Roberts v. Board of Education

480 N.E.2d 143, 134 Ill. App. 3d 303, 89 Ill. Dec. 257, 1985 Ill. App. LEXIS 2103
CourtAppellate Court of Illinois
DecidedJune 18, 1985
DocketNos. 4-84-0848, 4-84-0849 cons.
StatusPublished
Cited by2 cases

This text of 480 N.E.2d 143 (Roberts v. Board of Education) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roberts v. Board of Education, 480 N.E.2d 143, 134 Ill. App. 3d 303, 89 Ill. Dec. 257, 1985 Ill. App. LEXIS 2103 (Ill. Ct. App. 1985).

Opinion

PRESIDING JUSTICE GREEN

delivered the opinion of the court:

On February 10, 1984, and February 14, 1984, plaintiffs, Carol Sue Roberts and Gary T. Hayes, respectively, initiated separate suits in the circuit court of Sangamon County against defendant, board of education of Auburn Community Unit School District No. 10, Sangamon County. Each plaintiff sought reimbursement for medical and hospital expenses incurred by them directly or on behalf of a dependent. During September 1983, each plaintiff asserted that the defendant had breached an obligation to provide medical and hospital insurance for them during that month. The cases were consolidated for trial. After a bench trial, the circuit court found for defendant in each case. Plaintiff’s separate appeals have been consolidated in this court. We affirm in both cases.

An unusual set of circumstances gave rise to this dispute. Prior to and during the 1982-83 school year, plaintiffs were tenured teachers for the defendant. Plaintiff Roberts worked part time, while plaintiff Hayes worked full time. Due to a reduction in force for the defendant school district, the services of both plaintiffs were terminated effective the end of the 1982-83 school year. Section 24 — 12 of the School Code (Ill. Rev. Stat. 1981, ch. 122, par. 24—12) states that when a tenured teacher’s services are terminated in this manner, the teacher shall be paid “all earned compensation on or before the third business day following the last day of pupil attendance in the regular school term.” However, a practice had developed in the defendant district to permit these teachers to receive their pay over a 12-month period, receiving the balance of their earned pay not in a lump sum at the end of the term but receiving paychecks at the end of June, July and August.

The procedure of permitting the discharged teachers to receive their final pay in installments was developed as a concession to them. The Horace Mann Insurance Company (Horace Mann), which provided medical and hospitalization insurance to the employees of defendant under a group policy, had permitted discharged teachers to continue coverage as long as premiums were paid for them. Under the collective bargaining agreement between the Auburn Education Association and the defendant, the defendant paid the portion of the premium which covered the benefits to the teacher and deducted from the teacher’s salary and paid over to the insurance company the portion of the premium which covered the teachers’ dependents. The practice which had developed in regard to teachers terminated because of a reduction in force was for the defendant to deduct the entire premium to cover both the former teacher’s coverage and the teacher’s dependent coverage. The premium deducted and paid in a given month gave coverage for the succeeding month. Thus, the deduction from the final August payment to the teacher paid a premium for coverage through the month of September.

Although the nature of the arrangements by which plaintiffs were to be paid during the summer of 1983 is disputed, they did receive paychecks towards the end of June, July and August, with deductions made to cover insurance premiums. These deductions were applied toward the premium for the group policy to cover the next month at the end of June and July. However, the defendant’s policy with Horace Mann expired on July 1, 1983. Notice had been given that the premium on a new policy would be much higher. The Auburn Education Association and defendant were both dissatisfied with the amount of the increase. By agreement between defendant and Horace Mann, the policy was extended to cover the months of July, August, and September, with defendant paying for the entire amount by which the premium had been increased. In early September, agreement was reached to enter into an insurance contract with another carrier. A new policy with another carrier was obtained in early September 1983, with the policy taking effect as of September 1, 1983. Agreement was reached with Horace Mann to terminate their policy effective September 1,1983.

The defendant deducted money from each of plaintiff’s final payments in August 1983 just as it had done in the previous months of June and July, but this money was never applied to the payment of insurance to cover plaintiffs. The new carrier was not subject to the tacit arrangement with Horace Mann. The new contract gave no coverage to plaintiffs. As the Horace Mann contract had been terminated by agreement, Horace Mann was no longer liable to pay benefits to plaintiffs. It would appear that the special situation of plaintiffs was overlooked when the old contract with Horace Mann was terminated and the new agreement entered into. Given the existence of the new contract, there was nothing defendant could have done with the money deducted which would have provided coverage to plaintiffs unless some very special type of policy could have been issued for the one-month period.

Dr. James Doglio, superintendent of the defendant district, testified that both plaintiffs contacted him after their discharge and requested that they receive their money through the summer so that they might retain insurance coverage. Both plaintiffs testified that they could not remember any such meeting. Russell Nation, the local agent for Horace Mann, testified that he talked with both plaintiffs in September, explained to them that the Horace Mann policy was terminated, and told them they would have a right to convert their insurance coverage to an individual policy which had some but not all of the benefits of the former group policy by which plaintiffs were insured. Plaintiff Roberts accepted the offer and purchased the converted policy, thereby obtaining some substantial coverage that provided her with coverage for some of the medical and hospital expenses she incurred in September 1983. Plaintiff Hayes refused to obtain a converted policy.

Plaintiffs maintain that the defendant was the agent for the plaintiffs in obtaining medical and hospital insurance for them and that after making the deduction for a premium to cover that type of insurance for September 1983, defendant became obligated to plaintiffs to procure that type of insurance. In In re Estate of Albrecht (1975), 27 Ill. App. 3d 839, 327 N.E.2d 317, and Phelps v. Elgin Academy (1970), 125 Ill. App. 2d 364, 260 N.E.2d 864, questions arose as to whether a plaintiff or a plaintiff’s dependent was covered by group insurance policies. Conduct on the part of the employer might have bound the insurer to extend coverage if the employer had been an agent of the insurer. However, the courts ruled that the employer was ordinarily an agent of the employees for purpose of obtaining group insurance rather than an agent for the insurer. Plaintiffs maintain that here, the defendant was the agent of plaintiffs to procure coverage for them.

Some decisions in other States have ruled upon the nature of the duty of an employer to its employees in regard to the procurement and maintenance of group insurance covering employees. In Bushman v. Pure Plant Food International, Ltd. (S.D. 1983), 330 N.W.2d 762, an employer allowed a group medical insurance policy to lapse without informing his employees that this would take place.

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Cite This Page — Counsel Stack

Bluebook (online)
480 N.E.2d 143, 134 Ill. App. 3d 303, 89 Ill. Dec. 257, 1985 Ill. App. LEXIS 2103, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roberts-v-board-of-education-illappct-1985.