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OPINION OF TRUSTEES
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In Re

Complainant: Laid-off Employees
Respondent: Employer
ROD Case No: 88-634 – December 17, 1992

Board of Trustees: Joseph P. Connors, Sr., Chairman; Paul R. Dean, Trustee;
Elliot A. Segal, 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 the provision of health benefits coverage for laid-off Employees under the terms of the Employer Benefit Plan.

Background Facts

The Complainants are classified Employees who were laid off by the Respondent on June 28, 1991. The Respondent terminated the Complainants’ health benefits coverage on March 1, 1992. The Respondent is signatory to the National Bituminous Coal Wage Agreement (“Wage Agreement”) of 1988.

The representative for the Complainants contends that the Respondent is required to provide continued benefits coverage for the Complainants beyond March 1, 1992.

Dispute

Whether the Respondent is required to provide health benefits coverage for the Complainants beyond March 1, 1992?

Positions of the Parties

Position of the Complainants: The Respondent is required to provide continued health benefits coverage for the Complainants as laid-off Employees beyond March 1, 1992.

Position of the Respondent: The Respondent has not responded to repeated correspondence from Funds’ staff requesting its position in this dispute.

Pertinent Provisions

Article XX Section (c)(3)(i) of the National Bituminous Coal Wage Agreement of 1988 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…..

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 Agreement of 1988, 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 III D. (1)(a) of the Employer Benefit Plan provides:

Article III – Benefits

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 of Coverage
Period Immediately Prior to Continuation from
the Employee’s Date Last Worked the Date Last Worked

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

500 or more but less Balance of month
than 2,000 hours plus 6 months

Less than 500 hours 30 days

Discussion

Article XX Section (c)(3)(i) of the 1988 Wage Agreement requires a signatory Employer to establish and maintain an Employer Benefit Plan to provide health and other non-pension benefits for its Employees. The Wage Agreement stipulates that benefits provided by the Employer pursuant to such Plan shall be guaranteed during the term of the Agreement by that Employer at levels set forth in such Plan.

Article III D. (1)(a) of the Plan provides continued benefits coverage for laid-off Employees for a defined period based upon the number of hours worked for the Employer during the 24-month period immediately prior to the date last worked. Inasmuch as the Complainants were actively employed in classified positions by the Respondent until they were laid off on June 28, 1991, the Respondent is required to provide continued health and other non-pension benefits coverage to the Complainants during their individual periods of eligibility beyond March 1, 1992, as determined under Article III. D. (1)(a) of the Employer Benefit Plan.

Opinion of the Trustees

The Respondent is required to provide continued benefits coverage for the Complainants and their eligible dependents during their individual periods of eligibility beyond March 1, 1992, as determined under the terms of the Employer Benefit Plan.