Rosenthal v. Town of Bloomfield
174 A.3d 839
| Conn. App. Ct. | 2017Background
- Twenty-four Bloomfield police retirees sued the Town alleging breach of their 1994 pension plan, claiming the Town replaced their agreed-upon health insurance with a noncomparable plan in 2012.
- The 1994 pension plan (amended 1995, 2000) required the Town to make available "Major Medical, Blue Cross Hospitalization and Blue Shield coverage, or comparable insurance" for qualifying retirees and dependents.
- In 2012 the Town implemented a new Anthem "Century Preferred $20" plan (per a 2012 employment agreement), notifying retirees that it would apply to pre-65 retirees and dependents effective Sept. 1, 2012.
- Plaintiffs alleged the new plan increased certain co-payments (e.g., office visits, ER, urgent care) and sought injunctive relief, damages, and fees; other claims were abandoned.
- At trial the court bifurcated liability and damages; plaintiffs submitted an offer of proof on liability only. The Town moved to dismiss under Practice Book § 15-8 for failure to make out a prima facie case; the trial court granted the motion.
- The Appellate Court affirmed, holding plaintiffs failed, as a matter of law, to show the new plan substantially reduced benefits or was not comparable when viewed for the class as a whole.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the Century Preferred $20 plan breached the pension plan's "comparable insurance" clause | Rosenthal: higher co-pays (office, ER, urgent care) show the new plan is not comparable | Bloomfield: the clause allows comparable, not identical, plans; some co-pays rose but others (preventive care, routine eye exams) no longer require co-pays; overall benefits remain substantially commensurate | Held: No breach — plaintiffs failed to show a substantial reduction in benefits to the class as a whole; differences altered form, not material substance |
| Whether plaintiffs made a prima facie case under Practice Book § 15-8 to proceed on breach of contract | Rosenthal: offered proof of increased cost-sharing sufficient to survive dismissal | Bloomfield: evidence insufficient as a matter of law under Poole to show substantial adverse effect on the retiree group | Held: Trial court properly granted § 15-8 dismissal; plaintiffs’ evidence, even if credited, did not establish a prima facie breach |
Key Cases Cited
- Poole v. Waterbury, 266 Conn. 68 (2003) (retirees’ benefits vested but employer may make limited modifications; changes must be evaluated for substantial reduction to the group as a whole)
- Gambardella v. Apple Health Care, Inc., 86 Conn. App. 842 (2005) (standard for prima facie case under Practice Book § 15-8)
- Chiulli v. Zola, 97 Conn. App. 699 (2006) (elements of breach of contract action and contract interpretation principles)
