ROBBINSVILLE EDUCATION ASSOCIATION VS. ROBBINSVILLE BOARD OF EDUCATION (L-2447-19, MERCER COUNTY AND STATEWIDE)

CourtNew Jersey Superior Court Appellate Division
DecidedAugust 16, 2021
DocketA-3459-19
StatusUnpublished

This text of ROBBINSVILLE EDUCATION ASSOCIATION VS. ROBBINSVILLE BOARD OF EDUCATION (L-2447-19, MERCER COUNTY AND STATEWIDE) (ROBBINSVILLE EDUCATION ASSOCIATION VS. ROBBINSVILLE BOARD OF EDUCATION (L-2447-19, MERCER COUNTY AND STATEWIDE)) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ROBBINSVILLE EDUCATION ASSOCIATION VS. ROBBINSVILLE BOARD OF EDUCATION (L-2447-19, MERCER COUNTY AND STATEWIDE), (N.J. Ct. App. 2021).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-3459-19

ROBBINSVILLE EDUCATION ASSOCIATION,

Plaintiff-Appellant,

v.

ROBBINSVILLE BOARD OF EDUCATION,

Defendant-Respondent. ____________________________

Argued August 2, 2021 – Decided August 16, 2021

Before Judges Mawla and Rose.

On appeal from the Superior Court of New Jersey, Law Division, Mercer County, Docket No. L-2447-19.

Sanford R. Oxfeld argued the cause for appellant (Oxfeld Cohen, PC, attorneys; Sanford R. Oxfeld, of counsel and on the brief; Jesse Humphries, on the brief).

Matthew J. Giacobbe argued the cause for respondent (Cleary Giacobbe Alfieri Jacobs, LLC, attorneys; Matthew J. Giacobbe, of counsel and on the brief). PER CURIAM

Plaintiff Robbinsville Education Association (Association) appeals from

a March 26, 2020 Law Division order affirming an arbitration award entered in

favor of defendant Robbinsville Board of Education (Board). We affirm.

Pursuant to paragraph 14.1 of a collective negotiations agreement (CNA),

the parties agreed as follows:

Healthcare Coverage: The Board shall provide healthcare coverage . . . equal to the New Jersey School Employees' Health Benefits Program (SEHBP) Direct 15.[1] As required by [New Jersey] law under the provisions of Chapter 78, P.L. 2011, [2] employees are required to pay a contribution toward the cost of health benefits coverage based on a specified percentage of the medical and prescription drug plan premiums. The Board . . . assumes the balance of the costs per this [a]greement.

In 2018, the Board proposed a change to the health benefit administration

by implementing a "Difference Card" that Association members could use to

pay for medical services for the 2018-19 school year. The prior school year, the

Board provided three health plans including one through Aetna, which had a

1 The Direct 15 health plan has a fifteen-dollar co-pay. 2 Chapter 78 codified as N.J.S.A. 52:14-17.28c, collectively with N.J.S.A. 18A:16-17.1(a), governs the provision of health care coverage for school board employees, the percentage of contribution by employees to their medical coverage, and negotiation of these obligations by means of a CNA. A-3459-19 2 fifteen-dollar co-pay in accordance with paragraph 14.1 of the CNA. The plan

cost the Board $4,448,201. However, in May 2018, Aetna advised the Board

the cost for the same plan for 2018-19 school year would increase by nine

percent to $4,848,491. As a result, the Board discontinued the fifteen-dollar co-

pay plan and maintained three plans with Aetna each requiring a fifty-dollar co-

pay. It then contracted with Difference Card to provide Association members

with credit cards to pay the thirty-five-dollar difference between their fifteen-

dollar co-pay under the CNA and the fifty dollars required by the less expensive

Aetna plan. The new plan cost the Board $3,032,318; the Difference Card

charged the Board $844,718 to cover the difference in co-pays; and the Board's

total cost for providing insurance was $3,877,036 for the 2018-19 school year.

The Association filed a grievance and request for binding arbitration with

the Public Employment Relations Commission (PERC). Pursuant to the parties'

agreement, PERC designated an arbitrator who considered the evidence and

heard testimony from Alexander DeVicaris, a New Jersey Education

Association (NJEA) field representative, on behalf of the Association, and

Joseph Columbo, an insurance broker, on behalf of the Board. The arbitrator

issued a detailed twenty-two-page written decision, and at the outset framed the

question presented as follows: "Did the Board violate Article 14.1 of the parties'

A-3459-19 3 [CNA] or the related statutes with regard to the Chapter 78 contributions the

employees were required to pay toward their health benefits in the 2018-2019

school year? If so, what shall be the remedy?"

The Association argued the Board violated the CNA and the law because

Difference Card was not an insurance carrier or health care provider and instead

issued a "carrier neutral" credit card, which did not provide medical benefits, to

pay claims. The Association also argued the cost paid to Difference Card was

not chargeable to its members because it was not a fixed insurance premium, but

could increase depending on the cost of the claims in a given year. The

Association claimed the Board should pay twenty percent of the Board's cost for

the Difference Card, or $168,944.

The Board argued it violated neither the CNA nor the statute because the

co-pay remained at fifteen dollars and the amount paid by the Difference Card

represented a portion of the insurance premium, which happened to be self-

insured. The Board claimed the Difference Card was a form of self-insurance

as defined by Section 39 of Chapter 78, which states:

As used in this section, "cost of coverage" means the premium or period charges for medical . . . plan coverage . . . provided under the . . . [SEHBP]; or the premium or periodic charges for health care . . . provided pursuant to P.L.1979, c.391 (C.18A:16-2 et seq.), [N.J.S.A. 40A:10-16] et seq., or any other law by

A-3459-19 4 a local board of education, local unit or agency thereof . . . when the employer is not a participant in the . . . [SEHBP].

[N.J.S.A. 52:14-17.28c.]

The arbitrator recounted the testimony of both witnesses, noting

DeVicaris testified that a Difference Card employee, who did not testify, told

him Difference Card was not a healthcare provider. The arbitrator stated:

But even if I credit that remark it only means that the Difference Card itself did not provide medical benefits. That's true to a certain extent; the Difference Card itself was not paying to keep the employee co-pay at [fifteen dollars]. Rather, it was facilitating – or administering – that result on behalf of the Board by letting the employee health providers use its credit card to cover the balance of the [fifty dollar] co-pay. Consequently, I find that [the non-testifying witness'] remark does not mean that the Board did not provide a medical benefit by paying the co-pay difference so that the employees' health care plan would remain at the [fifteen dollar] co- pay.

. . . [T]he cost to maintain and/or to lower the co- pay must be part of the overall premium or cost of the overall health benefit plan. Based thereon I find that the [thirty-five dollars] the Board paid the Difference Card towards the co-pay was part of the medical benefit that the Board was required to provide for the employees as part of their overall medical benefits. Even DeVicaris recognized that the co-pay is part of a health plan[']s medical expense.

A-3459-19 5 The arbitrator concluded although the Difference Card was not an

insurance carrier or provider, "it did provide a medical benefit paid by the

Board." Furthermore, citing Article 14.1 of the CNA, the arbitrator noted it did

not require the Board to provide insurance solely through a carrier. Rather, the

"Article only requires a contribution to the cost of health coverage based upon

a percentage of the medical and prescription drug plan premiums." Canvassing

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ROBBINSVILLE EDUCATION ASSOCIATION VS. ROBBINSVILLE BOARD OF EDUCATION (L-2447-19, MERCER COUNTY AND STATEWIDE), Counsel Stack Legal Research, https://law.counselstack.com/opinion/robbinsville-education-association-vs-robbinsville-board-of-education-njsuperctappdiv-2021.