Morillo v. 1199 SEIU BENEFIT AND PENSION FUNDS
783 F. Supp. 2d 487
S.D.N.Y.2011Background
- Morillo, pro se, appeals denial of pension benefits under ERISA-governed funds.
- Two predecessor funds administered separately before merging on January 1, 2002 to form the 1199 SEIU Home Care Employees Pension Fund.
- Morillo worked in covered employment 1983–1994; employer contributions began 1991.
- Morillo made three benefit applications (Mar 1998, Apr 1998, Sept 1999); all denied.
- Each denial advised rights of appeal within 60 days; Morillo did not pursue appeals.
- In 2008, DoL inquiry prompted further review, but Morillo’s entitlement remained denied; court later determined eligibility rules as of her employment period did not permit benefits under either fund.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Exhaustion of administrative remedies under ERISA | Morillo exhausted remedies or should be excused | She did not exhaust; remedies available were not pursued | Morillo did not exhaust and matter granted summary judgment on this basis. |
| Timeliness of the action and potential statute of limitations | Not explicitly argued in complaint; equitable tolling possible | Limitations not reached due to lack of exhaustion; not decided separately | Court treated as summary judgment; limitations not reached due to exhaustion ruling. |
| Standard of review for pension denial | Arbitrary and capricious review should apply | Trustees’ determinations governed by plan terms; review under standard ERISA grounds | No arbitrary-and-capricious review applied due to exhaustion ruling; issues analyzed de novo. |
Key Cases Cited
- Eastman Kodak Co. v. STWB, Inc., 452 F.3d 215 (2d Cir. 2006) (ERISA exhaustion and claims procedures require use of internal remedies before suit)
- Paese v. Hartford Life Accident Ins. Co., 449 F.3d 435 (2d Cir. 2006) (ERISA exhaustion affirmative defense; futile remedy exception)
- Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101 (Supreme Court, 1989) (Establishes arbitrary and capricious standard for certain plan reviews)
