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OPINION OF TRUSTEES
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In Re
Complainants: Laid-off Employees
Respondent: Employer
ROD Case No: 84-629 – June 6, 1988
Board of Trustees: Joseph P. Connors, Sr., Chairman; Paul R. Dean, Trustee;
William B. Jordan, Trustee; William Miller, Trustee; Donald E. Pierce, Jr., Trustee.
Pursuant to Article IX of the United Mine Workers of America (“UMWA”) 1950 Benefit Plan and Trust, and under the authority of an exemption granted by the United States Department of Labor, the Trustees have reviewed the facts and circumstances of this dispute concerning health benefits coverage for laid- off Employees under the terms of the Employer Benefit Plan.
Background Facts
The Complainants were employed in classified positions with the Respondent until November 30, 1987, when they were laid off and the Respondent ceased operations. The Respondent was signatory to the National Bituminous Coal Wage Agreement (“Wage Agreement”) of 1984, but did not sign the 1988 Wage Agreement. The Complainants state that their health benefits coverage was terminated on January 31, 1988. The Complainants ask whether the Respondent or the 1974 Benefit Plan and Trust is responsible for providing continued health benefits coverage for the Complainants beyond January 31, 1988.
The representative for the Respondent contends that the Respondent is not obligated to provide health benefits coverage for the Complainants beyond January 31, 1988, the expiration date of the 1984 Wage Agreement.
Dispute
Whether the Respondent or the 1974 Benefit Plan and Trust is responsible for providing continued health benefits coverage for the Complainants beyond January 31, 1988.
Positions of the Parties
Position of the Complainants: The Complainants ask whether the Respondent or the 1974 Benefit Plan and Trust is responsible for providing continued health benefits coverage for the Complainants as laid-off Employees beyond January 31, 1988.
Position of the Respondent: The Respondent is not obligated to provide health benefits coverage for the Complainants beyond January 31, 1988, the expiration date of the 1984 Wage Agreement.
Pertinent Provisions
Article XX(c)(3)(i) of the National Bituminous Coal Wage Agreement of 1984 provides in pertinent part:
(3)(i) Each signatory Employer shall establish and maintain an Employee benefit plan to provide, implemented through an insurance carrier(s), health and other non-pension benefits for its Employees covered by this Agreement as well as pensioners, under the 1974 Pension Plan and Trust, whose last signatory classified employment was with such Employer. The benefits provided by the Employer to its eligible Participants pursuant to such plans shall be guaranteed during the term of this Agreement by that Employer at levels set forth in such plans. Such plans shall also include that each signatory Employer continue to make the death benefit payments in pay status as of December 5, 1977, for deceased Employees and Pensioners under the 1974 Pension Plan whose last signatory classified employment was with such Employer, in the same manner and in the same amounts as previously provided for in the 1974 Benefit Plan and Trust. The plans established pursuant to this subsection are incorporated by reference and made a part of this agreement, and the terms and conditions under which the health and other non-pension benefits will be provided under such plans are as to be set forth in such plans.
Article I (1), (2) and (4) of the Employer Benefit Plan provide:
Article I – Definitions
The following terms shall have the meanings herein set forth:
(1) “Employer” means (Employer’s Name).
(2) “Wage Agreement” means the National Bituminous Coal Wage Agreement of 1984, as amended from time to time and any successor agreement.
(4) “Employee” shall mean a person working in a classified job for the Employer, eligible to receive benefits hereunder.
Article II. A. (4) of the Employer Benefit Plan provides:
Article II – Eligibility
The persons eligible to receive health benefits pursuant to Article III are as follows:
A. Active Employees
(4) A new Employee will be eligible for health benefits from the first day worked with the Employer.
Article III. D. (1)(a) of the Employer Benefit Plan provides:
D. General Provisions
(1) Continuation of Coverage
(a) Layoff
If an Employee ceases work because of layoff, continuation of health, life and accidental death and dismemberment insurance coverage is as follows:
Number of Hours Worked for the
Employer in the 24 Consecutive
Calendar Month Period Immediately
Prior to the Employee’s Date Period of Coverage Continuation
Last Worked from the Date Last Worked
2,000 or more hours Balance of month plus 12 months
500 or more but less than
2,000 hours Balance of month plus 6 months
Less than 500 hours 30 days
Discussion
Article XX(c)(3)(i) of the 1984 Wage Agreement requires a signatory employer to establish and maintain an Employer Benefit Plan to provide health and other non-pension benefits to its Employees and Pensioners. The issue here is whether the Respondent is contractually obligated to provide such coverage to the Complainants beyond the expiration of the 1984 Wage Agreement when the Respondent did not sign the 1988 Wage Agreement.
The Trustees have previously decided in ROD 81-586 (copy enclosed herein) that active Employees who were laid off prior to the expiration of the Wage Agreement are entitled to the period of health benefits coverage specified by the Wage Agreement. Therefore, inasmuch as the Complainant was laid off prior to the expiration of the 1984 Wage Agreement, the Respondent is responsible for providing continued health benefits coverage for the Complainant for the period set forth in Article III. D. (1) (a) of the Employer Benefit Plan established pursuant to the 1984 Wage Agreement and incorporated by reference therein.
The Complainants have also asked whether coverage might be provided under the 1974 Benefit Plan and Trust. Under that Plan, a beneficiary is entitled to coverage if it is determined that the beneficiary’s last Employer is “no longer in business.” Such determination is made by the Trustees under established procedures separate from the ROD procedure.
Opinion of the Trustees
The Respondent is responsible for providing continued health benefits coverage for the Complainants for the period set forth in Article III. D. (1) (a) of the 1984 Employer Benefit Plan.