Snedeker v. Bd. of Review, Div. of Emp. SEC.

354 A.2d 331, 139 N.J. Super. 394
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 19, 1976
StatusPublished
Cited by8 cases

This text of 354 A.2d 331 (Snedeker v. Bd. of Review, Div. of Emp. SEC.) 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
Snedeker v. Bd. of Review, Div. of Emp. SEC., 354 A.2d 331, 139 N.J. Super. 394 (N.J. Ct. App. 1976).

Opinion

139 N.J. Super. 394 (1976)
354 A.2d 331

MARIE SNEDEKER, CLAIMANT-RESPONDENT,
v.
BOARD OF REVIEW, DIVISION OF EMPLOYMENT SECURITY, DEPARTMENT OF LABOR AND INDUSTRY, RESPONDENT-RESPONDENT, AND GIMBEL BROTHERS, INC., RESPONDENT, AND STORE WORKERS SECURITY PLAN, RESPONDENT-APPELLANT.

Superior Court of New Jersey, Appellate Division.

Submitted September 29, 1975.
Decided February 19, 1976.

*397 Before Judges ALLCORN, KOLE and GAULKIN.

Messrs. Checki and Politan, attorneys for respondent-appellant Store Workers Security Plan (Mr. Nicholas H. Politan, on the brief).

Mr. William F. Hyland, Attorney General of New Jersey, attorney for respondent Board of Review (Mr. Michael S. Bokar, Deputy Attorney General, of counsel; Mr. Jeffrey P. Blumstein, Deputy Attorney General, on the brief).

No brief was filed on behalf of respondent Gimbel Brothers, Inc.

No brief was filed on behalf of claimant-respondent Marie Snedeker.

The opinion of the court was delivered by KOLE, J.A.D.

Marie Snedeker (claimant) was employed by Leinoff Associates, an employer covered by the State Temporary Disability Benefits Plan (State Plan), from February 28, 1972 to March 29, 1973 at a salary of $150 a week plus expenses. Concurrent with this employment she worked three nights a week and Saturdays as a salesgirl at Gimbel Brothers, Inc. (Gimbel), a private plan employer associated with the Store Workers Security Plan (Store Plan) at a salary of $52.43 a week.[1] On March 29, 1973 she worked *398 for Leinoff Associates during the day and for Gimbel at night. The next morning, March 30, 1973, she suffered a pulmonary embolism and was not able to return to work until September 4, 1973.

Claimant applied to the State Plan for disability benefits under the Temporary Disability Benefits Law (the act), N.J.S.A. 43:21-25 et seq., with respect to her employment with Leinoff Associates, and received $81 in weekly benefits from March 30, 1973 to May 17, 1973, a total of $567. At the same time she applied to Gimbel for the payment of benefits under the Store Plan and received $34 a week in benefits from March 30, 1973 to September 3, 1973.

Meanwhile, on May 22, 1973 the Division of Unemployment and Temporary Disability Insurance of the Department of Labor and Industry (the Division) notified claimant that she was not entitled to any benefits from the State Plan, since her period of disability had commenced while she was covered under a private plan. It stated that "[we] shall refer your claim to your employer's insurance carrier for refund of benefits erroneously paid by the State Plan."

Claimant filed an appeal with the Division respecting the $34 a week disability benefits paid her by Gimbel through the Store Plan. A hearing was held before a Private Plan hearing officer for the Division's Board of Review. He determined that she was in concurrent employment during some part of the day preceding the commencement of her disability and that "[as] one of the two employers had a Private Plan, she is eligible for benefits under that plan at $81.00 a week, the amount she would receive if covered only under the State Plan." He held that Store Plan was required to pay her $81 a week for disability benefits from March 30 to September *399 3, 1973 and in effect directed Store Plan to reimburse the State Plan for the $567 paid her by the latter plan. Store Plan appeals.

The Board relied on N.J.A.C. 12:18-2.10(c) in determining that Store Plan alone was required to pay claimant benefits equivalent to those to which she would have been entitled had all her employment been covered under the State Plan.

N.J.A.C. 12:18-2.10(c) provides:

If an employee is in concurrent employment with two or more employers of whom only one has a private plan, under which such employee is covered, then the employee shall be eligible to receive, under such private plan, benefits not less than he would be eligible to receive if covered only under the State plan with respect to all employment, and no benefits shall be payable under the State plan for disability commencing while he is covered under such private plan.

Store Plan appears to make no claim that the regulation here involved is not authorized by statute. However, the State has addressed itself to this issue. We do likewise, since it is essential to a determination of the constitutional challenge raised by Store Plan.

We have concluded that there is such authority, both in the general power given to the Division to enact rules and regulations to administer statutes subject to its control, N.J.S.A. 43:21-11, and in the provisions of N.J.S.A. 43:21-33 and N.J.S.A. 43:21-37.

N.J.S.A. 43:21-33 provides that a covered individual "shall not be entitled to any benefits from the State disability benefits fund with respect to any period of disability commencing while he is covered under an approved private plan." N.J.S.A. 43:21-37 grants disability benefits under the State Plan to any "covered individual who on the date of the commencement of a period of disability is not entitled to disability benefits under an approved private plan * * *." It is thus evident that the Legislature intended that an employee covered by a private plan while disabled *400 should not be permitted to obtain benefits from the State Plan.

Additionally, other provisions of the act make it plain that the right to have private plans approved by the Division is an option expressly left to employers and employees under the circumstances outlined in the statute. However, the statute is framed to provide that the exercise of such option would in no wise interfere with the integrity and solvency of the state fund from which payments must be made to those who participate in the State Plan. Indeed, while recognizing that private plans may have advantages and appeal to many employers and employees, the act emphasizes the role of the State Plan and the necessity of keeping it properly funded and free from the hazard of adverse risks. See, e.g., N.J.S.A. 43:21-26; 43:21-32; 43:21-35; 43:21-46.

The purpose of the act is to protect New Jersey workers against loss of income caused by nonemployment-related accident or sickness. See Butler v. Bakelite Co., 32 N.J. 154, 160-162 (1960).

It provides that all employers covered by its provisions are automatically included within a State Plan. It establishes a state disability benefits fund, financed by both employer and employee contributions, out of which all benefit payments are made. Pursuant to the act, however, an employer, at his option, may establish a private plan for the payment of the required disability benefits in lieu of State Plan benefits. Benefits under a private plan may be provided by a contract of insurance issued by a duly licensed insurer, an agreement between an employer or a group of employers and a union or association representing employees, or a specific undertaking of the employer as a self-insurer. Any such private plan must be approved by the Division and have disability benefits and requirements for eligibility therefor at least equivalent to those under the State plan.

*401 From the foregoing it is apparent that the regulation here challenged, N.J.A.C.

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Cite This Page — Counsel Stack

Bluebook (online)
354 A.2d 331, 139 N.J. Super. 394, Counsel Stack Legal Research, https://law.counselstack.com/opinion/snedeker-v-bd-of-review-div-of-emp-sec-njsuperctappdiv-1976.