Peterson v. Windham Community Memorial Hospital, Inc.

803 F. Supp. 2d 96, 51 Employee Benefits Cas. (BNA) 1410, 2011 U.S. Dist. LEXIS 30548
CourtDistrict Court, D. Connecticut
DecidedMarch 24, 2011
DocketCivil 3:09cv511 (JBA)
StatusPublished
Cited by3 cases

This text of 803 F. Supp. 2d 96 (Peterson v. Windham Community Memorial Hospital, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peterson v. Windham Community Memorial Hospital, Inc., 803 F. Supp. 2d 96, 51 Employee Benefits Cas. (BNA) 1410, 2011 U.S. Dist. LEXIS 30548 (D. Conn. 2011).

Opinion

RULING ON MOTION FOR SUMMARY JUDGMENT

JANET BOND ARTERTON, District Judge.

Plaintiff Robert Peterson filed a Second Amended Complaint on September 25, 2009 claiming that by amending and/or terminating benefits under its Retiree Health Insurance Program, Defendant Windham Community Memorial Hospital (“Windham”) breached a promise to provide Peterson with lifetime health insurance benefits and is accordingly liable to Peterson under ERISA § 502(a)(1)(b) and (a)(3) for ERISA estoppel and breach of contract; and by failing to provide Peterson with accurate information about his insurance benefits while Peterson was a plan participant, and after Peterson requested information through his attorney, Windham breached its fiduciary duty to Peterson under ERISA § 502(a)(3) and violated its duty to supply requested information under ERISA § 502(c)(1). Wind-ham has moved [Doc. #42] for summary judgment on all counts of Peterson’s Second Amended Complaint. For the reasons discussed below, Windham’s Motion for Summary Judgment will be granted.

*99 I. Relevant Factual Background

In 1982, Windham hired Peterson, then 22 years old, as a medical technologist. Peterson worked for Windham until April 30, 2007, and during that time received promotions to supervisor of the blood bank and transfusion services, laboratory operations director, laboratory director, administrative director of laboratory and radiology, assistant vice president for business development, and vice president of operations, respectively. Beginning February 1, 1982, Peterson participated in the Wind-ham Retiree Health Insurance Eligible Plan (“Plan”), which, upon Peterson’s retirement, would entitle him to the same health benefit coverage as active Windham employees.

Although Martin Levine, Vice President of Human Resources at Windham, testified during his Rule 30(b)(6) deposition that he could not find and had never seen a Summary Plan Description (“SPD”) for the Plan and did not know whether one existed (Levine Dep., Ex. 2 to Pl.’s 56(a)2 Stmt. [Doc. # 57], at 11:12-15, 14:15-18, 16:7-10, 72:2-13), Windham produced five documents that it claims are Plan SPD’s from various time periods (Def.’s Loe. R. 56(a) 1 Stmt. [Doc. # 44] ¶ 6, Exs. L, M, N, O, P). These SPDs describe Windham’s Employee Medical Plan and are not limited to retiree benefits; in fact, the first two SPDs, with October 1, 1992 and April 1, 1996 effective dates, do not explicitly provide that retirees are eligible for medical benefits (Exs. L, M to Def.’s 56(a)l Stmt.). An SPD effective October 1, 1999 provides that a full-time employee hired prior to October 1, 1988 who had “attained at least age 50 ... and just prior to his or her retirement had completed at least 15 years of continuous, full-time service” would be eligible for Plan coverage. (10/1/99 SPD, Ex. N to Def.’s 56(a)l Stmt., at 9.) An additional undated SPD lists the same retiree eligibility criteria (Ex. O to Def.’s 56(a)l Stmt, at 33), and an SPD effective October 1, 2003 provides that a retired employee “meeting all requirements for retiree health insurance coverage by your Employer” would be eligible for coverage (10/1/03 SPD, Ex. P to Defi’s 56(a)l Stmt., at 12).

Peterson understood his eligibility for retiree health benefits in a similar light to the eligibility criteria listed in the 1999 SPD, believing that in order to qualify for full health benefits “I had to work until I was 50, and I had to have at least 15 years of continuous full-time service.” (Peterson Dep., Ex. A to Def.’s 56(a)l Stmt, at 78:4-17.) A brochure dated January 2004 contained the same eligibility criteria with respect to retirees (Ex. H to Def.’s 56(a)l Stmt.), as did a June 24, 1997 memorandum to department managers (Ex. J to Def.’s 56(a)l Stmt.). However, Peterson had not seen the brochure at the time of its distribution (Peterson Dep. at 99:21-100:18) and did not recall receiving the 1997 memorandum, although he did recall sometimes receiving similar documents describing modifications to Windham benefits {id. at 158:22-160:3). These documents contained provisos that their contents may be modified by Windham. (Exs. H, J to Def.’s 56(a)l Stmt.)

Each of the SPDs explicitly reserves Windham’s rights to modify, amend, or terminate the medical-benefits plan. (Ex. L to Def.’s 56(a) 1 Stmt, at IV-9, Ex. M at 71, Ex. N at 95, Ex. O at 52, Ex. P at 111.) Peterson nonetheless believed that Windham had, in effect, promised him that if he satisfied the eligibility criteria, he would receive lifetime benefits. He testified in his deposition that he never saw any document that reserved Windham’s right to modify or terminate the Plan. (Peterson Dep. at 111:23-114:3, 160:9-25.) He also testified that he never saw in any *100 document that Windham could not modify or terminate the Plan, but recalled oral statements made at “staff meetings and department head meetings” that implied the insurance benefit “guaranteed health insurance for life.” (Id.) He also recalled that Windham human resources directors as well as CEOs John Peck and Fred Hyde told him that the retiree health insurance benefit was “guaranteed for life.” (Id. at 37:23-38:13.)

Several Windham letters and memoranda addressed to employees and retirees also bear on the issue of medical benefit longevity. A February 5, 1980 letter from John Peck to “Health Insurance Plan Participants” explains: “eligible employees, retirees, and their spouse may look forward to continued health insurance on a no cost basis.” (Ex. 7 to PL’s 56(a)2 Stmt.) An October 6, 1986 letter from Peck to “Retirees” provides: “the Board of Trustees and the Administrators of your hospital will continue your present benefits, and improve them whenever possible.” (Ex. 6 to PL’s 56(a)2 Stmt, at 2.) A July 19, 1988 letter from Fred Hyde to “Employee” states that medical benefits “will be provided to you as a retiree on the same basis as they are provided to Windham employees.” (Ex. 5 to PL’s 56(a)2 Stmt, at 1.)

Peterson recalled turning down a job opportunity during the 1990s for a lab director position at Cape Cod Hospital that would have paid him between $5,000 and $10,000 more than he earned at Wind-ham because he did not want to forego the insurance benefit at Windham. (Peterson Dep. at 148:5-151:2.) Peterson also rejected an opportunity during the 1990s to work in business equipment sales for a company named Admiral that would have paid him “at least” $10,000 more than he earned at Windham “based on a number of factors” including the “promise of ... health insurance for life” at Windham and the fact that the Admiral position was not in the medical field. (Id. at 151:12-154:12.) Peterson interviewed for a lab director position at Manchester Memorial Hospital during the 1990s as well, but after becoming a finalist for that position, which Manchester ultimately did not fill for financial reasons, Peterson “pretty much reached a decision” that he would not accept the position if it were offered because Manchester did not provide a lifetime health insurance benefit. (Id. at 154:13-156:22.)

Windham terminated the retiree health insurance benefit on April 1, 2006 for all non-union employees who did not meet the age and service requirements as of that date. (Ex.

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Bluebook (online)
803 F. Supp. 2d 96, 51 Employee Benefits Cas. (BNA) 1410, 2011 U.S. Dist. LEXIS 30548, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peterson-v-windham-community-memorial-hospital-inc-ctd-2011.