Reva Merrill v. Maine Public Employees Retirement System

2014 ME 100, 98 A.3d 211, 2014 WL 3823707, 2014 Me. LEXIS 108
CourtSupreme Judicial Court of Maine
DecidedAugust 5, 2014
DocketDocket Ken-13-406
StatusPublished
Cited by19 cases

This text of 2014 ME 100 (Reva Merrill v. Maine Public Employees Retirement System) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reva Merrill v. Maine Public Employees Retirement System, 2014 ME 100, 98 A.3d 211, 2014 WL 3823707, 2014 Me. LEXIS 108 (Me. 2014).

Opinion

SILVER, J.

[¶ 1] Reva Merrill appeals from a judgment entered in the Superior Court (Ken-nebec County, Marden, J.) affirming a de- *213 cisión of the Board of Trustees for the Maine Public Employees Retirement System denying her request for a waiver of past-due life insurance premiums. Merrill contends that the Board erred in interpreting 5 M.R.S. § 17103(6) (2008) 1 to prohibit it from waiving past-due payments for the non-mandatory Group Life Insurance Program, and that the Board’s administrative procedures violated her right to due process. Because we agree with Merrill that the Board has the authority to waive back premiums, we vacate the Board’s decision and remand the case for the Board to decide finally whether to waive Merrill’s required payments.

I. BACKGROUND

A. Factual Background

[¶2] The facts established in the administrative record are undisputed. Reva Merrill was a full-time public school teacher from 1978 until her retirement in 2007. As a teacher, she was eligible to participate in the Group Life Insurance (GLI) program, 5 M.R.S. §§ 18051-18061 (2008) 2 , and elected to do so in 1978. From 1978 to 1987, appropriate GLI premium payments were withheld from Merrill’s paychecks. In September 1988, Merrill left her first position to teach at Erskine Academy, a publicly funded private high school in China, Maine, and again she authorized premium deductions for GLI coverage. Soon thereafter, in October 1988, Merrill was hired to fill a vacancy in Maine School Administrative District (MSAD) No. 9. At that point Merrill took no action to either continue or terminate her GLI coverage, and MSAD No. 9 did not deduct her GLI premiums. 3 As a result, Merrill’s last GLI premium payment was made on September 30, 1988, and her GLI coverage lapsed for eighteen years.

[¶ 3] In March 2006, the Maine Public Employees Retirement System, after reviewing Merrill’s record, informed her by letter that her GLI status was listed as “refused.” Merrill advised the System that she thought she was covered. The System determined that the lapse in coverage was due to a payroll error by MSAD No. 9, and informed Merrill that pursuant to its Rule 601 § 4(C) 4 she had the option *214 to restore her GLI coverage by (1) paying $3241.44 of past-due premiums by May 17, 2006; (2) filing evidence of insurability for coverage; or (3) waiting for open enrollment, although no open enrollment period was anticipated in the near future.

[¶ 4] On May 30, 2006, Merrill paid the back GLI premium payments under protest. She also submitted evidence of in-surability and an application for coverage; however, the application was denied. Merrill subsequently sought administrative review to request the return of her past-due GLI premium payments. Meanwhile, the current GLI premiums were deducted regularly from her paychecks. By the time Merrill retired from MSAD No. 9 on July 1, 2007, she had participated in the GLI Program for over ten years, and she therefore met the statutory requirements to carry basic coverage into retirement at no cost, 5 M.R.S. § 18061(2)(A).

B. Merrill’s Administrative Appeal

[¶ 5] Starting in 2007 and continuing through the end of 2010, Merrill pursued an administrative appeal within the System seeking the return of her payment. On April 3, 2008, the executive director affirmed the System’s decision requiring Merrill to pay past premiums. Merrill appealed this decision to the Board of Trustees, and in May 2008, a testimonial hearing was held before a Hearing Officer. 5 In November 2008, the Hearing Officer issued a written recommendation to the Board opining that “[t]he decision of the Executive Director refusing to return [Merrill’s] payment may be sustained under strict application of [Rule 601 § 4(C) ], although the Board of Trustees has the discretion to waive all or part of her payment under Title 5, Section 17103(6).” 6 On January 15, 2009, the Board convened for a regular meeting and heard presentations by counsel for Merrill and for the System. The Board then voted unanimously to grant Merrill’s request for a waiver. By a letter dated January 21, 2009, the Board informed Merrill of its vote and stated that it expected to issue a formal decision within four weeks.

[¶ 6] The Board revisited the case at a meeting on February 12, 2009. The Assistant Attorney General serving as Board Counsel, who was charged with writing the Board’s final decision, requested guidance concerning the Board’s rationale for applying section 17103(6), which authorizes the Board to waive back payments resulting from an employer’s error, instead of Rule 601 § 4(C), which requires either back pay *215 or evidence of insurability. The Board voted to continue Merrill’s case and to reconsider its preliminary decision to grant a waiver.

[¶ 7] The Board took no further action on the case during the following twenty-two months. Merrill’s counsel sent letters to the Board on June 7, 2010, and November 8, 2010, requesting an official decision. On November 9, 2010, Board Counsel Mann informed Merrill that a new statutory provision, 5 M.R.S. § 17106-A (2013), 7 had become effective since the Board’s meeting in February 2009, and that this provision required the Board to adopt the hearing officer’s recommendation unless it contained errors of law or fact or constituted an abuse of authority.

[¶ 8] Finally, on December 9, 2010, the Board voted to adopt the decision of the executive director requiring Merrill to pay $8241.44 in past-due GLI premiums, and it issued a written decision to that effect on December 23, 2010. The decision acknowledged that the Board had the discretion to waive payments pursuant to section 17103(6) but did not address why this provision did not apply or why the Board reversed its preliminary decision granting Merrill’s request for a waiver.

C. Merrill’s First Rule 80C Appeal to the Superior Court

[¶ 9] Merrill sought judicial review of the Board’s decision pursuant to M.R. Civ. P. 80C. On December 13, 2011, the Superi- or Court entered an order vacating the Board’s decision and remanding the case for reconsideration on the merits. The court found no error in the Board’s conclusion that Rule 601 § 4(C) applies to Merrill’s case, but concluded that the Board had abused its discretion and acted arbitrarily and capriciously when it failed to explain its reversal of its preliminary decision granting Merrill’s request for a waiver:

The Board’s failure to consider waiver is especially troublesome because it had previously decided to grant waiver in Jahuary 2009, and nothing changed factually between then and the final vote in December 2010.

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2014 ME 100, 98 A.3d 211, 2014 WL 3823707, 2014 Me. LEXIS 108, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reva-merrill-v-maine-public-employees-retirement-system-me-2014.