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受托人的意见
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在再保险

原告: 被解雇的员工
被申请人: 雇主
ROD案例编号: 93-004 - 2001年1月10日

受托人: A. 弗兰克·邓纳姆，迈克尔·H. 霍兰德，马蒂·D. 哈德逊,
艾略特一. 西格尔.

The Trustees have reviewed the facts and circumstances of this dispute concerning the provision of benefits under the terms of the 雇主 福利计划.

背景事实

The Complainants were employed in classified positions with the Respondent until they were laid off. The Respondent was signatory to the National Bituminous Coal Wage Agreement (“Wage Agreement”) of 1988 which expired on February 1, 1993.

The Respondent was struck by the United Mine Workers of America (“UMWA”) on February 2, 1993, 直到3月2日, 1993. The Respondent advanced 30-day premiums for health insurance coverage for the Complainants during the strike period. 3月2日, 1993, the UMWA reached an agreement with the Bituminous Coal Operators’ Association (“BCOA”) to extend the terms of the 1988 Wage Agreement from February 2, 1993, 到5月3日, 1993. The Complainants returned to work and on May 8, 1993, the Complainants were laid off. 答辩人于6月3日再次遭到UMWA的袭击, 1993, 直到12月16日, 1993年(1993年工资协定批准之日).

The Complainants state that they were eligible for continuation of coverage for the balance of the month of May 1993 plus 12 months–到5月3日0, 1994–based on their hours worked in the 24 consecutive calendar month period immediately prior to their last date worked. 投诉人的续保由六月三日起暂停, 1993, 直到12月16日, 1993, 因为罢工期间. The Complainants contend that their period of continuation of coverage should be extended beyond May 31, 1994, 以抵销六月三日起计的期间, 1993, 至十二月十六日, 1993.

被告说，根据雇主福利计划, the Complainants are not eligible for continuation of coverage beyond the balance on the month in which they last worked plus 12 从上次工作日期算起的几个月.

争端

Is the Respondent required to provide continuation of coverage for the Complainants beyond May 31, 1994?

双方立场

Position of the 原告: The Respondent is required to provide coverage beyond May 31, 1994, 以抵销6月3日起未提供的保险, 1993, 至十二月十六日, 1993.

Position of the 被申请人: The Respondent is not required to provide continuation of coverage beyond May 30, 1994, because there is no obligation under the 雇主 福利计划 to extend the period of continuation of coverage due to the strike period.

相关的规定

Article I (1), (2) and (4) of the 1988 and 1993 雇主 福利计划s provide:

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) “Wage Agreement” means the National Bituminous Coal Wage Agreement of 1988[1993], 如不时修订及任何后续协议.

(4) “雇员”系指为雇主从事保密工作的人员, 有资格获得本协议项下的福利.

第二条A款. 1993年雇主福利计划第(2)条规定:

第二条资格

A. 积极的员工

第III条规定的福利应提供给下列任何员工:

(2) 被雇主解雇或失去工作资格，但仍有资格继续工作 《皇冠搏彩中心网站》生效之日起生效 作为被解雇或残疾雇员的雇主福利计划(“先前计划”). Coverage for such laid-off or disabled Employees shall not continue beyond the 他们不再有资格获得保险的日期 先前计划的规定.

第三条. D. 1988年及1993年雇主福利计划第(1)(a)及(d)条规定:

D. 一般规定

(1) 续保

(a) 裁员

如果雇员因裁员而停止工作, 健康的延续, life and accidental death and dismemberment insurance coverage is as follows:

工作小时数
连续24年的雇主
日历月期间
在雇员日期之前 续保期
最后的工作 从上次工作日期开始

2000小时以上 月余额加上12个月

500或更多，但少于
2000小时 月余额加上6个月

少于500小时 30天

(d) 最大续保范围

In no event shall any combination of the provisions of (a), (b), (c), (e) or (g)上述情况导致继续承保超出
月加12 从上次工作日期算起的几个月.

第三条D. 1988年雇主福利计划第(2)条规定:

(2) 预先保险费

In the event of an economic strike at the expiration of the 1988 Bituminous Coal Wage Agreement, 雇主应预支其健康保险费, 视力保健, and life and accidental death and dismemberment insurance coverage for the first 30天 of such strike. Such advanced premiums shall be repaid to the 雇主 by such Employees through a check-off deduction upon their return to work. 罢工应该持续30天以上吗, 工会或该等雇员可选择自行支付保费.

讨论

申诉人于1993年5月被解雇. 第三条D. (1) of the 雇主 福利计划 provides continuation of coverage for a laid-off Employee based on the number of hours worked
in the 24 consecutive calendar month period prior to the Employee’s date last worked. 因此, 投诉人以2000小时以上 were eligible for coverage for the balance of May 1993 plus 12 months or 到5月3日1, 1994.

6月3日, 1993, the Respondent was struck for a second time by the UMWA and the Complainants’ health benefits coverage was suspended. In the event of an economic strike following the expiration of the Wage Agreement, 第三条D. (2) of the 雇主 福利计划 requires an 雇主 to advance the insurance premiums for the Employee’s health, 视力保健, 人寿及意外死亡及肢解保险给付. 第三条D. (2)进一步说明如果罢工持续超过30天, 工会或该等雇员可选择自行支付保费. 被申请人符合第三条第D款的要求. (2) when it advanced the Complainants’ insurance premiums during the first strike period in February 1993.

12月16日, 1993, the Respondent signed the Wage Agreement of 1993 and reinstated the Complainants’ health benefits coverage. 根据第二条A款. (2)根据1993年工资协议修订的雇主福利计划, the Complainants’ eligibility for continuation of coverage is continued under the 1993 雇主 福利计划 for the period for which the Complainants would have been eligible under the prior (1988) Plan. 因此, the Complainants’ eligibility for continuation of coverage continued under the 1993 雇主 福利计划 到5月3日1, 1994.

The Complainants contend that their coverage should be extended beyond May 31, 1994, 以抵消罢工期间暂停发放福利的费用. 第三条D. (1) (d) of the 1993 雇主 福利计划 states that in no event shall continuation of coverage be extended beyond the balance of the 月加12 从上次工作日期算起的几个月. The Complainants were eligible for continuation of coverage for the balance of the month of May 1993 plus 12 months from their date last worked. 但是，根据第三D条. (2) 1988年雇主
福利计划, the Respondent was not required to provide health coverage during the second economic strike from June 3, 1993, 至十二月十六日, 1993. 因此, the Complainants’ period of continuation of coverage was the maximum allowed under 第三条D. (1) (d)雇主福利计划.

受托人的意见

The Respondent is not required to provide continuation of coverage for the Complainants beyond May 31, 1994, 符合第三条D款. (1) (d)雇主福利计划.