National Treasury Employees Union v. Alan K. Campbell, Chairman, United States Civil Service Commission

589 F.2d 669, 191 U.S. App. D.C. 146, 1978 U.S. App. LEXIS 7776
CourtCourt of Appeals for the D.C. Circuit
DecidedNovember 14, 1978
Docket77-1808
StatusPublished
Cited by41 cases

This text of 589 F.2d 669 (National Treasury Employees Union v. Alan K. Campbell, Chairman, United States Civil Service Commission) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Treasury Employees Union v. Alan K. Campbell, Chairman, United States Civil Service Commission, 589 F.2d 669, 191 U.S. App. D.C. 146, 1978 U.S. App. LEXIS 7776 (D.C. Cir. 1978).

Opinion

J. SKELLY WRIGHT, Chief Judge:

This appeal is from the District Court’s disposition of a complaint challenging the rates negotiated by the United States Civil Service Commission for federal employees’ Blue Cross-Blue Shield health insurance. Plaintiff-appellant, the National Treasury Employees Union (NTEU), seeks a damage award to those it represents, an order requiring the Commission to follow certain accounting and reporting practices set forth in various procurement regulations, and other appropriate relief. The District Court dismissed two counts for want of jurisdiction and granted summary judgment for the defendants-appellees on the remaining two. For the reasons set forth below, we reverse and remand on all issues save one, as to which we affirm summary judgment.

I

Since 1960 federal employees have been able to choose among a variety of health insurance options made available under the auspices of the Federal Employees Health Benefits Act, 5 U.S.C. § 8901 et seq. (1976). 1 The costs of the various plans are borne in part by the Government and in part by the employees through payroll deductions. 5 U.S.C. § 8906. The Act gives the Civil Service Commission authority to contract with qualified insurance carriers to provide various types of health insurance plans, 5 U.S.C. § 8902(a), and states: “Rates charged under health benefits plans * * shall reasonably and equitably reflect the cost of the benefits provided.” 5 U.S.C. § 8902(i) (emphasis added). In addition, rates for health benefit plans classified either as Service Benefit Plans or Indemnity Benefit Plans are to be “determined on a basis which, in the judgment of the Commission, is consistent with the lowest schedule of basic rates generally charged for new group health benefit plans issued to large employers.” Id. See also 5 U.S.C. §§ 8903 and 8904. In subsequent years, rates for these kinds of plans may, under the statute, be readjusted “on a basis which, in the judgment of the Commission, is consistent with the general practice of carriers which issue group health benefit plans to large employers.” 5 U.S.C. § 8902(i). Blue Cross-Blue Shield is a Service Benefit Plan.

The 1976 rate negotiations for federal employees’ Blue Cross-Blue Shield coverage, which are the primary target of the instant litigation, began in mid-1975 when Blue Cross-Blue Shield submitted a proposed rate increase of 38.4 percent — an amount that was intended both to compensate for a shortfall in revenues the preceding year and to meet demands for services in 1976. Joint Appendix (JA) 101-102. This figure was subsequently revised downward to 35.3 percent, JA 110, and an increase of that amount was agreed to.

On December 30,1975 NTEU filed suit in the District Court challenging this rate increase. On the basis of studies and analyses somewhat critical of the 35.3 percent figure, 2 NTEU’s complaint alleged in Count *672 1 that the 1976 rates were unreasonably high, and thus that the Commission had failed to discharge its statutory duty to negotiate rates which “reasonably and equitably reflect the cost of the benefits provided.” 5 U.S.C. § 8902(i). JA 5-7. In the same vein, the complaint alleged in Count 4 that a so-called “public service charge” included in the rate was unreasonable. 3 JA 10-11. Count 2 challenged the Civil Service Commission’s failure to apply various Federal Procurement Regulations to the 1976 rate negotiation process. JA 7-10. And Count 3 challenged the Commission’s failure to use the same regulations in the course of negotiations concerning the 1977 rates. JA 10. The complaint sought an order requiring the United States to pay damages to each federal employee in the amount of the overcharge allegedly paid by him or her for health insurance, declaratory and injunctive relief relating to the procurement regulations, and such other relief as the court deemed proper. JA 11-12. 4

Defendants — the United States and various Civil Service Commission officials— moved for dismissal on jurisdictional grounds and, in the alternative, for summary judgment. The District Judge dismissed Counts 1 and 4 — relating to the actual rates negotiated — for want of jurisdiction. JA 17-20. Turning to Counts 2 and 3, the judge noted that the defendants had supplied affidavits to the effect that they were “in compliance with the applicable [procurement regulations]” and that plaintiffs had submitted no counter-affidavits. JA 21. In consequence, he granted summary judgment.

II

We deal first with the proper disposition of Counts 1 and 4. The District Court was of the opinion that it lacked subject matter jurisdiction over the issues raised in these counts. We disagree. In our judgment, the court adopted too parsimonious a view of the jurisdictional grant which Congress included when it adopted the Federal Em *673 ployees Health Benefits Act and, by collapsing into the rubric of jurisdiction a number of analytically distinct questions, failed to realize that Congress had left some play for judicial review.

A.

At the outset, we note that there are two potential jurisdictional difficulties posed by the NTEU complaint. The first has to do with the ever complex problem of sovereign immunity and the second with the amount in controversy. Either might have rendered the general grant of federal question jurisdiction in 28 U.S.C. § 1331(a) (1976) unavailable as a vehicle for the present suit. 5 In our judgment, however, resort to Section 1331(a) is unnecessary because the jurisdictional provision within the Health Benefits Act itself — 5 U.S.C. § 8912 — expressly resolves both problems by waiving sovereign immunity and granting jurisdiction to the District Courts regardless of amount in controversy. Because this general area is not free from difficulty — and because of the confusion that inheres in the use of the term “jurisdiction” to denote both the broad rules regarding the subject matters cognizable in federal court and the specific issues that arise under the rubric of sovereign immunity 6 — we set forth our analysis at some length. 7

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Bluebook (online)
589 F.2d 669, 191 U.S. App. D.C. 146, 1978 U.S. App. LEXIS 7776, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-treasury-employees-union-v-alan-k-campbell-chairman-united-cadc-1978.