Whiteside v. Metropolitan Life Insurance

798 F. Supp. 1380, 1992 U.S. Dist. LEXIS 18165, 1992 WL 175988
CourtDistrict Court, D. Minnesota
DecidedJune 25, 1992
DocketCiv. 5-91-78
StatusPublished
Cited by5 cases

This text of 798 F. Supp. 1380 (Whiteside v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Whiteside v. Metropolitan Life Insurance, 798 F. Supp. 1380, 1992 U.S. Dist. LEXIS 18165, 1992 WL 175988 (mnd 1992).

Opinion

ORDER

ERICKSON, United States Magistrate Judge.

I. Introduction

The above-titled matter came before the undersigned United States Magistrate Judge pursuant to the consent of the parties that the entirety of the action, including any trial of the issues, be conducted by the Magistrate Judge in accordance with the provisions of Title 28 U.S.C. § 636(c)(1).

Following the close of discovery, the parties filed Cross-Motions for Summary Judgment, and those Motions are presently before the Court for decision. Arguments of counsel were heard at a Hearing held on April 23, 1992, 1 at which the Plaintiff appeared by Thomas F. Andrew, and the Defendant appeared by Amy K. Posner.

As more fully detailed hereinafter, the Court finds that there are no genuine issues of material fact and that the Defendant is entitled to Judgment as a matter of law.

II. Factual and Procedural Background

This is an action arising under the provisions of the Employee Retirement Income Security Act of 1974 (“ERISA”), Title 29 U.S.C. §§ 1001 et seq., 2 as a result of the Defendant Metropolitan Life Insurance Company’s (“MetLife’s”) denial of group life insurance benefits to the Plaintiff, Desiree Whiteside. The Plaintiff is the widow and the named beneficiary, under the group life insurance policy here in question, of Roger Whiteside. Stipulation of Facts, at ¶ 15. 3 Mr. Whiteside had been employed as an electrical lineman by the Arrowhead Electric Cooperative, Inc. (“Cooperative”), until his accidental, work-related death on October 1, 1990. Stipulation of Facts, at ¶ 12. The sole basis for Met-Life’s denial of the claimed benefits was that Mr. Whiteside had not completed one month of continuous full-time employment with the Cooperative at the time of his death, and would not have completed that period of employment until October 4,1990. As such, MetLife concluded that Mr. White-side was not a covered employee under the terms of the policy.

The policy in question was incident to an employee benefit program sponsored by an association of electric cooperatives known as the National Rural Electric Cooperative *1383 Association (“NRECA”). As a member of that Association, the Cooperative subscribed to an employee welfare benefit plan that NRECA administered and that was referred to as the National Rural Electric Cooperative Group Benefits (“NRECGB”) Trust. In order to fund the life insurance portion of its employee benefit plan, the NRECGB Trust purchased a group term life insurance policy from MetLife. The NRECGB Trust and its component benefit plans are regulated and governed by ERISA. Stipulation of Facts, at ¶ 3.

As here pertinent, the Summary Plan Description and the related employee benefit plan documents address employee eligibility in the following terms:

WHEN YOU BECOME COVERED
When you are hired as a full-time Employee, you may enroll yourself * * *. If you enroll, your coverage will begin when you complete the employment waiting period shown in the Schedule of Benefits.

Stipulation of Facts, at 11 6.

******

ELIGIBLE EMPLOYEES

All full-time Employees of Arrowhead Electric Cooperative, Inc.

EMPLOYEE WAITING PERIOD

Coverage begins after one month of continuous full-time employment.

Id.

The plan documents define “employee” as meaning “a person who is employed and paid for services by [the Cooperative] on a full-time basis,” 4 and a “full-time employee” is defined as an “employee who has worked, or who it is anticipated will have worked, at least 1,000 hours during his first 12 months of employment” with the Cooperative. 5 The “waiting period” is the “length of time an employee must wait before he or she is eligible for benefits,” and the plan documents reflect that the Cooperative was permitted to elect one of five different “waiting periods,” extending from “no waiting period” to “6 months of employment.” Stipulation of Facts, at If 6; and see, Exhibit C to the Stipulation of Facts, at page 3. Notably, the plan documents also required that, to be eligible, the employee had to be “actively working”:

You must be actively at work as an Employee in order for your Personal Benefits to become effective. If you are not actively at work as an Employee on the date when your Personal Benefits would otherwise become effective, your Personal Benefits will become effective on the date of your return to active work as an Employee.

Stipulation of Facts, at 11 5 and 11 6.

In addition to defining pertinent terminology, the plan documents also furnish illustrative examples of how the waiting periods are to be administered. While not entirely on point, since the example assumes a three month waiting period, the following example is instructive:

B. For NON-CONTRIBUTORY COVERAGES, the employee becomes insured automatically on the date he becomes eligible, provided that he is actively at work. This applies whether or not the Enrollment for Participation in Retirement and Insurance Program form has been completed.
Example # 1
Conditions:
—Date of hire — March 3, 1990
—System waiting period — 3 months
—No prior service
—Enrollment form signed on March 3, 1990
—Contributory coverage

*1384 Conclusion:

Coverage is effective on June 3, 1990. Since the enrollment form was completed before the end of the waiting period, coverage becomes effective upon completion of the waiting period.

Stipulation of Facts, at 1f 8.

By an application filed on July 12, 1990, Mr. Whiteside sought employment as a lineman with the Cooperative and advised that he would be available for work “2 weeks after notice.” Stipulation of Facts, at ¶ 9. In response to his application, on August 14, 1990, the Cooperative, in a letter signed by its Manager, accepted Mr. Whiteside’s application and offered him a position as a “3rd year apprentice” with a starting date of September 5, 1990. Id. Mr.

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Bluebook (online)
798 F. Supp. 1380, 1992 U.S. Dist. LEXIS 18165, 1992 WL 175988, Counsel Stack Legal Research, https://law.counselstack.com/opinion/whiteside-v-metropolitan-life-insurance-mnd-1992.