National Business Ass'n Trust Ex Rel. National Benefit Administrators, Inc. v. Morgan

770 F. Supp. 1169, 13 Employee Benefits Cas. (BNA) 1716, 1991 U.S. Dist. LEXIS 6455, 1991 WL 152605
CourtDistrict Court, W.D. Kentucky
DecidedFebruary 15, 1991
DocketCiv. A. C89-0917-L(J)
StatusPublished
Cited by9 cases

This text of 770 F. Supp. 1169 (National Business Ass'n Trust Ex Rel. National Benefit Administrators, Inc. v. Morgan) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Business Ass'n Trust Ex Rel. National Benefit Administrators, Inc. v. Morgan, 770 F. Supp. 1169, 13 Employee Benefits Cas. (BNA) 1716, 1991 U.S. Dist. LEXIS 6455, 1991 WL 152605 (W.D. Ky. 1991).

Opinion

MEMORANDUM OPINION

JOHNSTONE, District Judge.

This federal question dispute is before the court on cross motions for summary judgment pursuant to Fed.R.Civ.P. 56. The dispositive issue raised in these motions is whether and to what extent the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq. prevents the Commissioner of the Kentucky Department of Insurance (“Commissioner”) 1 from exercising jurisdiction over the activities of National Business Association Trust (“NBAT”), a multiple employer welfare arrangement, and its plan supervisor National Benefit Administrators (“NBA”). Finding that ERISA does not prohibit a state insurance commissioner from regulating NBAT and NBA through its insurance laws to the extent such laws are not inconsistent with ERISA, defendants’ motion for summary judgment is granted and NBAT’s cross-motion is denied.

I. BACKGROUND

A. HISTORY OF NBAT

Plaintiff, NBAT, is the successor to an entity established in 1975 by three employers in the bottling and canning industries known as the Retailers of Mid-America Canning Corporation Insurance Trust Fund (“Trust Fund”). The Trust Fund was established for the purpose of making “application to an insurance company ... for the issuance of a policy or policies of ... life, health, accident, and disability insurance or hospital or medical service plans, to be issued to the Trustee, providing benefits for employees of [participating] Employers....”

In 1982, the documents creating and defining the Trust Fund were amended in order to enable the Fund to self insure the health benefits provided through the cre *1171 ation of reserves from which benefits could be dispersed to employees or providers for covered expenses. Through this amendment, the name of the Trust Fund was changed to Mid-America Soft Drink Bottling Trust (“Mid-Am”), and the trust documents provided that “[a]ll assets of the Plan are trust property and shall be held in trust by one or more trustees,” to be used to pay benefits to employees of the participating employer groups or to purchase insurance to provide such benefits.

In 1987, Mid-Am entered into a Trust Agreement which resulted in the creation of plaintiff NBAT. This Trust Agreement stated that Mid-Am, through its participation in NBAT, desired to “fund benefits provided for in [certain health benefit plans] for employees and their dependents, by self-funded means consistent with 29 U.S.C. § 1002(40)(A) and thereby create a Multiple Employer Welfare Arrangement (“MEWA”).” 2 Participating employers were required to make monthly contributions to NBAT in order to create the fund from which benefits to their employees would be paid.

Approximately one week following its creation, NBAT entered into a contract entitled “Agreement for Plan Supervisor” with intervening plaintiff, National Benefit Administrators, Inc. (“NBA”) pursuant to which NBA became the administrator/plan supervisor for NBAT. see 29 U.S.C. § 1002(16). Under the terms of this agreement, NBA obtained unlimited authority to market and administer NBAT and gained complete control over NBAT funds and claims processing. In addition, NBA retained the sole and exclusive authority to determine the level of contributions to be made by plan participants. In exchange for these services, NBA received a percentage of total contributions paid to NBAT by plan participants.

During the period of August, 1987 through March, 1990, NBAT, apparently through the efforts of NBA, expanded its “employer group/plan participant” market substantially. Unfortunately, this expansion in market size did not enhance NBAT’s financial stability. By May, 1990, less than three years following the creation of NBAT, NBA resigned from its administrator/plan supervisor contract and NBAT ceased doing business with approximately 4.6 million dollars in outstanding benefit claims and $700,000.00 in assets. Purportedly, during the 32 month period in which it served as administrator/plan supervisor for NBAT, NBA received over 17 million dollars in fees.

B. FEDERAL DECLARATORY JUDGMENT ACTION

Beginning in 1989, the Commissioner, in response to a consumer complaint, began an investigation of NBAT. In an apparent attempt to determine the extent of her authority in this regard, the Commissioner requested that NBAT provide her with documentation supporting the contention that NBAT was an ERISA welfare benefit plan operating under the jurisdiction of the United States Department of Labor and further requested that NBAT provide documentation concerning the scope and extent of its operations. These requests were initially made informally followed by the issuance of a subpoena.

In response to this investigation, NBAT filed a complaint in this Court seeking declaratory and injunctive relief prohibiting the Commissioner from investigating, examining, inquiring, regulating or otherwise interfering with its activities. In support of the relief sought, NBAT argued that, as an ERISA employee benefit plan, the Commissioner has no jurisdiction over it inasmuch as any attempt by the Commissioner to regulate or investigate its business activities under state law is prohibited by 29 U.S.C. § 1144(a). The Commissioner re *1172 sponded by filing a motion for summary judgment contesting the preemptive effect of 29 U.S.C. § 1144(a) and asserting that NBAT was merely seeking to assert a federal preemption defense to threatened state action.

By agreement of the parties, consideration of the Commissioner’s motion for summary judgment was held in abeyance. Upon reinstatement of this matter to the Court’s active docket in July, 1990, NBAT had ceased doing business in the Commonwealth and the Commissioner had instituted proceedings in state court in an attempt not only to regulate but also to liquidate NBAT under state law. As a result, the argument raised in the Commissioner’s original motion for summary judgment— that NBAT was merely asserting a federal ERISA defense to threatened state action—was rendered moot.

The Commissioner has since filed a supplemental memorandum in support of her motion for summary judgment. NBAT has responded to this motion and filed a cross-motion for summary judgment in which intervening plaintiff NBA joins. Theses motions are now before the court for consideration.

II. PERTINENT STATUTES

A. FEDERAL STATUTES

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770 F. Supp. 1169, 13 Employee Benefits Cas. (BNA) 1716, 1991 U.S. Dist. LEXIS 6455, 1991 WL 152605, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-business-assn-trust-ex-rel-national-benefit-administrators-inc-kywd-1991.