Court Holds that Employees Cannot Immediately Sue for Alleged Wrongful Denial of Stimulus Package's COBRA Premium Subsidy
If you work in the field of human resources or employee benefits, you are doubtlessly familiar with the COBRA premium subsidy provisions of the American Recovery and Reinvestment Act of 2009 (ARRA), which provides a 65% reduction in COBRA premiums for employees involuntarily terminated from their jobs, or who have had their working hours substantially reduced, during the period from September 1, 2008 through May 31, 2010. Employers are required to notify “assistance eligible employees” of their ARRA rights and, if they submit the required paperwork, reduce their COBRA premium by 65%, the cost of which the employer can recover through a tax credit. The law also sets up an expedited process for employees to challenge denials of the premium subsidy by filing an appeal with the United States Secretary of Labor, who must issue a decision within 15 business days after receiving the appeal. The employee can challenge the Secretary of Labor’s decision in court, but the Secretary’s decision is entitled to deference from the court.
On April 27, 2010, in a case of first impression, the United States District Court for the District of Columbia held that employees cannot short-circuit the appeal process by suing in court for denial of the COBRA premium subsidy. In Dorsey v. Jacobson Holman, PLLC, Ms. Dorsey’s employment ended on September 16, 2007, at which time she elected to continue her health insurance coverage through COBRA. On April 10, 2009, Ms. Dorsey requested that Jacobson Holman provide the premium subsidy, claiming that she had been terminated. Jacobson Holman refused, arguing that Ms. Dorsey she had voluntarily resigned. Ms. Dorsey followed up informally with a Department of Labor benefits advisor, but never filed an official appeal with the Secretary of Labor challenging the denial of her request for the COBRA premium subsidy. Instead, she filed an action against Jacobson Holman in federal district court alleging violation of the ARRA’s COBRA subsidy provisions.
The court, however, dismissed the case, holding that Ms. Dorsey failed to properly exhaust her administrative remedies by filing an appeal with the Secretary of Labor. The court described the ARRA as emergency legislation designed to get benefits into the hands of assistance eligible individuals quickly and noted that the required 15-day deadline for processing appeals furthered that goal. On the other hand, “[i]t blunts that purpose to require – or allow – individuals to turn in the first instance to the courts.”
For employers, this is good news. They need not face the specter of frequent, and expensive, court challenges to decisions regarding whether separated employees are – or are not – eligible for the ARRA’s COBRA subsidy. Rather, challenges to those decisions will usually get resolved through the Secretary of Labor’s relatively quick and cheap appeals process.
dismissing, on Preliminary Objections, an employment-related privacy case for failure to state a claim. In Adamski v. Johnson, 80 D. & C. 4th 69, an employee sued her employer for invasion of privacy. In a nutshell, the employee was going to have a surgery but, when her employer asked what type, the employee refused to answer. Curiosity having been aroused, the employer allegedly "asked [employee's] fellow workers what surgery she was scheduled to receive, 'using the power of the employment relationship to force, coerce and intimidate' the[] employees to disclose [the] information." The employee further alleged that, not only did the employer learn the concealed information, he also discussed it with others. Of all the nerve, right?
The presentation discusses two recent Pennsylvania laws that bear on identity theft as well as the federal "shredder law," all of which place obligations on businesses that maintain confidential/personal information, whether for customers or employees. In addition, the presentation considers a relatively