Van Hoove v. Mid-America Building Maintenance, Inc.

841 F. Supp. 1523, 1993 U.S. Dist. LEXIS 18962, 1993 WL 560901
District Court, D. Kansas·Decided December 15, 1993·No. Civ. A. 90-1068-FGT·Published·Cited by 16 cases

Opinion

OPINION AND ORDER

THEIS, District Judge.

The plaintiff, Wanda Van Hoove, brought this action for alleged violations of the Consolidated Omnibus Budget Reconciliation Act (“COBRA”) amendments, 29 U.S.C. §§ 1161 et seq., to the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. §§ 1001 et seq. 1 Specifically, plaintiff alleges that defendant Mid-America Building Maintenance, Inc., (“Mid-America”) failed to comply with the notice requirements of 29 U.S.C. § 1166. Plaintiff seeks to recover damages, prejudgment interest, attorney’s fees, and a $100 per day penalty under ERISA’s civil enforcement provision, 29 U.S.C. § 1132. The matter was tried to the court the week of September 27, 1993. The court heard the testimony of a number of witnesses and had the opportunity to evaluate their demeanor and credibility. The parties have filed their proposed findings of fact and conclusions of law. After considering the evidence presented and the arguments of the parties, the court now issues the following findings of fact and conclusions of law.

FINDINGS OF FACT

1. Defendant Mid-America Building Maintenance, Inc., (“Mid-America”) is a Kansas corporation that contracts to perform janitorial services for various businesses. Mid-America has, and has had at all times relevant to this action, its main office in Wichita, Kansas, and branch offices in surrounding towns.

2. Gary Ackerman is a forty-nine percent shareholder in Mid-America. He is the company’s vice president in charge of day-to-day operations, as well as the corporate secretary-treasurer. (Testimony of Gary Acker-man).

3. Abel Perez is Mid-America’s personnel director. He has held that position full time since October 27, 1987. Perez testified that his responsibilities include administering employee programs, including health insurance. Perez handled payroll deductions, answered employee questions, enrolled employees in the health insurance plan, and provided COBRA notifications to employees. (Testimony of Abel Perez).

*1527 4. Perez testified that he received information regarding health insurance from Lisa Bacon, an employee of Corroon and Black, and from Ed Wilson, an insurance consultant with whom Mid-America contracted on an hourly basis. Perez estimated that he spoke to Bacon three or four times per month, when he had questions. Perez testified that he followed any advice or instructions Bacon gave him. Perez testified that his only training regarding COBRA came from Ed Wilson. Perez had no formal COBRA training. (Testimony of Abel Perez).

5. Allen J. Reed was a part time employee of Mid-America from April 27, 1987, to May 9,1987, at which time Reed quit his job. Reed was rehired as a full time employee on or about August 22, 1987. He remained a full time employee of Mid-America until he again terminated his employment on or about April 11, 1988. Reed worked out of Mid-America’s Winfield, Kansas, office. (Testimony of Allen Jay Reed; Defendant’s Exhibit C).

6. Reed became eligible for benefits, including Mid-America’s employee health insurance plan, on November 22, 1987, three months after he started full time employment with Mid-America. (Ex. 35).

7. At the time Reed became eligible for health insurance, Mid-America had a health insurance policy from Mutual Benefit Life. On January 1, 1988, the company dropped the Mutual Benefit Life policy in favor of a policy issued to the Trade Association Group Insurance Trust (“Trust”), of which Mid-America was a contributing member. The insurance was provided by Lincoln National Life Insurance Company (“Lincoln National”). (Plaintiffs Exhibits 8 & 9; Testimony of Abel Perez).

8. It is undisputed that Mid-America was the plan administrator under the Mutual Benefit Life policy. (Testimony of Abel Perez).

9. Lincoln National had executed an agreement with Corroon and Black Benefits, Inc., (“Corroon and Black”) in which Corroon and Black agreed to undertake certain administrative functions for the Trust’s insurance plan. The agreement is entitled “Limited Administrator Agreement (Third-Party Administrator).” The agreement provided that the Administrator, Corroon and Black, was responsible for claims processing, receiving premiums, administrative duties, and underwriting. The administrative duties specifically included informing policyholders of termination or lapse in coverage. The agreement did not specifically address COBRA notification. (Plaintiffs Exhibit 38).

10. Neither the policy (Plaintiffs Exhibit 9) nor the Trust Agreement (Plaintiffs Exhibit 8) designates a plan administrator.

11. The plaintiff, Wanda Van Hoove, is the former spouse of Allen Jay Reed. Reed and Van Hoove were married on May 24, 1983. Reed and Van Hoove filed for divorce in Cowley County, Kansas, District Court on April 29, 1988. Van Hoove had signed the divorce petition on April 7, 1988. Neither Van Hoove nor Reed sought a legal separation. The court entered a divorce decree on October 5, 1988. (Defendant’s Exhibit H).

12. Before Reed and Van Hoove decided to divorce, they lived in a house located at 618 East 16th Street, Winfield, Kansas. Reed testified that he moved from that house on April 4, 1988. Van Hoove testified that Reed moved from the house sometime before she signed the divorce petition. Therefore, the court finds that Reed was no longer living at 618 East 16th Street, Winfield, Kansas, at the time he terminated his employment with Mid-America. (Testimony of Wanda Van Hoove and Allen Reed).

13. As the spouse of Allen Reed, plaintiff was eligible for health insurance coverage through Mid-America’s policy. Plaintiff became eligible at the same time as Reed, November 1987. (Testimony of Allen Reed).

14. In November 1987 Reed and Van Hoove became covered under the Mutual Benefit group coverage. When Mid-America switched from Mutual Benefit to Lincoln National on January 1, 1988, Reed and Van Hoove became covered under the new plan. (Testimony of Wanda Van Hoove and Allen Reed; Plaintiffs Exhibit 24).

15. At the time of coverage under the Lincoln National policy, Reed was issued a Certificate of Insurance by Lincoln National. *1528 The Certificate was included in a booklet entitled ‘Tour Group Insurance Plan.” This booklet was published by the Trust. (Plaintiffs Exhibit 24).

16. On the subject' of continuation coverage, the booklet states:

An employee whose medical insurance would otherwise end for any reason, except the ending of this policy, may continue his or her medical insurance and his or her dependent’s medical insurance, subject to the following terms:
a. This continuation applies to employees who have been insured under this policy for at least three months in a row.
b.

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Van Hoove v. Mid-America Building Maintenance, Inc., 841 F. Supp. 1523, 1993 U.S. Dist. LEXIS 18962, 1993 WL 560901 (D. Kan. 1993).

841 F. Supp. 1523 (Van Hoove v. Mid-America Building Maintenance, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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