A federal
appeals court decision upholding the ability of employers to reduce health
benefits to retirees when they become eligible for Medicare likely puts an end
to a long-running legal battle that threatened to accelerate the plans’
decline.
In
a unanimous ruling last week, a three-judge panel of the 3rd U.S. Circuit Court
of Appeals in Philadelphia said the Equal Employment
Opportunity Commission has the authority to implement a rule that would exempt
retiree health plans from the Age Discrimination in Employment Act when those
plans reduce benefits for retired workers after they become eligible for
Medicare.
The rule was first proposed by the EEOC in 2003 as a way to
counteract a decision by the 3rd Circuit three years earlier that found the
plans were subject to the ADEA. That decision exposed employers with retiree
health care plan designs that cut benefits when retirees reach age 65 to age
discrimination suits.
The practical effect of the EEOC rule would allow
employers to continue providing a two-tier system of retiree health care
coverage, with younger retirees receiving richer benefits than Medicare-eligible
retirees. The rule, though, was never implemented because of a legal challenge
by the AARP.
Writing for the appeals court panel, Judge Jane Restani said
Section 9 of the ADEA “clearly and unambiguously” gives the EEOC the authority
to issue ADEA exemptions so long as those exemptions are reasonable and
“necessary and proper in the public interest.”
The EEOC met those tests
in this case, Restani wrote, saying that if employers had to continue providing
the same level of benefits to older retirees as to younger retirees, employers
would reduce health care benefits to all retirees.
By contrast, providing
an ADEA exemption “will likely benefit all retirees” with the “proper purpose of
encouraging employers to provide the greatest possible health benefits for all
retirees,” Restani wrote.
Benefit experts are hailing the decision as a
victory for both employers and retirees. For employers, the ruling gives them
certainty that they will have legal protection over the design of the
plans.
The decision also is a victory for retirees, experts say. If
employers had to equalize benefits for the two groups of retirees, the
inevitable result would have been a reduction in benefits to younger retirees
because it would have been prohibitively expensive to upgrade benefits of
Medicare-eligible retirees to the level provided to younger
retirees.
“The only real-world option would have been to reduce
benefits,” said Andy Anderson, of counsel at Morgan, Lewis & Bockius in
Chicago.
And some employers may have
gone further and eliminated retiree health care plans, whose numbers have
dwindled over the past decade because of escalating costs.
If the court
had not upheld the EEOC’s proposed rule, “it could have been the nail in the
coffin” for many plans, said Douglas L. Greenfield, a member of the law firm
Bredhoff & Kaiser in Washington.
“It certainly would have
dealt a body blow to plans,” said J.D. Piro, an attorney with Hewitt Associates
in Norwalk, Connecticut.
While the ruling may have
prevented the demise of retiree health care plans, no one expects a resurgence
of the plans because employers still have concerns about costs.
At best,
the number of plans may stay somewhat stable, said Cara Jareb, director of
retiree medical consulting at Watson Wyatt Worldwide in Arlington, Virginia.
The ruling likely means the
controversy over the design of retiree health care plans is over. If AARP
decides to appeal the ruling, it is unlikely that the Supreme Court would agree
to review the appeals court decision, experts say.
“There is no split in
the circuits and the ruling does not raise issues of great national importance,”
said Neil Grossman, an attorney with Mercer Human Resource Consulting in
New
York.
“The issue is, does the EEOC have the right
to issue this kind of regulation? That’s not the kind of case the Supreme Court
is likely to take up,” Piro said.
Laurie McCann, a senior attorney with
AARP in Washington, said the ruling is disappointing
and that the organization is seriously considering appealing.
The
controversy began nearly seven years ago, when the 3rd Circuit ruled that
retiree health care plans were subject to the ADEA. As a result, employers could
have faced age discrimination charges for providing a lower level of health care
benefits to older retirees than to younger retirees.
The ruling was a
bombshell to employers, who had long thought that the ADEA did not apply to
retiree plans. The possibility of litigation over what had been long-standing
retiree health care plan designs suddenly became real.
Employers’ fears
heightened when the EEOC said it would incorporate the Erie County
ruling—so named for the county in Pennsylvania that was sued by its
Medicare-eligible retirees—in its compliance manual.
Employers and labor
organizations began to lobby the EEOC to reverse course, warning that with
health care plan costs roughly 2½ times higher for younger retirees than for
Medicare-eligible retirees, the result of mandating benefit equality for the two
groups would be a reduction of benefits provided to younger retirees, or the
elimination of the benefits.
Over time, the EEOC found such arguments
convincing. First, it announced that it would no longer enforce the Erie County ruling. Later, it proposed
exempting retiree health care plans from the ADEA.
But AARP sued to block
the EEOC from finalizing the exemption. Initially, U.S. District Judge Anita
Brody sided with AARP, saying that implementation of the rule would permit
retiree health care designs that the 3rd Circuit in 2000 said violated the
ADEA.
But Brody later reversed her ruling in the wake of a 2005 Supreme
Court decision in an unrelated case that said federal courts generally must
defer to regulatory agencies’ interpretation of law, so long as the statute on
which there is a point of contention is ambiguous and that the agency’s
interpretation of it is reasonable. Judge Brody said that was the case with the
EEOC’s exemption rule.
AARP appealed Brody’s ruling, setting the stage
for the latest ruling by the 3rd Circuit.
A spokesman for the EEOC said
the agency is reviewing the decision and determining what steps it will next
take.
Filed by Jerry
Geisel of Business Insurance, a
sister publication of Workforce
Management. To comment, e-mail editors@workforce.com.