EBIA Weekly Archives - COBRA - Court Cases

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Results (265 articles found)


  1. COBRA Qualified Beneficiaries Can Sue for Failure to Provide Notice Without Exhausting Plan Remedies
    From the September 27, 2007 EBIA Weekly
    The employees in this case sued their employer for failure to provide COBRA election notices following their departures. They never contacted their employer (the plan administrator) to inquire about their COBRA notices, and their lawsuit was the employer’s ...
    [Brown-Pfifer v. St. Vincent Health, Inc., 2007 WL 2757264 (S.D. Ind. 2007)]
  2. No COBRA Penalties Awarded for Missing Information in Election Notice Where Employee Was Not Harmed
    From the August 23, 2007 EBIA Weekly
    The employer in this case provided its terminated employee with a COBRA election notice, and the employee elected COBRA. The employee later sued her former employer on a number of employment-related bases, including COBRA. On the COBRA claim, she ...
    [Franks v. Central Garden & Pet Co., 2007 WL 2320624 (M.D. Ga. 2007)]
  3. COBRA Premiums for Reinstated Coverage Were Not Due Until Qualified Beneficiary Learned of Reinstatement
    From the August 16, 2007 EBIA Weekly
    A health plan sent several notices to a qualified beneficiary receiving COBRA coverage. The first notice informed her that the plan had terminated her COBRA coverage. The second notice informed her that her coverage was reinstated, and a later notice ...
    [DVA Renal Health Inc. v. Gordon Group Inv. L.P., 2007 WL 2220408 (M.D. Tenn. 2007)]
  4. Absent Direct Evidence That SMM Was Actually Mailed, Court Rejects General Evidence Regarding Mailing Procedures
    From the August 02, 2007 EBIA Weekly
    The participant in this case was terminated after becoming disabled due to a non-work-related injury. About a year before the participant was injured, his company’s group health plan had been amended to remove a provision under ...
    [Custer v. Murphy Oil USA Inc., 2007 WL 2095814 (5th Cir. 2007)]
  5. Employee's Knowledge of COBRA Rights Does Not Excuse Employer's Obligation to Provide Election Notice
    From the July 17, 2007 EBIA Weekly
    The employee in this case (who was responsible for managing his employer’s health plan) sued his employer for penalties under COBRA, claiming that the employer failed to provide him with a COBRA initial notice when he commenced employment ...
    [Berrios-Cintron v. Capitol Food, Inc., 2007 WL 1988527 (D.P.R. 2007)]
  6. Small Employer That Offered COBRA to One Employee May Be Estopped From Claiming It Is Not Subject to COBRA
    From the July 05, 2007 EBIA Weekly
    Can an employer with fewer than 20 employees (i.e., one that falls within the small employer exception to COBRA) nevertheless be obligated to provide COBRA? In this decision, the Sixth Circuit holds that it can—if the individual ...
    [Thomas v. Miller, 2007 WL 1827293 (6th Cir. 2007)]
  7. Gross Misconduct Requires More Than Mere Negligence or Incompetence
    From the June 21, 2007 EBIA Weekly
    The employee in this case was terminated for repeated episodes of disorientation, slurred speech, and dizziness, which allegedly resulted from her misuse of prescription drugs, rendering her unable to perform her job and creating an unsafe workplace. She sued her ...
    [Boudreaux v. Rice Palace, Inc., 2007 U.S. Dist. LEXIS 43714 (W.D. La. 2007)]
  8. Plan Provision Making Separated Spouses Ineligible for Coverage Did Not Violate ERISA or COBRA
    From the June 14, 2007 EBIA Weekly
    The plaintiff in the case was the spouse of a covered participant in an ERISA health plan. After the couple separated and began living at different addresses, the spouse called to notify the plan of her new address. The plan ...
    [Falcone v. Teamsters Health and Welfare Fund, 2007 U.S. Dist. LEXIS 39525 (E.D. Pa. 2007)]
  9. No Good-Faith Compliance With COBRA If Election Notice Knowingly Sent to Old Address
    From the June 07, 2007 EBIA Weekly
    Among other claims in this employment discrimination case, the employee asserted that she had not been properly notified of her COBRA rights. Specifically, she alleged that even though she called her former employer with her new mailing address, the TPA ...
    [Torres-Negron v. Merck & Co., Inc., 2007 U.S. App. LEXIS 12034 (1st Cir. 2007)]
  10. Telling Employee Incorrect Waiting Period Violated ERISA, But Later Failure to Offer COBRA Was Not a Violation
    From the May 31, 2007 EBIA Weekly
    A newly hired employee received a notice advising that he would become eligible for his employer’s health insurance plan only after completing a 90-day waiting period. The employee submitted an enrollment form shortly after completing the 90-...
    [Hansen v. Harper Excavating, Inc., 2007 U.S. Dist. LEXIS 33928 (D. Utah 2007)]

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