Mohalley v. Kendall Health Care Products Co., Inc.

903 F. Supp. 1530, 1995 U.S. Dist. LEXIS 14974, 1995 WL 603277
CourtDistrict Court, M.D. Georgia
DecidedOctober 11, 1995
Docket5:94-cv-00307
StatusPublished
Cited by4 cases

This text of 903 F. Supp. 1530 (Mohalley v. Kendall Health Care Products Co., Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mohalley v. Kendall Health Care Products Co., Inc., 903 F. Supp. 1530, 1995 U.S. Dist. LEXIS 14974, 1995 WL 603277 (M.D. Ga. 1995).

Opinion

ORDER

OWENS, District Judge.

Before the court are motions for partial summary judgment on liability filed by plaintiff Madeleine Mohalley, and for summary judgment filed by defendant The Kendall Health Care Products Company, Inc. After careful consideration of the arguments of counsel, the relevant ease law, and the record as a whole, the court issues the following order:

FACTS

The facts in this case are not in issue, having been agreed to by stipulation between the parties. In November of 1985 The Kendall Health Care Products Company, Inc. (“Kendall”), purchased McGaw Laboratories, Inc., of Milledgeville, Georgia (“McGaw”), from American Hospital Supply Corporation. Plaintiff retired from Kendall’s predecessor corporation, Kendall McGaw Laboratories, Inc., on or about July 28, 1986. During the time plaintiff was employed with Kendall McGaw Laboratories and its predecessors she was paid on an hourly basis.

Based upon her past employment plaintiff received certain benefits from McGaw at the time of her retirement. On or about June 3, 1986, she received a lump-sum payment of approximately $34,375.22 as a retirement benefit for her employment with American Hospital Supply Corporation from date of hire until November of 1985. On the same date she also received a lump sum payment of approximately $800.00 related to her employment with Kendall from November 1985 until July 1986. This represented her retirement benefits from the salaried employees’ provisions of the retirement plan sponsored by Kendall.

As part of its Retiree Health Care Plan, Kendall offered its Medicare Supplement Plan (the Plan) to eligible retirees over the age of 65. Kendall determined that plaintiff was an eligible retiree under the following provisions:

All former active full-time employees and parLtime employees who worked at least 60% of the normal work week and completed 10 years of continuous active employment are eligible to participate in the Medicare Supplement Plan provided they are at least age 65 and are eligible to receive a benefit under Kendall’s defined benefit pension plan. Retirees who waived coverage under the Early Retiree Medical *1533 Plan or whose coverage was terminated for any reason are not eligible to enroll.

Plaintiff subsequently began to pay and has continued to pay premiums required for her continued participation in the Plan.

From the date of her retirement until September 1, 1989, plaintiffs required premium for participation in the Plan was approximately $4.80 per month. This amount was uniformly applied to both hourly and salaried Kendall employees. However, on September 1, 1989, Kendall undertook to make several changes to its Retiree Health Care Plan. Included among the changes was the establishment of a two-tier premium schedule for two classes of eligible retirees. The proposed changes were set out in inter-office correspondence dated May 25, 1989, from Debra A. Weafer to various Kendall employees. The inter-office correspondence provided the following explanation for the changes to the Plan:

PREMIUM CONTRIBUTIONS
Rates were set to provide greater Kendall support for medical premiums paid by hourly retirees. Rates were increased for early retirees to reflect an adjustment necessary to account for the much larger expense we incur to provide medical benefits for those who retire early and therefore are not eligible for Medicare. Such an adjustment, as you know, is also used to calculate pension plan benefits for those who retire early.
HOURLY RETIREES (Retirees who are receiving or who have received a pension benefit from the Hourly Pension Plan.)
Early Retiree Medicare
Life Care Supplement
Plan 300 Plan
Retiree $43.50 $11.25
Each Dependent $48.50 $11.25
SALARIED RETIREES (Retirees who are receiving or have received a pension benefit from the Salaried Pension Pian, as well as MeGaw hourly and RCI retirees.)
Early Retiree Medicare
Life Care Supplement
Plan 300 Plan
Retiree $65.25 $33.75
Each Dependent $65.25 $33.75

In a letter from J. Dale Sherratt dated May 23, 1989, Kendall notified plaintiff that a premium increase would go into effect beginning September 1, 1989. However, plaintiff was not notified of the newly created retiree classifications. She was thus unaware that there were now two premium schedules or that as an hourly MeGaw employee she was nevertheless classified as salaried for purposes of the Medicare Supplement Plan. After being notified of the increased premium amount effective September 1, 1989, plaintiff was directed to pay and did pay the following amounts as premiums for her Medicare supplement coverage:

$33.75 a month from October 1989 to December 1990;
$43.50 a month from January 1991 to December 1991;
$57.00 a month from January 1992 to December 1992;
$64.00 a month from January 1993 to December 1993;
$73.00 a month from January 1994 to December 1994;
$88.00 a month for 1995.

The corresponding premium amounts for retirees classified as hourly employees were:

$9.40 a month from October 1989 to December 1990;
$14.50 a month from January 1991 to December 1991;
$19.75 a month from January 1992 to December 1992;
$25.00 a month from January 1993 to December 1993;
$31.00 a month from January 1994 to December 1994;
$37.00 a month for 1995.

On or about November 21, 1990, plaintiff received a letter addressed to her as “Dear Kendall Hourly Retiree.” The letter advised her that hourly retirees would be required to pay $14.50 per month for continued participation in the Plan. She was informed shortly thereafter that this information was in error and that the correct amount was $43.50 per month. In her attempts to resolve the conflicting information, plaintiff became aware for the first time of the two classifications of retirees. After several telephone discussions with Kendall employees concerning the correct amount of her premium contribution, plaintiff wrote a letter on March 23, 1993, to Kerry Lynch, Kendall’s Benefits Administrator. She stated in the letter, “I would like you to send me a copy of the procedure which gives details of this decision — when it was adopted, by whom, who is affected by it, and whatever other information is given in this document. This will help lessen my confusion if any more billing mistakes are made.” On April 23, 1993, Ms.

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Bluebook (online)
903 F. Supp. 1530, 1995 U.S. Dist. LEXIS 14974, 1995 WL 603277, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mohalley-v-kendall-health-care-products-co-inc-gamd-1995.