Retired Employees Ass'n of Orange County, Inc. v. County of Orange

742 F.3d 1137, 2014 WL 555156, 2014 U.S. App. LEXIS 2748
CourtCourt of Appeals for the Ninth Circuit
DecidedFebruary 13, 2014
Docket12-56706
StatusPublished
Cited by6 cases

This text of 742 F.3d 1137 (Retired Employees Ass'n of Orange County, Inc. v. County of Orange) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Retired Employees Ass'n of Orange County, Inc. v. County of Orange, 742 F.3d 1137, 2014 WL 555156, 2014 U.S. App. LEXIS 2748 (9th Cir. 2014).

Opinion

OPINION

McKEOWN, Circuit Judge:

For the second time, we consider what health benefits retired Orange County employees have under contract with the County of Orange (“County”). The Retired Employees Association of Orange County (“Retired Employees” or “REAOC”), which represents 4,600 retired employees and their spouses, sued the County, alleging that the Retired Employees have an implied vested right to the pooling of their health care premiums with those of current employees (“pooled premium”). Like the district court, we are sympathetic to the retirees’ plight. As the California Court of Appeal reflected in an earlier case involving medical benefits for retirees, “[t]he spiraling cost of health care in America is simply unconscionable. The present high cost of medical insurance has unfortunately become a fact of life which in most instances results in disparate rates and medical coverage for those who can least afford it, including retirees.” Ventura Cnty. Retired Emps.’ Ass’n v. Cnty. of Ventura, 228 Cal.App.3d 1594, 1598, 279 Cal.Rptr. 676 (1991). Nonetheless, we have no choice but to affirm the district court’s grant of summary judgment in favor of the County because REAOC failed to raise a genuine issue of material fact regarding its alleged implied contract right to the pooled premium, leaving its implied contract claim without factual or legal support.

FACTUAL AND PROCEDURAL BACKGROUND

I. History of the County’s Pooled Benefits

This suit arises from the County’s decision to stop pooling retired and active employee health insurance premiums. The County first began providing group medical insurance for its retired employees in 1966. The County subsequently decided to cover retiree health insurance premium costs through a monthly grant.

Over a decade later, the County’s Board of Retirement (“Retirement Board”) voted, due to budgetary concerns, to stop providing monthly grants for prospective retirees but to continue the grants for employees retiring before June 28, 1979. Orange Cnty. Emps. Ass’n v. Cnty. of Orange, 234 Cal.App.3d 833, 839, 285 Cal.Rptr. 799 *1139 (1991). This decision provoked the first round of benefits litigation, which took six years to wind its way through the California courts. Id. at 837, 845, 285 Cal.Rptr. 799. The Orange County Employees Association (“OCEA”) and other unions asked the County Board of Supervisors (“Board”) to override the Retirement Board’s decision on statutory grounds, but the Board refused. 1 Orange Cnty. Emps. Ass’n, 234 Cal.App.3d at 837-41, 285 Cal.Rptr. 799. The California Court of Appeal ruled that “the statutory scheme permits local agencies to consider the differences between retired and active employees in providing health benefits.” Id. at 843, 285 Cal.Rptr. 799. The court of appeal also upheld the County’s decision, stating that the relevant statute “does not mandate equal treatment of active and retired employees.” Id. at 841, 285 Cal.Rptr. 799.

Apart from the dispute over responsibility for payment of premiums, another cost dispute began to brew over premium rates. From 1966 through 1984, on an annual basis, the County approved one premium rate for active employees and another rate for retired employees. Under this separate premium rate structure, the Board intended for each group’s premiums to cover that group’s claims and administrative costs.

Then, starting in 1985 and continuing through 2007, the County decided to pool health insurance premium rates for retired and active employees. The Board approved the pooled premium to “equaliz[e] active and retiree rates” and to resolve a $900,000 budget shortfall for retiree healthcare costs that resulted from a large number of retiree insurance claims mistakenly being reported as active employee claims. Pooling retiree premium rates with those of active employees immediately increased retiree rates by 72% on average, a less drastic measure than the alternative considered of increasing only retiree premium rates by 112% on average. Over time, however, the pooled premium substantially subsidized retiree premium rates. According to expert testimony, the pooled premium remained an important issue in negotiations between the Board and the unions. The Board approved these pooled health plan rates on a yearly basis.

The County continued to face mounting budgetary concerns, caused in part by high health insurance premium costs. In 2004, the County conducted a review of its retiree health insurance program. After further negotiations between the County and various labor unions, the parties reached an agreement, effective January 1, 2008, to reform the County’s health care program. In relevant part, the agreement split the insurance rate pool. This pool splitting meant that active employee health benefit premiums would be calculated separately from those of retired employees. Although REAOC did not directly participate in these negotiations, it did take part in related discussions with other labor unions and the County.

II. Challenges to the County’s Termination of the Pooled Premium

In response to the County’s decision to terminate the pooled premium, REAOC filed suit in the Central District of California seeking declaratory and injunctive *1140 relief. Among other claims, 2 REAOC argued that the County’s longstanding practice of pooling and the County’s representations to employees regarding that practice created an implied contract right to continued pooled premiums for employees who retired prior to January 1, 2008. Retired Emps. Ass’n of Orange Cnty. v. Cnty. of Orange (“REAOC I”), 632 F.Supp.2d 983, 986 (C.D.Cal.2009). On cross-motions, for summary judgment, the district court granted the County’s motion for summary judgment on all claims. Id. at 988. The district court determined that “California courts have refused to find public entities contractually obligated to provide specified retirement benefits like those [REAOC] seeks in the absence of explicit legislative or statutory authority.” Id. at 987. The court found that the County “has no contractual obligation to continue providing the pooling benefit” to retirees. Id. at 987.

REAOC appealed the judgment with respect to its contract clause claims. In response, we certified the following question to the California Supreme Court: “Whether, as a matter of California law, a California county and its employees can form an implied contract that confers vested rights to health benefits on retired county employees.” Retired Emps. Ass’n of Orange Cnty. v. Cnty. of Orange (“REAOC II”), 610 F.3d 1099, 1101 (9th Cir.2010). The California Supreme Court answered affirmatively, stating that vested health benefits “can be implied under certain circumstances from a county ordinance or resolution.” Retired Emps. Ass’n of Orange Cnty. v. Cnty. of Orange (“REAOC III”),

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Cite This Page — Counsel Stack

Bluebook (online)
742 F.3d 1137, 2014 WL 555156, 2014 U.S. App. LEXIS 2748, Counsel Stack Legal Research, https://law.counselstack.com/opinion/retired-employees-assn-of-orange-county-inc-v-county-of-orange-ca9-2014.