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受托人的意见
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在再保险
投诉人:下岗职工
被申请人:雇主
连杆箱编号. 88-383 - 1991年6月26日
董事会:Joseph P. 康纳斯,老., Chairman; Paul R. Dean, Trustee; William Miller,
Trustee; Donald E. 皮尔斯,小., Trustee; Thomas H. Saggau,受托人.
Pursuant to Article IX of the United Nine Workers of America (“UMWA”) 1950 福利计划
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 雇主
福利计划.
背景事实
的 信访人提出的 were employed in classified positions for the 被调查者, a signatory
雇主. 其中一名投诉人最后一次为答辩人工作是在1990年12月31日.
的 others last worked or January 2, 1991, at which time the 信访人提出的 were laid off.
的 representative 投诉人须知 states that the 被调查者 notified the 信访人提出的
that it could not afford to pay their insurance premiums for December 1990 and, if the
信访人提出的 wanted to maintain their health benefits, one-half of the premium payment would
从他们的薪水中扣除. 投诉人代表已提交薪酬副本
存根显示金额为150美元.已从投诉人的
1990年12月22日. 1991年1月，答辩人以
letter that if they wanted to continue their insurance coverage for January, they were to pay the
保险费不迟于1991年1月25日. 他们还被告知，不这样做将会
result in the cancellation of the 信访人提出的’ insurance coverage effective January 1, 1991.
的 representative for the complainants contends that the 被调查者 is required to provide
continued benefits coverage for the complainants during their individual periods of eligibility as
根据雇主福利计划的条款确定. 该代表还认为
the 被调查者 is required to reimburse the complainants for insurance premiums paid by the
信访人提出的 during periods of eligibility for coverage under the 雇主福利计划. 的
被调查者 states that it is financially unable to provide insurance coverage for the
信访人提出的.
受托人的意见
争议的解决
情况下没有. 88-383
第二页
争端
Whether the 被调查者 is required to provide health benefits coverage 投诉人须知
及发还投诉人已缴付的保险费.
双方立场
Position of the 信访人提出的: 的 被调查者 is required to provide continued benefits
coverage 投诉人须知 as laid-off Employees under the terms of the 雇主 Benefit
计划 and to provide reimbursement for Insurance premiums paid by the 信访人提出的 to
maintain coverage during their periods of eligibility for coverage under the 雇主 Benefit
计划.
Position of the 被调查者: 的 被调查者 is financially unable to provide insurance coverage
投诉人须知.
相关的规定
Article XX section (c)(3)(i) of the National Bituminous Coal Wage Agreement of 1988 provides
在相关部分:
(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
本协议所涵盖的员工的非养老金福利以及
1974年养恤金计划和信托下的养恤金领取者，其最后签署人
分类雇佣是在这样的雇主. 提供的好处
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
计划…….
雇主福利计划第I(1)、(2)、(4)条规定:
第一条-定义
下列术语具有本协议规定的含义:
(1)“雇主”指(雇主名称).
(2)“工资协议”指全国烟煤工资
不时修订的1988年协定及任何后续协定
协议.
受托人的意见
争议的解决
情况下没有. 88-383
第3页
(4)“雇员”是指为公司从事保密工作的人员
雇主，有资格获得本协议项下的福利.
第二条A款. (4)雇主福利计划规定:
第二条-资格
的 persons eligible to receive the health benefits pursuant to 第三条 are 如下:
A. 积极的员工
(4)新员工从第一天起就有资格享受健康福利
我为雇主工作了一天.
第三条D. 雇主福利计划第(1)(a)条规定:
第三条-福利
D. 一般规定
(1)续保
(一)裁员
如果雇员因裁员而停止工作，继续
健康、生命和意外死亡和肢解保险的承保范围是
如下:
工作时数
24 .雇主
连续日历月
承保期紧接之前的期间
雇员的续签日期
最后工作日期最后工作时间
每月结余2000小时或以上
12个月
500或以上但少于月结余额
2000小时6个月
30天内少于500小时
受托人的意见
争议的解决
情况下没有. 88-383
第4页
讨论
Article XX Section (c)(3)(i) of the 1988 Wage Agreement requires each signatory 雇主 to
establish and maintain an 雇主福利计划 to provide health and other non-pension
员工福利. 《皇冠搏彩中心》规定，职工提供的福利
雇主 pursuant to such 计划 shall be guaranteed during the term of the Agreement by that
雇主在该计划中规定的级别. 被告声称其在经济上无力
provide insurance coverage does not relieve It of Its obligation to provide health and other nonpension benefits coverage under the terms of the Wage Agreement.
第二条A款.(4)《皇冠搏彩中心》为在职职工提供健康福利
为签约雇主从事分类工作的雇员. 第三条.D.计划第13(a)段
provides continued benefits coverage for laid-off Employees based upon the number of hours
worked for the 雇主 during the 24-month period immediately prior to the date last worked.
Inasmuch as the 信访人提出的 were actively employed in classified positions by the 被调查者
until they were laid off in January 1991, the 被调查者 Is required to provide health and other
non-pension benefits coverage to the 信访人提出的 during their employment and during their
individual periods of eligibility for coverage as laid-off Employees, as determined pursuant to
第三条D.雇主福利计划第13(a)条.
的 信访人提出的 have asked that the 被调查者 be required to reimburse them for Insurance
premiums paid to the 被调查者 during their periods of eligibility for coverage under the
雇主福利计划. 受托人认为，雇主有义务提供
coverage is not responsible for reimbursement of the cost for insurance premiums when the
雇员从第三方保险公司购买了保险. 参见rod 81- 17,81 -640
和84 - 437. 但是，如果雇员已向雇主支付保险费用
premiums to maintain coverage under the 雇主福利计划 during a period when the
雇主 is obligated to provide coverage, the 雇主 is required to reimburse the Employee
支付保险费的费用. 见ROD 88-195(附件副本). 一致的
with the Trustees’ finding in ROD 88-195, the 信访人提出的 in this case are entitled to
reimbursement of the insurance premiums that were deducted from their paychecks by the
被调查者.
受托人的意见
的 被调查者 is required to provide health benefits coverage 投诉人须知 and their
eligible dependents during the 信访人提出的’ employment and during their Individual periods of
作为下岗员工继续享受保险的资格. 答辩人亦须
provide reimbursement for premiums paid by the 信访人提出的 to maintain their coverage
在此期间.