Thomas v. Miller

CourtCourt of Appeals for the Sixth Circuit
DecidedJune 27, 2007
Docket05-2404
StatusPublished

This text of Thomas v. Miller (Thomas v. Miller) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Miller, (6th Cir. 2007).

Opinion

RECOMMENDED FOR FULL-TEXT PUBLICATION Pursuant to Sixth Circuit Rule 206 File Name: 07a0247p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT _________________

X Plaintiff-Appellant, - SILVIA J. THOMAS, - - - No. 05-2404 v. , > CHANCEY MILLER and ELMWOOD CEMETERY, - Defendants-Appellees. - N

Appeal from the United States District Court for the Eastern District of Michigan at Detroit. No. 05-70473—Julian A. Cook, Jr., District Judge. Submitted: January 24, 2007 Decided and Filed: June 27, 2007 Before: BOGGS, Chief Judge; and MERRITT and MOORE, Circuit Judges. _________________ COUNSEL ON BRIEF: Benjamin Whitfield, Jr., BENJAMIN WHITFIELD, JR. & ASSOCIATES, Detroit, Michigan, for Appellant. James F. Hermon, DYKEMA GOSSETT, Detroit, Michigan, for Appellees. _________________ OPINION _________________ BOGGS, Chief Judge. Silvia Thomas sued Elmwood Cemetery and Chancey Miller, her former employer and supervisor, respectively, for health benefits under the Consolidated Omnibus Reconciliation Act (“COBRA”). Both parties agreed that Elmwood falls below the statute’s application threshold of twenty or more employees, which is codified at 29 U.S.C. § 1161(b). Thomas argued, however, that the doctrine of equitable estoppel should bar the defendants from claiming that they fall below the statutory threshold. The district court granted summary judgment to Elmwood and Miller, holding as a matter of law that estoppel could not be applied to excuse the failure to meet the numerical threshold. This case presents two questions in the context of an action under COBRA. First, can the doctrine of equitable estoppel bar an employer, who employs fewer than the statute’s threshold of

1 No. 05-2404 Thomas v. Miller, et al. Page 2

twenty employees, from defending an action on that basis? Second, if equitable estoppel can so apply, can Thomas satisfy the doctrine’s requirements in this case? As we explain more fully below, the Supreme Court’s decision last term in Arbaugh v. Y & H Corp., 546 U.S. 500, 516 (2006), which held that such an application threshold is an element of a claim rather than a jurisdictional bar, renders this an open question in our circuit. There is no principled reason we can see, in Arbaugh’s wake, to set such a threshold apart from other elements of claims, which parties generally may concede, be ordered by a court to admit (as in a discovery sanction), or be equitably estopped from contesting. Thus, we hold that equitable estoppel may, in appropriate cases, bar an employer from arguing that it does not satisfy a statute’s numerical application threshold. Nevertheless, Thomas cannot satisfy the estoppel doctrine’s requirements in this case. Her claim cannot withstand summary judgment. We affirm the judgment of the district court.1 I Thomas was employed by Elmwood Cemetery from 1993 through January 16, 2004. The parties agree that Elmwood consistently employed fewer than twenty people during that period. Thomas had health insurance coverage provided by Elmwood while she was employed there, although she was not formally notified of that coverage’s termination until two months after Elmwood fired her. That notification took place during a phone call in the first week of March 2004. During that call, her provider informed her that “Elmwood Cemetery had notified them, in a letter signed by Mr. Miller, to cancel [her] health insurance coverage, retroactive to January 16, 2004, the date of [her] termination.” During Thomas’s employment, Elmwood offered COBRA benefits to another employee, John Winn.2 Thomas became aware of Elmwood’s provision of those benefits to Winn from “conversations overheard within the very small office in which [she] formerly worked.” Those conversations involved Winn’s failure to pay his COBRA premiums on time, which resulted in “trouble” between Miller and Elmwood’s board of directors. Since her termination, Thomas has suffered a series of strokes, which she believes were caused by her inability to obtain medical care after her termination. Thomas also developed serious cardiac and respiratory problems. Due to those maladies, Thomas incurred substantial medical expenses, portions of which remain outstanding or were paid using borrowed funds. Thomas filed suit in February 2005 against Elmwood and Miller. She alleged that they had a duty under 29 U.S.C. § 1162(a)(2), a provision of COBRA, to notify her “of her right to continue in force without interruption the health insurance that she had been provided as a perquisite of her employment.” Thomas alleged that the defendants failed to meet that duty. As a consequence, she

1 For the purposes of all questions, the analysis for Elmwood and Miller is identical. The law is settled in this circuit that, in cases where a COBRA claimant seeks relief for her employer’s failure to provide her with statutorily- required notice, personal liability does not attach to a representative of her former employer unless that representative is the administrator of the ERISA/COBRA plan. McDowell v. Krawchison, 125 F.3d 954, 962 (6th Cir. 1997). Here, it is likely that Miller was the administrator of whatever plan was at issue, because he seems to have been responsible for awarding COBRA benefits to the one employee who received them. Thomas alleged in her complaint that Miller was the ERISA plan administrator, and Elmwood never disputed that assertion. Nevertheless, because both defendants’ liability depends on whether Elmwood is covered by COBRA at all, the arguments that warrant affirming the judgment of the district court warrant doing so as to both defendants equally. 2 For covered employers, COBRA requires continuation health coverage to covered employees for eighteen months after a qualifying event (including termination) and notice to employees of their rights thereto. McDowell, 125 F.3d at 957-58. No. 05-2404 Thomas v. Miller, et al. Page 3

requested relief in the form of continued health coverage during the litigation, notification of her rights under COBRA, $100 per day as a penalty for failure to comply with the statute, and other appropriate remedies. She also sought attorney’s fees and costs. The defendants moved for summary judgment without filing an answer. They argued that COBRA did not apply to Elmwood3 because, at all times relevant to the litigation, Elmwood employed fewer than twenty people. COBRA applies only to employers with twenty or more employees. See 29 U.S.C. § 1161(b) (“Subsection (a) shall not apply to any group health plan for any calendar year if all employers maintaining such plan normally employed fewer than [twenty] employees on a typical business day during the preceding calendar year.”). Thomas conceded that Elmwood did not employ twenty or more people. Nevertheless, she claimed that the defendants offered continuing COBRA benefits to a white male employee and denied those benefits to her, a black female. She further claimed that Elmwood knowingly engaged in racist and sexist practices. She thus argued: Plaintiff is entitled to the application of an equitable estoppel as to Defendants who, by their wholly voluntary conduct in (a) providing as [sic] BC/BS health insurance, a perquisite to all of its employees, which included COBRA coverage upon separation and (b) actually providing COBRA coverage to one John Winn, (apparently because he was a white male) after he left Elmwood, created a condition suitable for the application of the doctrine to bar them from raising § 1162(b) as a defense.

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Bluebook (online)
Thomas v. Miller, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-miller-ca6-2007.