West St. Paul Federation of Teachers v. Independent School District No. 197

713 N.W.2d 366, 2006 Minn. App. LEXIS 54, 2006 WL 997868
CourtCourt of Appeals of Minnesota
DecidedApril 18, 2006
DocketA05-1020
StatusPublished
Cited by3 cases

This text of 713 N.W.2d 366 (West St. Paul Federation of Teachers v. Independent School District No. 197) is published on Counsel Stack Legal Research, covering Court of Appeals of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
West St. Paul Federation of Teachers v. Independent School District No. 197, 713 N.W.2d 366, 2006 Minn. App. LEXIS 54, 2006 WL 997868 (Mich. Ct. App. 2006).

Opinion

OPINION

DIETZEN, Judge.

Appellant challenges the district court’s final judgment granting summary judgment in favor of respondent on liability and awarding damages to respondent; and its denial of appellant’s motion for amended findings. Appellant argues that (1) it did not violate Minn.Stat. § 471.6161, subd. 5, because it did not reduce the “aggregate value of benefits” provided by the group health-insurance plan; (2) it did not commit an unfair labor practice under the Public Employee Labor Relations Act (PELRA); (3) section 471.6161, subdivision 5, is an unconstitutional delegation of legislative power; (4) the unfair-labor-practice claim was arbitrable under the collective-bargaining agreement; and (5) the proper measure of damages is out-of-pocket losses incurred by respondent’s members. We affirm.

FACTS

Respondent West St. Paul Federation of Teachers is the exclusive bargaining representative for public-school teachers employed by appellant West St. Paul Independent School District. The parties are signatories to a collective-bargaining agreement (CBA).

In May 2003, the parties were negotiating terms for a new 2003-05 CBA. The existing CBA required appellant to provide group health insurance to the teachers. The group health-insurance policy offered by appellant had two health-care coverages to choose from: Medica Elect (Elect) and Medica Choice (Choice). Although the benefit structures for the coverages were the same, Choice cost more because the *371 insured had an almost unlimited provider network. “Providers” are health-care professionals and facilities offering health services, including hospitals, physicians, skilled-nursing facilities, and pharmacies. A “provider network” is a group of providers that agrees to provide services to an insurance carrier’s customers for less than their usual fees. If an insured obtains the services of a non-network provider, that insured will incur greater out-of-pocket costs because the fees for services will not be subject to the discounted rate.

In the spring of 2003, appellant faced a projected 11.3% increase in premium rates for the existing health-care-benefit structure. As a result, appellant requested that its insurance committee explore options to control costs. Following its review, the majority of the insurance committee recommended an option that would limit the amount of the increase to 5%. Under this option, Elect was unchanged and maintained its benefit structure with the same limited provider network, but Choice changed considerably, including an increase in out-of-pocket máximums from $1,000 to $1,200; an increase in office-visit and emergency-care co-pays from $10 to $15; and a decrease in inpatient hospitalization coverage from 100% to 80%. To avoid the increased out-of-pocket expenses, members enrolled in the Choice coverage could switch to Elect coverage with its more limited provider network. Following a public hearing, the school board approved the recommended option; and modified the Choice health-insurance coverage available to teachers covered by the CBA.

Respondent brought suit against appellant, alleging that appellant’s unilateral change of the Choice coverage violated Minn.Stat. § 471.6161, subd. 5, and constituted an unfair labor practice under PEL-RA. Subsequently, both parties moved for summary judgment. The district court granted partial summary judgment for respondent, denied appellant’s motion, and ordered the matter to proceed to trial on the issue of damages.

At trial, appellant argued that the appropriate measure of damages was the out-of-pocket losses incurred by respondent’s members as a result of the change in the Choice coverage. Respondent argued that damages should be measured by the difference in premiums paid by appellant as a result of the change in Choice. Respondent offered the testimony of John Stiglich, an expert in health-insurance actuarial statistics. Stiglich testified that appellant’s out-of-pocket measure of damages was “not aetuarially sound” and that a premium-differential measure was the best measure of damages. Two teachers also testified that they remained with Choice coverage despite increased costs because their spouses, one of whom was receiving cancer treatments and the other of whom was pregnant, would have been forced to change physicians under Elect.

Following trial, the district court awarded respondent “an amount in damages equal to the difference between what [appellant] would have paid in premiums under the group health plan prior to the unlawful change in the plan and the premiums it did pay for the revised plan.” Subsequently, appellant moved for amended findings and conclusions of law and that the district court make additional findings of fact. The district court denied appellant’s motion. This appeal follows.

ISSUES

I. Did the district court err by granting summary judgment in favor of respondent on the claim that appellant violated MinmStat. § 471.6161, subd. 5?

II. Did the district court err by granting summary judgment in favor of respon *372 dent on the claim that appellant committed an unfair labor practice under PELRA?

III. Is Minn.Stat. § 471.6161, subd. 5, an unconstitutional delegation of legislative power?

IV. Did the district court err by declining to compel the parties to arbitration?

V. Did the district court abuse its discretion in awarding damages to respondent?

ANALYSIS

I.

When summary judgment is granted based on the application of a statute to undisputed facts, the result is a legal conclusion, which the court reviews de novo. Educ. Minnesota-Greenway, Local 1330 v. Indep. Sch. Dist. No. 316, 673 N.W.2d 843 (Minn.App.2004), review denied (Minn. Apr. 20, 2004). “When interpreting a statute, we first look to see whether the statute’s language, on its face, is clear or ambiguous. A statute is only ambiguous when the language therein is subject to more than one reasonable interpretation.” Minn. Ins. Guar. Ass’n v. Integra Telecom, Inc., 697 N.W.2d 223, 226 (Minn.App.2005), review denied (Minn. Aug. 16, 2005). Words and phrases lacking express statutory definition are construed according to their “common and approved usage.” Minn.Stat. § 645.08(1) (2004). “[W]ell-established rules of statutory construction require this court to harmonize apparently conflicting provisions where possible.” Septran, Inc. v. Indep. Sch. Dist. No. 271, 555 N.W.2d 915, 919 (Minn.App.1996), review denied (Minn. Feb. 26,1997).

A. Statutory Interpretation of Section 471.6161, subdivision 5

Minn.Stat. § 471.6161, subd. 5, states: “The aggregate value of benefits provided by a group insurance contract for employees covered by a collective bargaining agreement shall not be reduced, unless the public employer and exclusive representative of the employees of an appropriate bargaining unit ...

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713 N.W.2d 366, 2006 Minn. App. LEXIS 54, 2006 WL 997868, Counsel Stack Legal Research, https://law.counselstack.com/opinion/west-st-paul-federation-of-teachers-v-independent-school-district-no-197-minnctapp-2006.