Virginia Beach Policemen's Benevolent Association Robert Matthison, Joint Trustee of the Centurion Health and Welfare Benefit Plan Michael F. Gelardi, Joint Trustee of the Centurion Health and Welfare Benefit Plan v. Robert B. Reich, Secretary of Labor United States Department of Labor, Michael F. Gelardi, in His Official Capacity as a Trustee of the Centurion Health Trust Robert W. Mathieson, in His Official Capacity as a Trustee of the Centurion Health Trust Virginia Beach Police Benevolent Association, Local 34 v. Andrew J. Karpinski, Individually and in His Official Capacity as Commissioner of Insurance for the State of New Jersey Jack Ehnes, Individually and in His Official Capacity as Commissioner of Insurance for the State of Colorado Linda S. Kaiser, Individually and in Her Official Capacity as Commissioner of Insurance for the Commonwealth of Pennsylvania Edward J. Muhl, Individually and in His Official Capacity as Superintendent of Insurance for the State of New York
This text of 96 F.3d 1440 (Virginia Beach Policemen's Benevolent Association Robert Matthison, Joint Trustee of the Centurion Health and Welfare Benefit Plan Michael F. Gelardi, Joint Trustee of the Centurion Health and Welfare Benefit Plan v. Robert B. Reich, Secretary of Labor United States Department of Labor, Michael F. Gelardi, in His Official Capacity as a Trustee of the Centurion Health Trust Robert W. Mathieson, in His Official Capacity as a Trustee of the Centurion Health Trust Virginia Beach Police Benevolent Association, Local 34 v. Andrew J. Karpinski, Individually and in His Official Capacity as Commissioner of Insurance for the State of New Jersey Jack Ehnes, Individually and in His Official Capacity as Commissioner of Insurance for the State of Colorado Linda S. Kaiser, Individually and in Her Official Capacity as Commissioner of Insurance for the Commonwealth of Pennsylvania Edward J. Muhl, Individually and in His Official Capacity as Superintendent of Insurance for the State of New York) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
96 F.3d 1440
20 Employee Benefits Cas. 1836
NOTICE: Fourth Circuit Local Rule 36(c) states that citation of unpublished dispositions is disfavored except for establishing res judicata, estoppel, or the law of the case and requires service of copies of cited unpublished dispositions of the Fourth Circuit.
VIRGINIA BEACH POLICEMEN'S BENEVOLENT ASSOCIATION; Robert
Matthison, joint trustee of the Centurion Health and Welfare
Benefit Plan; Michael F. Gelardi, joint trustee of the
Centurion Health and Welfare Benefit Plan, Plaintiffs-Appellants,
v.
Robert B. REICH, Secretary of Labor; United States
Department of Labor, Defendants-Appellees.
Michael F. GELARDI, in his official capacity as a Trustee of
the Centurion Health Trust; Robert W. Mathieson, in his
official capacity as a Trustee of the Centurion Health
Trust; Virginia Beach Police Benevolent Association, Local
34, Plaintiffs-Appellants,
v.
Andrew J. KARPINSKI, individually and in his official
capacity as Commissioner of Insurance for the State of New
Jersey; Jack Ehnes, individually and in his official
capacity as Commissioner of Insurance for the State of
Colorado; Linda S. Kaiser, individually and in her official
capacity as Commissioner of Insurance for the Commonwealth
of Pennsylvania; Edward J. Muhl, individually and in his
official capacity as Superintendent of Insurance for the
State of New York, Defendants-Appellees.
Nos. 95-1773, 95-2013.
United States Court of Appeals, Fourth Circuit.
Argued June 5, 1996.
Decided Sept. 10, 1996.
ARGUED: Wyatt B. Durrette, Jr., DURRETTE, IRVIN & BRADSHAW, P.C., Richmond, Virginia, for Appellants. Alexander Fernandez, Michael Edmond Goldman, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Appellees. ON BRIEF: Barrett E. Pope, Arnold C. Moore, Jr., William O. Quirey, Jr., DURRETTE, IRVIN & BRADSHAW, P.C., Richmond, Virginia; Michael T. Leibig, Carla M. Siegal, ZWERDLING, PAUL, LEIBIG, KAHN, THOMPSON & DRIESEN, P.C., Fairfax, Virginia, for Appellants. Thomas S. Williamson, Jr., Marc I. Machiz, Leslie C. Perlman, Karen L. Handorf, Dan Doyle, Stephen G. Smith, Anne L. Buckborough, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Appellees.
E.D.Va.
AFFIRMED.
OPINION
Before RUSSELL, WILKINS, and NIEMEYER, Circuit Judges.
PER CURIAM:
The Virginia Beach Policemen's Benevolent Association ("PBA") is a labor union established to support Virginia Beach police officers. The PBA is the recognized collective bargaining representative of all security personnel employed at Ocean Breeze Festival Park, Inc. ("Ocean Breeze"). The PBA and Ocean Breeze entered into a collective bargaining agreement on October 20, 1992. That agreement created the Centurion Health Trust, which established the Centurion Health & Welfare Benefit Plan (the "Centurion Plan") to provide health benefits to PBA members.
The Centurion Plan began providing health coverage in January 1993. Since its inception, the Centurion Plan has actively solicited health insurance business in various states. The Centurion Plan currently covers approximately 10,000 individuals, even though only approximately 20 of its covered individuals are PBA members employed by Ocean Breeze.
Under § 3(40)(A)(i) of ERISA, a "multiple employer welfare arrangement" is an employee welfare benefit plan that offers or provides welfare benefits to the employees of two or more employers. 29 U.S.C. § 1002(40)(A)(i). A multiple employer welfare arrangement is subject to state insurance regulations unless it is established or maintained pursuant to an agreement that the Secretary of Labor finds to be a collective bargaining agreement. 29 U.S.C. §§ 1002(40)(A)(i) and 1144(b)(6).
On December 17, 1992, representatives of the Centurion Plan requested that the Secretary of Labor issue an advisory opinion finding that the Centurion Plan is established or maintained pursuant to a collective bargaining agreement, and thus exempt from state insurance regulations under ERISA § 3(40)(A)(i). The Secretary responded that he was not prepared to make a finding under ERISA § 3(40)(A)(i). Subsequently, the Department of Labor decided that, in lieu of making case-specific determinations, it would develop a regulation to address whether multiple employer welfare plans are established or maintained pursuant to collective bargaining agreements. On November 14, 1994, the Department of Labor formally announced its intention to publish such a regulation. 59 Fed.Reg. 57,800 (Nov. 14, 1994).
Meanwhile, state regulators have attempted to bring the Centurion Plan into compliance with the insurance laws of the states in which Centurion has marketed its health coverage. On April 20, 1993, the Centurion Plan entered into a consent decree with the Commonwealth of Virginia in which it agreed not to recruit new health plan participants until the Secretary of Labor determined whether the Centurion Plan was established or maintained pursuant to a collective bargaining agreement. Nevertheless, the Centurion Plan steadfastly maintains that it is exempt from state insurance regulations because it is established or maintained pursuant to a collective bargaining agreement.
On December 3, 1993, the PBA and the trustees of the Centurion Plan brought an action against the Secretary of Labor, alleging that the Secretary violated a statutory mandate by refusing to make a determination that the Centurion Plan was established pursuant to a collective bargaining agreement.* The appellants sought judicial review under the Administrative Procedures Act, 5 U.S.C. § 701, et seq., of the Secretary of Labor's failure to make a determination. In the alternative, they sought a writ of mandamus ordering the Secretary of Labor to make a determination, or a declaratory judgment finding--in spite of the Secretary's silence--that the Centurion Plan is established or maintained pursuant to a collective bargaining agreement.
On March 22, 1995, the district court granted summary judgment in favor of the Secretary of Labor. Virginia Beach Policemen's Benevolent Ass'n v. Reich, 881 F.Supp. 1059 (E.D.Va.1995) (Smith, J.). The district court held that the appellants could not seek judicial review under the APA. A party seeking judicial review must show that the agency's action (or failure to act) is a "final agency action," 5 U.S.C. § 704, and is not committed by law to the discretion of the agency, 5 U.S.C. § 701(a)(2). The district court concluded that the Secretary's refusal to make an individual determination on the Centurion Plan while it is developing a general regulation applying to all such determinations did not constitute a final agency action. Virginia Beach PBA, 881 F.Supp. at 1064-66. Furthermore, the district court exhaustively reviewed the legislative history of ERISA § 3(40)(A)(i) and concluded that the Secretary's determination under that section is committed to agency discretion and therefore unreviewable. Id. at 1066-71.
Free access — add to your briefcase to read the full text and ask questions with AI
Related
Cite This Page — Counsel Stack
96 F.3d 1440, 1996 U.S. App. LEXIS 28823, Counsel Stack Legal Research, https://law.counselstack.com/opinion/virginia-beach-policemens-benevolent-association-robert-matthison-joint-ca4-1996.