Paul R. Peterson Construction, Inc. v. Arizona State Carpenters Health & Welfare Trust Fund

880 P.2d 694, 179 Ariz. 474, 17 Employee Benefits Cas. (BNA) 2624, 158 Ariz. Adv. Rep. 23, 1994 Ariz. App. LEXIS 25
CourtCourt of Appeals of Arizona
DecidedFebruary 10, 1994
Docket1 CA-CV 91-0203
StatusPublished
Cited by10 cases

This text of 880 P.2d 694 (Paul R. Peterson Construction, Inc. v. Arizona State Carpenters Health & Welfare Trust Fund) is published on Counsel Stack Legal Research, covering Court of Appeals of Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paul R. Peterson Construction, Inc. v. Arizona State Carpenters Health & Welfare Trust Fund, 880 P.2d 694, 179 Ariz. 474, 17 Employee Benefits Cas. (BNA) 2624, 158 Ariz. Adv. Rep. 23, 1994 Ariz. App. LEXIS 25 (Ark. Ct. App. 1994).

Opinion

*476 OPINION

JACOBSON, Presiding Judge.

This appeal involves an examination of the relationship between federal and state law regarding the viability of an equitable estop-pel claim asserted against a union trust fund employee health and welfare benefits plan that is subject to the Employment Retirement Income Security Act (ERISA), under 29 U.S.C. § 1002(1). As a preliminary matter, we must determine whether law of the case established by a prior final appellate decision in this matter applies. The issues before us include the following:

1. May defendant assert in this appeal that an equitable estoppel claim against a union trust fund is barred as a matter of federal ERISA law when the prior final state appellate decision considered and rejected that argument?
2. Did the trial court’s jury instruction on the elements of equitable estoppel, based on Arizona case law, constitute reversible error?
3. Was the evidence sufficient to establish the elements of equitable estoppel?
4. Did the trial court err in bifurcating the liability and damages issues?

Additionally, the cross-appeal raises the following issue:

5. Was plaintiff entitled to prejudgment interest on his equitable estoppel claim?

FACTS AND PROCEDURAL HISTORY

The following facts are taken from the prior appellate decision in this case, Paul R. Peterson Constr., Inc. v. Arizona State Carpenters Health & Welfare Trust Fund, 2 CA-CV 88-0085 (Ariz.App. mem. dec. Mar. 17, 1988), as well as from the trial record after remand from that appeal.

Plaintiff, Paul R. Peterson, a member of the Arizona State Carpenters’ Union and a participant in its health and welfare benefits plan, incorporated his construction business in his own name in 1970, with himself as its sole shareholder, owner, and officer. His company was a signator to a Master Labor Agreement entered into with the union in 1977, which required the company to contribute payments for its union members to the union’s health and welfare benefits plan (hereafter, “trust fund”). The construction company’s collective bargaining agreement with the union expired in May 1982, and attempts to negotiate a renewal reached impasse in late 1982 or early 1983, thus terminating the parties’ rights under the union contract. However, the trust fund contract provided that a member who was no longer working for a “participating employer” could continue to be eligible for coverage for a limited time based on accumulated credits in an “hour bank” that was determined by monthly reports by the member’s employer; when the hour bank credits were exhausted, the member could continue eligibility for coverage on a “self-pay” basis for up to twelve months and thereafter convert to a private policy. However, a resolution of the trust fund trustees in January 1983 provided that no owner or officer of an employer could participate in the self-pay plan. There is no question Peterson was such an owner/officer. No notice of that resolution was provided to union members or their employers prior to the events giving rise to this litigation.

Beginning in January 1983, Peterson telephoned the trust fund benefits administrator on a monthly basis to ascertain his eligibility for medical benefits. He was informed that his hour bank credits provided coverage through June 1983, and that he could begin to self-pay for continued coverage in July 1983. On May 31, 1983, Peterson, as instructed, tendered a premium check of $96.00 for health coverage for July 1983, and on July 31, 1983, he tendered another cheek for $96.00 for August 1983. The trust fund accepted both checks and issued receipts.

On August 1, 1983, Peterson’s wife was diagnosed with breast cancer, and a hospital called the trust fund administrator’s office to verify health insurance coverage. By letter dated August 4, 1983, the trust fund’s attorneys instructed the administrator to deny coverage; on August 16,1983, the trust fund reimbursed Peterson for his August premium with a note stating, “According to the Fund rules, you are not eligible to self-pay since you are an owner/officer of Peterson Construction.” Peterson requested review of the *477 denial of benefits, and the trust fund issued its final decision in March 1985 denying his benefits under the self-pay plan because of his status as an owner/officer of his company. The medical bills for Peterson’s wife’s treatment totalled more than $80,000 before her death in July 1985.

In February 1985, the trust fund and other plaintiffs filed suit against Peterson and his company, alleging that, as a signatory to the Master Labor Agreement, Peterson had failed to meet his obligation to pay all contributions due for his employees. Peterson filed an answer, counterclaim, and third party complaint, asserting an offset and that the trust fund had wrongfully denied benefits for his wife’s illness. The counts in the counterclaim/third party complaint included intentional infliction of emotional distress, conspiracy to induce breach of contract, and violations of ERISA under 29 U.S.C. § 1002(4) and 29 U.S.C. § 1140.

The trust fund moved for dismissal of the counterclaim/third party complaint on the basis that Peterson was not an “employee” under ERISA, and that the tort claims were preempted as a matter of federal law. In response, Peterson argued that, even if he were not covered by the plan under its provisions, “the past dealings between the parties would estop [the trust fund] from asserting such a position,” because he “individually relied upon the representations of the trustees, to his detriment, that he would be covered by the plan’s insurance.” In reply, the trust fund responded that the doctrine of estoppel could not be invoked because it would compel an illegal act under ERISA by requiring payment of benefits to a non-participating employer.

The trial court dismissed Peterson’s counterclaim/third party complaint, finding that the conduct stated would not form a basis for an emotional distress claim; preemption of the claim by ERISA; and that, as a matter of law, Peterson was not entitled to benefits because of his status as owner, officer, and employer. Peterson appealed, and Division Two of this court affirmed the trial court’s conclusions that Peterson was an employer, ineligible for benefits under ERISA, and that the trust fund’s decision to deny him benefits was not arbitrary or capricious. However, the court of appeals reversed and remanded on the basis that Peterson had stated a claim for equitable estoppel.

On remand, the trial court set Peterson’s estoppel claim for a bench trial with an advisory jury to consider several liability issues. 1 The advisory jury returned the following responses to the court’s interrogatories:

1.

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880 P.2d 694, 179 Ariz. 474, 17 Employee Benefits Cas. (BNA) 2624, 158 Ariz. Adv. Rep. 23, 1994 Ariz. App. LEXIS 25, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paul-r-peterson-construction-inc-v-arizona-state-carpenters-health-arizctapp-1994.