Volkmann v. Wisconsin Laborers' Health Fund

615 F. Supp. 2d 822, 46 Employee Benefits Cas. (BNA) 1463, 2009 U.S. Dist. LEXIS 21169, 2009 WL 723187
CourtDistrict Court, W.D. Wisconsin
DecidedMarch 17, 2009
Docket08-cv-325-slc, 08-cv-326-slc
StatusPublished

This text of 615 F. Supp. 2d 822 (Volkmann v. Wisconsin Laborers' Health Fund) is published on Counsel Stack Legal Research, covering District Court, W.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Volkmann v. Wisconsin Laborers' Health Fund, 615 F. Supp. 2d 822, 46 Employee Benefits Cas. (BNA) 1463, 2009 U.S. Dist. LEXIS 21169, 2009 WL 723187 (W.D. Wis. 2009).

Opinion

OPINION AND ORDER

BARBARA B. CRABB, District Judge.

These are two civil suits growing out of decisions by union health and pension funds to terminate plaintiff David N. Volkmann’s participation in the funds retroactively and to return to his alleged employers the contributions they made on his behalf, less administrative costs. Plaintiff brought these two suits in the Small Claims Court for Burnett County, Wisconsin, alleging in the first case that defendant Wisconsin Laborers’ Health Fund owed him $1,166.00 in administrative costs and in the second case, that defendant Wisconsin Laborers’ Pension Fund owed him $5,000: $1,166.00 for administrative costs and $3,834.00 for the value of the pension benefits he would not receive. In addition, plaintiff asked defendants either to return to him the contributions made on his behalf to both funds or pay them out to *824 him in benefits. Alternatively, he asked the court to order defendants to accept the contributions and give him his pension and benefits under COBRA, plus court costs and interest.

Plaintiff is proceeding pro se. He contends that he was a bona fide participant in the defendant funds from February 2000 until January 2004 and that defendants acted improperly in finding that he was not an “employee” in “covered employment” entitled to participate in the funds. He takes issue with defendants’ decision that he was not a covered employee of either corporation but rather an owner of the corporations or a “substantial officer” and therefore ineligible for coverage under either fund.

Alleging federal question jurisdiction under 28 U.S.C. § 1331 and the Employee Retirement Income Security Act, 29 U.S.C. § 1132, defendants removed both cases to federal court, where they were assigned to United States Magistrate Judge Stephen Crocker while this district has a judicial vacancy. The parties have not yet stipulated to Magistrate Judge Crocker’s presiding over the cases. In the interim, I will decide the motions for summary judgment that are before the court. Although plaintiffs claims against the two defendants are not identical and the rules promulgated by the two are slightly different, the parties have treated the two cases as one and I will follow their example.

I conclude that plaintiff cannot maintain a suit against either defendant for return of his contributions. The only entities that would be entitled to a refund of contributions from this fund are the corporations who made the contributions on plaintiffs behalf, and they are not parties to this case. To the extent that plaintiff contends he is entitled to COBRA benefits and to retroactive pension credit in his own right, he would have to show both that he filed timely appeals from defendants’ decisions to deny him benefits and that defendants acted arbitrarily and capriciously when they found him ineligible for benefits under either plan from the period starting February 2000 and running through June of 2003. I conclude that he cannot make that showing.

For the sole purpose of deciding the motions, I find from the parties’ proposed facts that the following facts are both undisputed and material.

UNDISPUTED FACTS

Both defendants Wisconsin Laborers’ Health Fund and Wisconsin Laborers’ Pension Fund are employer-funded plans governed by the Employee Retirement Income Security Act, 29 U.S.C. §§ 1001-1461. Each defendant has its own board of trustees, consisting of an equal number of union members and employers.

Both funds have plan documents that are available to participants upon request. Defendant Health Fund’s plan document defines “employee” as any employee represented by the Union and working for an Employer as defined herein.” Plan Doc. § 13. It defines “covered work” as work performed by an employee for an employer under a written agreement requiring contributions to the fund for such work. § 2.7. Under § 3.1, the plan provides that, as a general rule, employees will become eligible for benefits if they perform covered work and sufficient contributions are made to the fund consistent with the plan document. An employee must have worked 600 hours in covered employment during a 12 consecutive month period. § 3.2.

Under § 3.23, employers may cover their non-bargaining unit employees only if they signed both a collective bargaining agreement and a participation agreement and all of their office staff and other non-bargaining unit employees who work a *825 minimum of 25 hours a week are covered through the Health Fund.

Section § 4.17 of the plan document gives the trustees discretion to amend and interpret the plan document, without notice, so long as the amendment is on a nondiscriminatory basis. Section 4.13 gives persons dissatisfied with a decision of the Board of Trustees 60 days in which to appeal a decision if they have received a Notice of Denial of a Claim and 90 days if they did not receive such a notice.

The Pension Fund’s plan document defines “covered employment” as “Employment of an Employee by an Employer for work under a written agreement requiring contributions to the Fund including such employment prior to the Contribution Period which would have resulted in contributions had the Fund been in existence.” § 1.10.

Section 2.2(b) of the plan allows an employee to become a participant only if he performed at least 750 hours or work in covered employment during a consecutive 12-month period. To qualify for a reciprocal pension, a participant must have at least one year of pension credit based on actual employment under the plan. An employee cannot be eligible for a reciprocal pension if he never worked in covered employment. § 4.03.

Like the Health Fund, the Pension Fund’s plan provides that the trustees shall be the sole judges of the application and interpretation of the plan, § 6.03; decisions of the trustees shall be final and binding on all parties, id.; and no lawsuit may be filed against the trustees or the fund until the matter has been submitted for review under the ERISA-mandated review procedure set forth in § 6.04 of the plan. Id. To appeal a denied claim, the claimant must file an appeal in writing within 60 days of receipt of notice of the benefit denial. § 6.04.

All employees on whose behalf either plan is receiving contributions receive a copy of the Summary Plan Document. Among other topics that the summary covers are the qualifications for becoming a participant in the fund and the time for appeal of any adverse decision.

The boards of both defendants drafted a handbook for distribution to employers when they begin to make contributions to the funds. The handbook explains that an employee is covered by a collective bargaining agreement only if he is subject to the salary or wage rate, fringe benefit and grievance procedures of the collective bargaining agreement and it provides that “[t]he employee cannot be a substantial officer (for example, president, vice president, secretary or treasurer) or owner of the Employer company.” Franken Aff., dkt. # 21, Exh.

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615 F. Supp. 2d 822, 46 Employee Benefits Cas. (BNA) 1463, 2009 U.S. Dist. LEXIS 21169, 2009 WL 723187, Counsel Stack Legal Research, https://law.counselstack.com/opinion/volkmann-v-wisconsin-laborers-health-fund-wiwd-2009.