_____________________________________________________________________________

OPINION OF TRUSTEES
_____________________________________________________________________________

在再保险

投诉: Laid-off Employees
被申请人: 雇主
ROD案例编号: 84-599 – 1988年6月6日

Board of Trustees: Joseph P. 康纳斯,老., Chairman; Paul R. Dean,受托人; William B. Jordan,受托人; William Miller,受托人; Donald E. 皮尔斯,小.,受托人.

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 雇主 Benefit Plan.

Background Facts

The Complainants were employed in classified positions with the Respondent until July 25, 1987, when they were laid off. The Respondent ceased all operations in September 1987. The Respondent was signatory to the National Bituminous Coal Wage Agreement (“Wage Agreement”) of 1984. 12月29日, 1987, the Respondent notified the Complainants that it would not be obligated to provide health benefits coverage to its former Employees beyond January 31, 1988, the expiration date of the 1984 Wage Agreement, and that their coverage would be terminated on that date. The Respondent did not sign the 1988 Wage Agreement. The representative for the Complainants contends that the Respondent is responsible for providing continued health benefits coverage for the Complainants beyond January 31, 1988, during their individual periods of eligibility as determined pursuant to 第三条 D. (1) (a) of the 雇主 Benefit Plan.

The Respondent contends that its obligation to provide benefits existed only during the term of the 1984 Wage Agreement; accordingly, it is not responsible for providing health benefits coverage for the Complainants beyond January 31, 1988, the expiration date of the 1984 Wage Agreement.

争端

Whether the Respondent is responsible for providing continued health benefits coverage for the Complainants beyond January 31, 1988.

Positions of the Parties

Position of the 投诉: The Respondent is responsible for providing continued health benefits coverage for the Complainants as laid-off Employees beyond January 31, 1988, during their individual periods of eligibility as determined pursuant to 第三条. D. (1) (a) of the 雇主 Benefit Plan.

Position of the 被申请人: The Respondent’s obligation to provide benefits existed only during the term of the 1984 Wage Agreement; accordingly, it is not responsible for providing 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 1984 National Bituminous Coal Wage Agreement provides:

(3)(i) Each signatory 雇主 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 雇主. The benefits provided by the 雇主 to its eligible Participants pursuant to such plans shall be guaranteed during the term of this Agreement by that 雇主 at levels set forth in such plans. Such plans shall also include that each signatory 雇主 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 雇主, 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 雇主 Benefit Plan provide:

Article I – Definitions

The following terms shall have the meanings herein set forth:

(1) “雇主” means (雇主’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 雇主, eligible to receive benefits hereunder.

第二条. A. (4) of the 雇主 Benefit Plan provides:

第二条 – Eligibility

The persons eligible to receive health benefits pursuant to 第三条 are as follows:

A. Active Employees

(4) A new Employee will be eligible for health benefits from the first day worked with the 雇主.

第三条. D. (1)(a) of the 雇主 Benefit Plan provides:

D. General Provisions

(1) Continuation of Coverage

(a) 裁员

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
雇主 in the 24 Consecutive
Calendar Month Period Immediately
Prior to the Employee’s Date Period of Coverage Continuation
最后的工作 from the Date 最后的工作

2,000 or more hours Balance of month plus 12 months

500 or more but less than
2000小时 Balance of month plus 6 months

Less than 500 hours 30天

讨论

Article XX(c)(3)(i) of the 1984 Wage Agreement requires a signatory employer to establish and maintain an 雇主 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 its laid-off Employees beyond the expiration of the 1984 Wage Agreement when the Respondent did not sign the 1988 Wage Agreement.

The United States Court of Appeals for the Fourth Circuit, in Dist. 29, United Mine Workers of America, et al. v. 皇家煤炭公司., 768 F.2d 588, 592 (4th Cir. 1985年)及Dist. 17, United Mine Workers of America, et al. v. 联合公司.等., 765 F.2d 412, 417 (4th Cir. 1985) (en banc), ruled that an 雇主’s contractual obligation to provide health benefits to its Pensioners does not extend beyond the expiration of the Wage Agreement.
However, the National Labor Relations Board, in Coalite, Inc., Case 10-CA-2O797 (Cates, ALJ September 5, 1985), found that health benefits for laid-off Employees are “not … inextricably intertwined with benefits for pensioners.” Further, the Benefit Plan treats laid-off Employees differently from Pensioners. Under 第三条. D. (1)(a) of the 雇主 Benefit Plan, laid-off Employees are entitled to a specific period of health benefits coverage determined by reference to the number of hours they worked prior to layoff, 而, no period of coverage is designated for retirees. 相应的, the Trustees conclude that active Employees who were laid off prior to the expiration of the 1984 Wage Agreement are entitled to the period of health benefits coverage specified by the Wage Agreement.

Opinion of the Trustees

The Respondent is responsible for providing health benefits coverage for the Complainants for the period set forth in 第三条. D. (1)(a) of the 1984 雇主 Benefit Plan.