Ward v. Bethenergy Mines, Inc.

851 F. Supp. 235, 1994 WL 184405
CourtDistrict Court, S.D. West Virginia
DecidedMay 11, 1994
DocketCiv. A. 2:93-0904
StatusPublished
Cited by7 cases

This text of 851 F. Supp. 235 (Ward v. Bethenergy Mines, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Bethenergy Mines, Inc., 851 F. Supp. 235, 1994 WL 184405 (S.D.W. Va. 1994).

Opinion

MEMORANDUM OPINION AND ORDER

HADEN, Chief Judge.

Pending are Plaintiffs motion to join a necessary party and the cross-motions of the Plaintiff and defendant Bethenergy Mines, Inc. (“Bethenergy”) for summary judgment. For reasons following, the Court DENIES the Plaintiffs motion for joinder, GRANTS the Plaintiffs motion for summary judgment, in part, and DENIES Bethenergy’s motion for summary judgment.

I.

The facts are not in dispute. Plaintiff was an employee of Bethenergy until his termination from employment on December 18, 1990. Bethenergy provides a health plan for its employees pursuant to the provisions of the Consolidated Omnibus Budget Reconciliation Act, popularly known as COBRA. The applicable portions of COBRA have been summarized as follows:

“COBRA provides that employers must allow former employees the opportunity to continue health care coverage under the employer’s plan if a qualifying event occurs. 29 U.S.C. § 1161. Such coverage usually is provided by the employer at the employee’s own expense, not to exceed 102% of the employer’s cost. 29 U.S.C. § 1162(3). The plan administrator must give appropriate notice of COBRA rights on two separate occasions. Under 29 U.S.C. § 1166(a)(1), covered employees must be notified of their rights under COBRA at the time of the commencement of coverage under the plan. The second round of notice-giving is triggered by a qualifying event. 29 U.S.C. § 1166(a)(4). Termination of employment is a qualifying event. 29 U.S.C. § 1163(2). In the event of termination of a covered employee, an employer must notify the administrator of the group health plan within thirty days of the termination. 29 U.S.C. § 1166(a)(1). The plan administrator, in turn, must notify the discharged employee and other qualified beneficiaries within fourteen days of their COBRA rights and allow them at least sixty days to decide whether to elect continuation of their group health plan coverage. 29 U.S.C. §§ 1165(1), 1166(a)(4) and (c), 1167(3)(B). Discharged employees generally may elect such coverage for up to eighteen months following their termination. 29 U.S.C. § 1162(2)(A)(i).” Phillips v. Riverside, Inc., 796 F.Supp. 403, 405-06 (E.D.Ark.1992).

*237 See generally Michael J. Canan, Qualified Retirement and Other Employee Benefit Plans § 2.8, at 58-65 (1994).

Bethenergy admits it did not notify the administrator of its group health plan within thirty days of the plaintiffs termination as required by 29 U.S.C. § 1166(a)(1). In fact, Bethenergy did not notify the plan administrator, defendant Pen-Wel, Inc. acting on behalf of the Secretary of the Insurance Board of Bethlehem Steel Corporation, of Plaintiffs termination until April 5, 1991, over fifteen months after the Plaintiffs termination. The plan administrator promptly informed Plaintiff of his right to continued COBRA health plan coverage within fourteen days of Bethenergy’s belated notification of Plaintiffs termination, as required by 29 U.S.C. § 1166(a)(1).

After being notified of his right to continue COBRA coverage, Plaintiff timely exercised that right in June of 1991. It is clear Plaintiff had the option to extend his health plan coverage only for the eighteen months following his termination. 29 U.S.C. § 1162(2)(A)(i). Thus, Plaintiffs coverage was due to expire at the end of June, 1991. Although no demand was made for the first twelve months of premiums 1 , the plan administrator immediately billed Plaintiff for $3340.86, the entire amount of the last six months of premiums he would owe. Plaintiff could not pay the entire amount at once, and the plan administrator did not provide the requested coverage.

During the period Plaintiff desired continuation coverage, he incurred medical expenses. Although the total monetary amount of medical bills incurred by Plaintiff during the desired continuation coverage period is unclear from the record, Plaintiff has submitted exhibits showing medical expenses incurred. Plaintiffs motion for summary judgment, Exhibits 1-7. Had continuation coverage been in effect, Plaintiffs medical expenses would have been covered and paid for by the health plan.

II.

A.

Plaintiff seeks to join Bethlehem Steel Corporation (“Bethlehem”) to this case. Plaintiff contends Bethlehem was the plan administrator, and that the plan administrator is hable to him for damages for not providing him with timely notice of his COBRA continuation rights. However, under COBRA, the plan administrator’s obligation to notify a plan participant of continuation rights does not arise until the administrator is informed of the qualifying event, in this case termination, by the employer. 29 U.S.C. § 1166(a)(1). After the employer notifies the administrator of the qualifying event, the administrator has fourteen days to notify the participant of his continuation rights. 29 U.S.C. § 1165(1).

Bethenergy belatedly notified the plan administrator of Plaintiffs qualifying event. However, the administrator notified Plaintiff of his continuation rights within the fourteen days prescribed by 29 U.S.C. § 1166(a)(3). This precise issue was addressed by the Court of Appeals for the Fifth Circuit in Kidder v. H & B Marine, Inc., 932 F.2d 347, 356-57 (5th Cir.1991), where the court stated:

“While a plan administrator ... generally does have ... a duty [to notify a plan participant of continuation rights], see § 1166(a)(4), that duty does not come into play unless the administrator is properly notified of the occurrence of a qualifying event by the employer. See 29 U.S.C.A. § 1166(a)(3).”

The Kidder

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Rose v. LAKE NORMAN PEDIATRICS, PA
590 S.E.2d 288 (Court of Appeals of North Carolina, 2004)
Chenoweth v. Wal-Mart Stores, Inc.
159 F. Supp. 2d 1032 (S.D. Ohio, 2001)
Vincent v. Wells Fargo Guard Services, Inc.
44 F. Supp. 2d 1302 (S.D. Florida, 1999)
Boucher v. Williams
13 F. Supp. 2d 84 (D. Maine, 1998)
Middleton v. Russell Group, Ltd.
483 S.E.2d 727 (Court of Appeals of North Carolina, 1997)
Moller v. State Personnel Board
105 F.3d 665 (Ninth Circuit, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
851 F. Supp. 235, 1994 WL 184405, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-bethenergy-mines-inc-wvsd-1994.