Spragio v. BOARD OF TRUSTEES OF EMP. GROUP BENEFITS PROGRAM

468 So. 2d 1323
CourtLouisiana Court of Appeal
DecidedApril 16, 1985
Docket84 CA 0327
StatusPublished
Cited by12 cases

This text of 468 So. 2d 1323 (Spragio v. BOARD OF TRUSTEES OF EMP. GROUP BENEFITS PROGRAM) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spragio v. BOARD OF TRUSTEES OF EMP. GROUP BENEFITS PROGRAM, 468 So. 2d 1323 (La. Ct. App. 1985).

Opinion

468 So.2d 1323 (1985)

John A. SPRAGIO and Mrs. John A. Spragio
v.
The BOARD OF TRUSTEES OF the STATE EMPLOYEES GROUP BENEFITS PROGRAM, State of Louisiana.

No. 84 CA 0327.

Court of Appeal of Louisiana, First Circuit.

April 16, 1985.
Writ Denied June 17, 1985.

*1324 Jack P. Harris, Baton Rouge, for plaintiffs-appellees John A. Spragio and Mrs. John A. Spragio.

Tommy D. Teaque, Baton Rouge, for defendant-appellant Board of Trustees of the State Employees Group Benefits Program, State of Louisiana.

Before COLE, CARTER, and LANIER, JJ.

CARTER, Judge.

This is an appeal by defendant, the Board of Trustees of the State Employees Group Benefits Program, from the trial judge's decision ordering the Board to accept and approve plaintiffs' request for participation in the state's group insurance benefits program. Plaintiffs answered the appeal, seeking to have Act 243 of 1982, as it amends LSA-R.S. 42:851, declared unconstitutional.

FACTS

John A. Spragio was employed by the Department of Health and Human Resources (DHHR). As an employee of the state, he was a participant in the health and life insurance plan provided by the group benefits program.[1] He resigned from the Division of Family Services in February of 1976, when he was forty-nine years old. At the time of his resignation, Spragio had acquired 27.4 years of membership service credit in the Louisiana State Employees Retirement System.[2]

Although vested with retirement benefits, he could not receive these benefits until he reached fifty-five years of age. From the time he resigned until his 55th birthday, Spragio was not eligible and was not a participant in the health and life insurance plan provided by the State Employees Group Benefits Program.[3]

Subsequent to his resignation, but prior to the time Spragio became eligible to receive retirement benefits, the Board of Trustees of the State Employees Group Benefits Program was created by Acts 1979, No. 745, Section 1, effective July 20, 1979.[4] On March 19, 1980, the Board *1325 adopted a resolution[5] to define "retiree" for purposes of insurance benefits program eligibility. The Board's action excluded from eligibility those persons such as Mr. Spragio, who had resigned from state employment with the requisite years of service, but who were not yet eligible to receive their retirement stipends because they had not reached the required age.

On August 29, 1981, Spragio reached the requisite age (fifty-five) and became eligible to receive retirement benefits. However, upon applying for re-enrollment in the insurance benefits program, the Board refused to allow the Spragios to participate in the insurance benefits program based upon its March 19, 1980, resolution.

Plaintiffs filed a petition for declaratory judgment seeking a judicial determination of the validity of the Board's action. Thereafter, the Legislature, by virtue of Acts 1982, No. 243, Section 1, amended LSA-R.S. 42:821(A) and LSA-R.S. 42:851(A) to provide, in part, that an employee is "a retiree, as defined by the rules and regulations of the Board of Trustees of the State Employees Group Benefits Program...." In response to this action, plaintiffs filed a supplemental petition challenging the constitutionality of this amendment.

The trial judge rendered judgment in favor of plaintiffs, ordering the Board to allow plaintiffs to enroll in the insurance benefits program. From this judgment, the Board appeals, urging six assignments of error.[6] Plaintiffs answered the appeal challenging the constitutionality of Acts 1982, No. 243, Section 1, as it amended *1326 LSA-R.S. 42:821(A) and LSA-R.S. 42:851(A).

ASSIGNMENTS OF ERROR NOS. 1, 2, & 3

In these assignments of error, defendant contends that the trial court erred in finding that the Board superseded its authority in adopting the May 19, 1980, resolution defining "retiree." Defendant reasons that LSA-R.S. 42:853 is ambiguous and that the resolution is consistent with the provisions of LSA-R.S. 42:853.

By Acts 1979, No. 745, the Legislature created the Board of Trustees of the State Employees Group Benefits Program and empowered the Board to administer the program. See LSA-R.S. 42:871-879. Among the powers delegated to the newly created Board is the power "to adopt and promulgate rules and regulations for the operation of the board and for the administration and operation of the program, which shall not be inconsistent with the provisions of this Chapter or other applicable laws." LSA-R.S. 42:874(A)(5).

On May 19, 1980, the Board passed the resolution defining "retiree" as a person who prior to retirement was participating in the State Employees Group Benefits Program and who upon retirement was immediately eligible to receive retirement benefits.[7] However, at the time of Spragio's retirement, LSA-R.S. 42:851 provided, in part, as follows:

A. The state of Louisiana and each of its governmental and administrative subdivisions, departments, or agencies ... are authorized to procure contracts of insurance covering their respective employees, officials, and department heads, or any class or classes thereof under a policy or policies of group health, accident, accidental death and dismemberment, and hospital, surgical, or medical expense benefits, or may adopt, administer, or operate or contract for all or a portion of the administration, operation, or both, of a self-funded program for that purpose. Each such contract shall be approved by the Board of Trustees of the State Employees Group Benefits Program.... The dependents of any such employees, officials, or department heads may be covered under group policies or programs which provide hospital, surgical, or medical expense benefits. (Emphasis added)

Additionally, LSA-R.S. 42:853, which was neither amended nor repealed, specifically or by implication, by Acts 1979, No. 745, provided as follows:

For the purposes of R.S. 42:821 through 852, the terms "employees", "officials", "department heads" and "heads of departments" shall include any former employee, official, department head or head of department who is enjoying the benefits of retirement. (Emphasis added)

Defendant argues that LSA-R.S. 42:853 is ambiguous in that "enjoying the benefits of retirement" is susceptible to a number of interpretations, including free time to pursue hobbies, more time to spend with family, or simply not having to get up for work five days a week. Defendant further argues that since the statute is ambiguous, the Board had the authority to define "retiree" because the broad grant of authority given the Board includes the power to promulgate reasonable definitions of terms not otherwise defined by statute. We disagree.

The fundamental rule of construction is to ascertain and give effect to the intention of the legislature as expressed in the statute. Webb v. Parish Council, 217 La. 926, 47 So.2d 718 (1950); Clark v. Board of Comrs., Etc., 422 So.2d 247 (La. App. 4th Cir.1982); Parish of Jefferson v. Stansbury, 228 So.2d 743 (La.App. 4th Cir. 1969). It is, therefore, presumed that the legislature understood the meaning and effect of the words used in a statute and intended to use those words, that every provision has a useful purpose, and that effect is to be given to each provision. State v. Texas Co., 205 La. 417, 17 So.2d 569 (1944); State v. Coulon, 197 La. 1058, *1327

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Bluebook (online)
468 So. 2d 1323, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spragio-v-board-of-trustees-of-emp-group-benefits-program-lactapp-1985.