Patricia A. Clifton v. Van Dresser Corporation Benefit Plans Risk Management, Inc. And Van Dresser Corporation Employees Benefits Plan

845 F.2d 325, 1988 U.S. App. LEXIS 5580, 1988 WL 37444
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 25, 1988
Docket86-4083
StatusUnpublished

This text of 845 F.2d 325 (Patricia A. Clifton v. Van Dresser Corporation Benefit Plans Risk Management, Inc. And Van Dresser Corporation Employees Benefits Plan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Patricia A. Clifton v. Van Dresser Corporation Benefit Plans Risk Management, Inc. And Van Dresser Corporation Employees Benefits Plan, 845 F.2d 325, 1988 U.S. App. LEXIS 5580, 1988 WL 37444 (6th Cir. 1988).

Opinion

845 F.2d 325

Unpublished Disposition
NOTICE: Sixth Circuit Rule 24(c) states that citation of unpublished dispositions is disfavored except for establishing res judicata, estoppel, or the law of the case and requires service of copies of cited unpublished dispositions of the Sixth Circuit.
Patricia A. CLIFTON, Plaintiff-appellant,
v.
VAN DRESSER CORPORATION; Benefit Plans Risk Management,
Inc.; and Van Dresser Corporation Employees
Benefits Plan, Defendants-appellees.

No. 86-4083.

United States Court of Appeals, Sixth Circuit.

April 25, 1988.

Before KRUPANSKY and RYAN, Circuit Judges, and CONTIE, Senior Circuit Judge.

PER CURIAM.

The plaintiff-appellant, Patricia Clifton ("Clifton" or "appellant"), has appealed from the district court's dismissal of her lawsuit against the defendants-appellees (referred to collectively as "appellees").1 Appellant had alleged causes of action under Ohio law sounding in breach of an insurance contract, breach of the fiduciary duty by the trustees of an insurance benefit program, bad faith insurance coverage, and intentional and/or negligent infliction of emotional distress. The district court dismissed all of these claims as being pre-empted by federal labor law.

The appellant's causes of action stemmed from the following factual scenario. Clifton had been employed by the Company on July 31, 1967. Appellant broke her leg in a non-work related accident on January 27, 1984, and has been unable to work since that time. Although she was incapacitated after her accident, the Company did not terminate her as an employee until April 10, 1985.

While Clifton had been employed by the Company, it provided her with fully funded medical insurance coverage under the terms of the collective bargaining agreement.2 Subsequent to her accident of January 27th, 1984, the Company continued her participation in the same medical insurance program provided to working employees, at a premium to her of $7.60 per week. The collective bargaining agreement stipulated that the Company was required to provide the appellant with such coverage for a period of one year from the date of her approved leave of absence.3

After the one year period had expired, the Company continued to provide Clifton with medical insurance coverage, however, her monthly premium charge was increased to $95.47. The scope of Clifton's coverage after January of 1985 is in conflict. She has alleged that this coverage resulted from a new and independent insurance contract between herself and the appellees, separate and distinct from the insurance coverage she had received by virtue of the collective bargaining agreement. The appellees have characterized this coverage as merely a continuation of the insurance benefits provided by the collective bargaining agreement.

During March of 1985, Clifton learned that she had suffered a relapse of colon-rectal cancer, which had previously been diagnosed and treated in 1981. Her condition was diagnosed as requiring surgical treatment. She contacted a personnel manager of the Company to determine if the surgery would be covered by her medical insurance plan. The personnel manager then submitted an application on behalf of Clifton to the Benefit Plan for advance approval for her surgery. The Benefit Plan approved her application for surgery under the insurance plan. Based upon these assurances, Clifton arranged for the surgery to be performed at the Cleveland Clinic on April 10, 1985.

Several days before the surgery was scheduled, a supervisor of the Company, Reid Meyers ("Meyers"), decided to terminate Clifton's status as an employee and to cancel her insurance coverage. She was notified by telephone at her home, at about 8:00 a.m. of the morning of April 10th, as she was leaving for the hospital to have the surgery performed. She was informed by Meyers that she had been terminated as an employee and that her insurance coverage was cancelled effective immediately, contrary to the conditions of the insurance policy which provided that her coverage would continue in effect until the end of the month in which the policy was cancelled. In reliance upon Meyer's statement, Clifton cancelled the surgery scheduled for April 10th, because she was unable to afford this procedure without medical insurance.

The collective bargaining agreement provided for a five-step grievance procedure, culminating in binding arbitration. Although Clifton had previously filed and pursued grievances, and was familiar the grievance procedure, she neither filed nor pursued a grievance, nor any other remedy under the collective bargaining agreement, predicated upon the termination of her employment or the cancellation of her medical insurance.

Appellant did, however, file a complaint in the Court of Common Pleas for Huron County, Ohio on February 14, 1986 wherein she alleged causes of action against the Company for negligent and/or intentional infliction of emotional distress, bad faith handling of the appellant's insurance coverage, breach of a contract for insurance, breach of fiduciary duty as a trustee of an insurance contract, and arbitrary termination of insurance coverage. Appellant also alleged causes of action against the Benefit Plan and the Insurance Group for negligent and/or intentional infliction of emotional distress, and for bad faith handling of the insurance coverage.

The Company removed the case to the United States District Court for the Northern District of Ohio on March 17, 1986, asserting that Clifton's causes of action were preempted by Sec. 301 of the Labor Management Relations Act, 29 U.S.C.A. Sec. 185 (West 1978). On May 21, 1986, the Company petitioned the court to dismiss Clifton's causes of action as preempted by the exclusive jurisdiction of Sec. 301, or in the alternative for summary judgment against the appellees for Clifton's failure to exhaust her remedies available under the collective bargaining agreement.

Clifton responded by filing a motion to amend her complaint or in the alternative to have the case remanded to state court. The proffered amended complaint added a claim of negligent and/or intentional infliction of emotional distress against Meyers, the supervisor who had terminated Clifton and canceled her insurance coverage; eliminated the claim of bad faith refusal to honor insurance coverage against the Benefit Plan, and substituted a claim of breach of fiduciary duty by the Benefit Plan as a trustee of an insurance plan; and affirmatively asserted a claim for benefits under the medical insurance policy and for declaratory relief clarifying her rights under the policy.

On October 31, 1986, the district court granted the Company's motion to dismiss Clifton's complaint as preempted by Sec. 301 of the Labor Management Relations Act, and alternatively, for lack of jurisdiction because of appellant's failure to exhaust available grievance procedures. The district court then denied her motion to amend her complaint or to remand the case to state court, concluding that the motion was moot in light of the dismissal of her complaint.

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845 F.2d 325, 1988 U.S. App. LEXIS 5580, 1988 WL 37444, Counsel Stack Legal Research, https://law.counselstack.com/opinion/patricia-a-clifton-v-van-dresser-corporation-benefit-plans-risk-ca6-1988.