Motola v. Labor & Industry Review Commission

580 N.W.2d 297, 219 Wis. 2d 588, 1998 Wisc. LEXIS 85
CourtWisconsin Supreme Court
DecidedJune 30, 1998
Docket97-0896
StatusPublished
Cited by16 cases

This text of 580 N.W.2d 297 (Motola v. Labor & Industry Review Commission) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Motola v. Labor & Industry Review Commission, 580 N.W.2d 297, 219 Wis. 2d 588, 1998 Wisc. LEXIS 85 (Wis. 1998).

Opinions

JANINE P. GESKE, J.

¶1. The court of appeals certified two questions to this court: (1) Under Braatz v. LIRC, 174 Wis. 2d 286, 496 N.W.2d 597 (1993), may any employer limit its married employees to coverage under one health insurance policy? (2) When bringing an action under the Wisconsin Fair Employment Act, Wis. Stat. §§ 111.31-111.395 (1993-94),1 must a complainant show actual harm?

¶2. In this case, employees of a municipality each were enrolled in "single" person coverage through [591]*591their employer's health insurance plan. Following their marriage, the municipal employees continued to carry their separate single coverages until they requested family coverage shortly before the birth of their child. The municipal employer responded by enrolling the husband under family coverage and including his wife as a dependent. From that point on, the wife no longer was an enrollee with her own coverage but was covered only as her husband's dependent.

¶ 3. We conclude that a public employer, as defined in Wis. Stat. ch. 40, and the regulations thereto, may limit its married co-employees to coverage under one family health insurance policy because of their marital status, and therefore, the nonduplication policy of the City of New Berlin (the City) does not violate the marital status discrimination clause of the Wisconsin Fair Employment Act (WFEA).2 Because there is no violation of the WFEA, we need not reach the second certified question regarding actual harm.

[592]*592FACTS AND PROCEDURAL HISTORY

¶ 4. We recite the facts as found by the Labor and Industry Review Commission (LIRC). We will uphold LIRC's factual findings if they are supported by substantial evidence. See Wis. Stat. § 227.57(6). In this case, the parties do not dispute the pertinent facts as found by LIRC.

¶ 5. Ms. Connie J. Motola began employment with the City in 1977, as a dispatcher in the City Police Department. Ms. Motola remains employed in that position. When Ms. Motola began her City employment, she was unmarried. At that time she was provided health insurance coverage under the City's group health insurance policy. Ms. Motola was enrolled for single coverage which extended only to her own medical needs.

¶ 6. In 1980, Ms. Motola married Richard Motola, another City employee. At that time Richard Motola carried single coverage health insurance under the City's group health policy for his own medical needs. After their marriage, the Motolas continued to maintain their individual health insurance plans. Prior to the birth of their child in 1984, the Motolas requested family health insurance coverage.

¶ 7. In response to this request, the City changed Richard's enrollment status to family coverage, providing coverage for Richard Motola and his legal dependents, including his spouse, Connie Motola, and their child(ren). Ms. Motola's status was changed from that of a single coverage enrollee to coverage as a dependent under the family coverage enrollment of [593]*593Richard Motola.3 The City's policy of offering only one enrollment for family coverage where both spouses are employed by the municipality is described by the parties as a "nonduplication policy."

¶ 8. The City has been a party to a collective bargaining agreement with the New Berlin Public Employees Union, Local 2676, governing the terms and conditions of employment of certain City employees since at least 1984. Since the 1985-86 collective bargaining agreement became effective, the agreement has provided:

The City shall provide the standard health insurance program. . .for all employees, except regular part-time employees, and shall pay the full premium cost of the single plan for single employees and the family plan for employees with dependents. .. .In the event an employee has a spouse that is also a City employee, that employee and the employee's spouse will be entitled to only one family health insurance contract between them from the City. (Emphasis added.)4

[594]*594Based on evidence referring to the italicized portion of the above provision as the "Motola clause," LIRC inferred that this provision of the collective bargaining agreement was negotiated around the time of the birth of the Motolas' child to specifically address their request for family coverage.

¶ 9. LIRC found that in applying the "Motola clause," the City has allowed married couples who are both City employees to elect which one of them will be designated as the enrollee for the family coverage under the group health insurance plan. This election also determines which one of them will be covered under the group health insurance plan only as a dependent of the enrollee spouse.

¶ 10. On occasion since the mid-1980's, the City has offered its employees the option of selecting health coverage under one of two or more different insurance plans. At those times, application of the "Motola clause," or the nonduplication policy, would have the effect of precluding two employees who were married to one another from each having family coverage for their own medical needs under different plans.

¶ 11. Currently, the City provides its employees only one health insurance plan through a group insurance policy between the City and Prime Care Health Plan, Inc. That policy provides health benefits to enrollees and to their dependents. "Dependent" is defined as an enrollee's legal spouse and unmarried dependent children. So long as his or her legal marital status continues, the rights of the spouse of an enrollee to health insurance benefits under the plan are no different from the rights of the enrollee spouse to health insurance benefits under the plan.

¶ 12. LIRC also found, however, that if the legal marital status of married employees changes, then [595]*595effective with the end of the month in which that change takes place, the rights under the plan of a person who had been the spouse of an enrollee differ to some extent from the rights of his or her former enrollee spouse under the plan.

¶ 13. On May 10,1994, Ms. Motola filed with the Equal Rights Division (ERD) of the Department of Workforce Development (DWD)5 a discrimination claim against the City.6 Ms. Motola alleged that under the WFEA,7 the City's denial of her request for sepa-

[596]*596rate family health insurance coverage in her name discriminated against her on the basis of marital status. An ERD investigator determined that there was probable cause to believe that the City had violated the WFEA, and certified Ms. Motola's complaint for a hearing.

¶ 14. The hearing examiner8 agreed that Ms. Motola had established by a fair preponderance of the evidence that the City violated the WFEA by adopting and maintaining a policy that provides for the reduction of the compensation paid by the City to one spouse if two City employees are married to each other. Specifically, the hearing examiner concluded that the City violated the WFEA by reducing Ms.

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Motola v. Labor & Industry Review Commission
580 N.W.2d 297 (Wisconsin Supreme Court, 1998)

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Bluebook (online)
580 N.W.2d 297, 219 Wis. 2d 588, 1998 Wisc. LEXIS 85, Counsel Stack Legal Research, https://law.counselstack.com/opinion/motola-v-labor-industry-review-commission-wis-1998.