician at any time upon a reduction in staff required by a decline in the volume of patient services, and includes sub-provision (e) granting severance to covered physicians.

BCBS refused to provide Dr. Merkl severance or any other form of payment associated with his termination. Dr. Merkl contends that the sale of the Health Centers Division itself constituted a “reduction in staff” sparked by a “decline in volume of services,” and that therefore, as an employee with more than six years service, he was entitled to severance in the amount of twelve months base salary.

BCBS acknowledges that Dr. Merkl was covered by the original contract through October, 1997. However, it disputes that its obligations under the contract survived a collective bargaining agreement entered into by the physician’s union (of which Dr. Merkl was a part) and BCBS in October, 1997. At that time, in apparent anticipation of the impending acquisition by MedPartners, BCBS agreed to the terms of a collective bargaining proposal by the union. The CBA includes a provision that states in relevant part:

Physicians represented by [the union] who have executed five-year long-term contract agreements shall be entitled to severance pay in two equal installments during December of 1997 and March of 1998 (provided they are employed by MedPartners or have been involuntarily terminated by MedPartners), subject to the following: (1) termination by [BCBS] prior to January 1, 1998; (2) such physician has released [BCBS] from any obligations it might have for severance pay and any other claims under the Physician Contractual Agreement; (3) the [union] has agreed to this severance in lieu of any severance which it claims may have been collectively bargained; and (4) the physician accepts employment with MedPart-ners (or a professional corporation affiliated with MedPartners) and commences such employment; ...
Subject to the above, severance will be paid according to the following schedule:
a. Less than four (4) years of total service = fourteen (14) weeks base pay;
b. Four (4) to six (6) years of total service = twenty-one (21) weeks base pay;
c. More than six (6) years of total service = twenty-eight (28) weeks base pay.

BCBS argues that the CBA superseded the original contract, effectively annulling any obligation to pay severance BCBS might have had under the contract, and that neither the CBA, nor the original contract, is or was an ERISA plan.

II.

Which contractual arrangement governed?

As to the threshold question of which contractual arrangement governed at the time of Dr. Merkl’s termination, I conclude that the original contract controlled. The record contains nothing to support BCBS’s contention that the CBA superseded the *190 original contract with respect to severance. Indeed, the plain language of the CBA is to the contrary, requiring, among other things, that a physician seeking severance under the CBA have “released [BCBS] from any obligations it might have for severance pay and any other claims under the Physician Contractual Agreement.” From the language of the CBA, it appears that BCBS and the union contemplated that the severance provision of the original contract would survive.

Moreover, it is worth noting that BCBS has submitted no evidence that the CBA was ever actually ratified and thereby made effective by union members. The CBA expressly states it “is contingent upon the ratification by physicians represented by the [union].” Therefore, even if the CBA severance provision were less clearly susceptible to the above interpretation, Dr. Merkl’s allegations in support of the original contract’s application would not be meaningfully undermined by BCBS’s CBA-related submissions.

Was the original contract an ERISA plan?

Severance policies or plans may be covered by ERISA. However, the Supreme Court has set limits on such coverage. In Fort Halifax Packing Co., Inc. v. Coyne, 482 U.S. 1, 107 S.Ct. 2211, 96 L.Ed.2d 1 (1987), the Court held that an arrangement or mandate to make a lump sum severance payment upon the occurrence of a single event is not a “plan” under ERISA. Presented with a state statute requiring severance payments upon plant closings, the Court stated that:

The requirement of a one-time, lump-sum payment triggered by a single event requires no administrative scheme whatsoever to meet the employer’s obligation. The employer assumes no responsibility to pay benefits on a regular basis, and thus faces no periodic demands on its assets that create a need for financial coordination and control.

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Bluebook (online)
20 F. Supp. 2d 188, 1998 U.S. Dist. LEXIS 14648, 1998 WL 637429, Counsel Stack Legal Research, https://law.counselstack.com/opinion/merkl-v-blue-cross-blue-shield-of-massachusetts-inc-mad-1998.