_______________________________________________________________________
Rosemary J. Humway-Warmuth, Esq. Jolyon W. McCamic, Esq.
CHIEF JUSTICE DAVIS delivered the Opinion of the Court.
2. Where the issue on an appeal from the circuit court is clearly a question
of law . . . we apply a de novo standard of review. Syllabus point 1, in part, Chrystal R.M.
v. Charlie A.L., 194 W. Va. 138, 459 S.E.2d 415 (1995).
4. The continuation of health insurance coverage provisions of the Public
Health Service Act, 42 U.S.C. §§ 300bb-1 to -8 (2000), do not preempt W. Va. Code § 8-12-
8 (1986) (Repl. Vol. 1998).
5. Syllabus point 1, State v. Jarvis, 199 W. Va. 635, 487 S.E.2d 293
(1997)
6. The plain language of W. Va. Code § 8-12-8 (1986) (Repl. Vol. 1998)
7. 'Mandamus will lie to compel performance of a nondiscretionary duty
of an administrative officer . . . , where it appears that the official, under misapprehension
of law, refuses to recognize the nature and scope of his duty and proceeds on the belief that
he has discretion to do or not to do the thing demanded of him.' Syllabus point 4, in part,
Walter v. Ritchie, 156 W. Va. 98, 191 S.E.2d 275 (1972). Syllabus point 6, in part,
Mountaineer Disposal Service, Inc. v. Dyer, 156 W. Va. 766, 197 S.E.2d 111 (1973).
Davis, Chief Justice:
Scott Orlofske was a retired firefighter for the City. After retiring and before
his death, Mr. Orlofske and his wife, Ms. Orlofske, had full family health insurance coverage
provided under the City's group health benefits plan. Mr. and Ms. Orlofske had elected to
retain health insurance through the City and paid the entire premium for their coverage. On
July 26, 1998, Mr. Orlofske died. The City then mailed a letter to Ms. Orlofske, dated July
30, 1998, notifying her that if she elected to continue health care insurance coverage under
the City's group insurance plan, such coverage would be governed by the provisions of the
Federal Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985. In particular,
the City informed Ms. Orlofske that if she elected to continue coverage, it would last only
thirty-six months. On April 19, 2000, Ms. Orlofske
filed a petition for a writ of mandamus in the Circuit Court of Ohio County
demanding that the City accept her tendered premiums for health insurance
coverage without temporal limitation under the provisions of W. Va. Code §
8-12-8 (1986) (Repl. Vol. 1998).
(See footnote 1) Thereafter, on April 25, 2000, the circuit
court issued a rule to show cause. The City answered the petition on May 12,
2000. (See
footnote 2)
Furthermore, we specifically have been asked to determine whether the circuit court
possessed subject matter jurisdiction in this case. Whether a court has subject matter
jurisdiction over an issue is a question of law. Snider v. Snider, 209 W. Va. 881, 888, 551
S.E.2d 693, 699 (2001). Thus, we also review anew the circuit court's ruling on this point.
Where the issue on an appeal from the circuit court is clearly a question of law . . . we apply
a de novo standard of review. Syl. pt. 1, in part, Chrystal R.M. v. Charlie A.L., 194 W. Va.
138, 459 S.E.2d 415 (1995). Having identified the standards governing our review, we turn
now to our decision of this appeal.
With this basic foundation provided, we proceed to discuss the issues raised
by the parties. We begin by addressing the threshold question of the circuit court's subject
matter jurisdiction.
Under the dual system of sovereignty established by the United States
Constitution, state courts are presumed to enjoy concurrent jurisdiction with federal courts
over federal questions. E.g., Yellow Freight Sys., Inc. v. Donnelly, 494 U.S. 820, 823, 110
S. Ct. 1566, 1568, 108 L. Ed. 2d 834, 839 (1990). Because state and federal courts share
jurisdiction over federal claims, when a state proceeding presents a federal issue, even a pre-
emption issue, the proper course is to seek resolution of that issue by the state court. Chick
Kam Choo v. Exxon Corp., 486 U.S. 140, 149-50, 108 S. Ct. 1684, 1691, 100 L. Ed. 2d 127,
138 (1988).
We reject the City's claim that the COBRA amendments that were substantially
identical to both ERISA and PHSA on the issue of continuing coverage somehow imported
ERISA preemption into the PHSA. It is clear . . . that under 29 U.S.C. § 1003(b)(1), none
of the ERISA provisions applies to a government employee benefits plan. Williams v. New
Castle County, 970 F.2d 1260, 1265 (3d Cir. 1992). In essence, [n]otwithstanding ERISA's
clear exclusion of governmental plans, 29 U.S.C. §§ 1003(b)(1) & 1002(32), [the City] urges
the court to ignore the statute and apply ERISA to [t]his case. Mansfield v. Chicago Park
Dist. Group Plan, 946 F. Supp. 586, 591 (N.D. Ill. 1996)
Federal preemption of state law is either express -- if the federal statute
contains an express statement preempting state law -- or implied -- if compliance with state
and federal law is a physical impossibility or state law frustrates the purpose of the federal
law. Hartley Marine, 196 W. Va. at 674, 474 S.E.2d at 604. The PHSA does not contain an
express preemption provision. See Bigelow v. United Health Care of Mississippi, 220 F.3d
339, 344 n.8 (5th Cir. 2000) (We are not aware of any preemption provision in the PHSA
like the express, total preemption provision of ERISA.). In fact, none of the eight sections
comprising the PHSA contain words of exclusivity. Furthermore, the House of
Representatives and Senate Reports dealing with the PHSA's continuing coverage provisions
are silent on preemption. Radici v. Associated Ins. Co., 217 F.3d 737, 742 (9th Cir. 2000).
Since the PHSA does not expressly preempt state law, we next turn to the question of implied
preemption. Construing this language in
conjunction with the governing federal law, we find there is no conflict between
the provisions of W. Va. Code § 8-12-8 and the goal of continuing health
insurance coverage for government employees the PHSA seeks to accomplish.
The PHSA provides, in pertinent part, that continuation coverage must
extend for at least the period beginning on the date of the qualifying event[
(See footnote 8) ]
and ending not earlier
than [a maximum of thirty-six months later]. 42 U.S.C. § 300bb-2(2) (2000) (footnote
added). Nothing in the PHSA suggests that a state cannot be more beneficent than the PHSA
requires, as long as the state is not less generous than the PHSA mandates. Because W. Va.
Code § 8-12-8 provides lifetime coverage for retirees' survivors or dependents, it most
certainly provides coverage for the requisite period of thirty-six months.
Thus, it is evident that a state
law that is more generous than the PHSA is not preempted. As one court has similarly
recognized, [i]n the passage emphasized . . ., the House report states
that the 'general' approach of the continuation coverage provisions would not
preempt state lawmaking efforts. Radici v. Associated Ins. Cos.,
217 F.3d 737, 744 (9th Cir. 2000).
(See footnote 9) Therefore, the provision in W. Va. Code §
8-12-8 of lifetime coverage clearly requires coverage for at least
the period required by PHSA, which ends not earlier than thirty-six
months later. Consequently, we hold that the continuation of health insurance
coverage provisions of the Public Health Service Act, 42 U.S.C. §§
300bb-1 to -8 (2000), do not preempt W. Va. Code § 8-12-8 (1986) (Repl.
Vol. 1998).
(See footnote 10) The City posits, however,
that because W. Va. Code § 8-12-8 was amended in 1986, the same year
Congress passed the COBRA amendments to the PHSA, the legislative intent was
to limit the duty of municipalities to provide coverage for spouses and dependents
of deceased members to thirty-six months--the maximum the PHSA requires. The
Legislature passed the 1986 amendment to W. Va. Code § 8-12-8 on March
8, 1986. 1986 W. Va. Acts 868. COBRA's continuation of coverage amendments
to the PHSA were passed by Congress on April 7, 1986. 100 Stat. 82. We cannot
attribute to our Legislature an intent to follow a Congressional enactment
that did not exist at the time it passed the aforementioned amendment.
(See footnote 12)
Mandamus will lie to compel performance of a
nondiscretionary duty of an administrative officer . . . , where it
appears that the official, under misapprehension of law, refuses
to recognize the nature and scope of his duty and proceeds on
the belief that he has discretion to do or not to do the thing
demanded of him. Syllabus point 4, in part, Walter v. Ritchie,
156 W. Va. 98, 191 S.E.2d 275 (1972).
waived.)
City Solicitor
McCamic & McCamic
Wheeling, West Virginia
Wheeling, West Virginia
Attorney for the Appellant
Attorney for the Appellees
1. The standard of appellate review of a circuit court's order granting
relief through the extraordinary writ of mandamus is de novo. Syllabus point 1, Staten v.
Dean, 195 W. Va. 57, 464 S.E.2d 576 (1995).
3. West Virginia state courts have subject matter jurisdiction over federal
preemption defenses.
The City of Wheeling, appellant/respondent below (hereinafter the City),
appeals a decision of the Circuit Court of Ohio County granting Sharon Orlofske (hereinafter
Ms. Orlofske); others similarly situated; Local 12 of the International Association of
Firefighters; and Lodge 38 of the Fraternal Order of Police, appellees/petitioners below, a
writ of mandamus. By so ordering, the circuit court compelled the City to accept from Ms.
Orlofske premiums for continued coverage under the City's health insurance benefits plan
for her lifetime. The City objects and asserts that its duty to accept such premiums is limited
by federal and state law to a maximum of thirty-six months. Having reviewed the briefs,
heard the arguments of counsel and
The City offers its retiring employees the option of continuing to participate in the
City's health care insurance plan. Retired employees may continue to receive health
insurance by paying the entire health insurance premium. The City has been providing this
coverage since 1985.
In its response, the City asserted that federal law preempted W. Va. Code § 8-
12-8 and thus limited the City's obligation to provide continuing health insurance coverage
to only thirty-six months. Additionally, the City contended that the applicable state law
should be read as embodying federal law; that mandamus was not an available remedy; and
that the circuit court lacked subject matter jurisdiction. The Circuit Court of Ohio County
granted Ms. Orlofske the requested mandamus relief on May 15, 2001. From this ruling, the
City appeals.
Below, Ms. Orlofske successfully asserted that her claims were resolved by
W. Va. Code § 8-12-8, which authorizes municipalities to provide health insurance coverage
to certain enumerated individuals, including spouses and dependents of any deceased retirees
who continued to receive health insurance through the City. Spouses and dependents of a
deceased retiree may retain insurance through the City by paying the entire premium for that
coverage. The City claims here, as before the trial court, that W. Va. Code § 8-12-8 is
preempted by federal law or, alternatively, that this section should be read as embodying
federal law. Consequently, we begin by briefly reviewing the federal law relied upon by the
City.
On April 7, 1986, Congress enacted
the Consolidated Budget Reconciliation Act of 1985 (hereinafter COBRA),
Pub. L. No. 99-272, 100 Stat. 82, which, among other things, amended the Employee
Retirement Income Security Act (hereinafter ERISA)
(See footnote 3) and
the Public Health Service Act (hereinafter the PHSA)
(See footnote 4) to
include virtually identical continuation and notification provisions regarding
health insurance coverage. Under these provisions, health plan sponsors must
provide to each qualified beneficiary who would lose coverage due to a qualifying
event
(See footnote 5) notification that he/she may continue to
elect to receive coverage. The maximum required time for such coverage under
these provisions is thirty-six months. ERISA does not cover governmental
plan[s].
(See footnote 6) 29 U.S.C. § 1003(b)(1) (2000). Thus,
state and municipal governments are required to provide COBRA continuation coverage
only under the PHSA.
The City asserts that the circuit court lacked subject matter jurisdiction because
this case implicates claims of federal preemption. However, the City has provided no
authority to support its contention that only federal courts have jurisdiction to rule on
preemption defenses. See Turnbow v. Pacific Mut. Life Ins. Co., 934 F.2d 1100, 1103 (9th
Cir. 1991) (Pacific Mutual has cited no authority to support the proposition that only federal
courts have jurisdiction to rule on ERISA preemption.). We, too, have been unable to
substantiate this claim.
1. W. Va. Code § 8-12-8 is not preempted by federal law. We are mindful
that the Congress or a federal agency acting within the scope of its congressionally delegated
authority has the power to preempt state regulation pursuant to the Supremacy Clause of
article VI of the U.S. Const. Casey v. Public Serv. Comm'n, 193 W. Va. 606, 609, 457
S.E.2d 543, 546 (1995) (footnote omitted). However, [c]onsideration under the Supremacy
Clause starts with the basic assumption that Congress did not intend to displace state law.
Maryland v. Louisiana, 451 U.S. 725, 746, 101 S. Ct. 2114, 2129, 68 L. Ed. 2d 576, 595
(1981). [P]reemption is disfavored in the absence of convincing evidence warranting its
application . . . . Hartley Marine Corp. v. Mierke, 196 W. Va. 669, 673, 474 S.E.2d 599, 603
(1996).
W. Va. Code § 8-12-8 (1986) (Repl. Vol. 1998) provides:
The municipality is hereby authorized and
empowered to pay the entire premium cost, or any
portion thereof, of said group policy or policies.
Whenever the above-described regular employees
shall indicate in writing that they have subscribed
to any of the aforesaid insurance plans on a group
basis and the entire cost thereof is not paid by the
municipality, the municipality is hereby
authorized and empowered to make periodic
premium deductions of the amount of the
contribution each such subscribing employee is
required to make for such participation from the
salary or wage payments due each such
subscribing employee as specified in a written
assignment furnished to the municipality by each
such subscribing employee.
When a participating employee shall retire from
his employment, he may, if he so elects, remain a
member of the group plan and retain coverage for
his spouse and dependents, by paying the entire
premium for the coverage involved. Spouses and
dependents of any deceased member may remain
a member of the group plan by paying the entire
premium for the coverage: Provided, That
nothing herein shall be construed as prohibiting
the municipality from paying a portion or all of
the cost of any coverage. In the event that a
municipality changes insurance carriers, as a
condition precedent to any such change, the
municipality shall assure that all retirees, their
spouses and dependents, and the spouses and
dependents of any deceased member are
guaranteed acceptance, at the same cost for the
same coverage as regular employees of similar
age groupings, their spouses and dependents.
Furthermore, the PHSA's legislative history supports our reading of this
statutory language. The House of Representative's Report on the COBRA continuing
coverage amendments addressed a special rule rendering liable persons other than
employers, if such persons fail to comply with an employer's request for action:
When an employer changes from one insurance company
to another, State law often imposes similar requirements on the
new insurance company to continue to provide coverage to the
employer's existing insures. As is the case generally with
respect to the health care continuation rules, these State laws
are not affected by the special rule described above. The special
rule and the State laws are to apply concurrently so that in any
specific instance, the more extensive requirements will apply.
Thus, for example, if under State law the qualified beneficiaries
are entitled in one respect to greater rights than under the
health care continuation rules such that compliance with State
law automatically means compliance with the health care
continuation rules, the State law rule becomes the operative rule
with respect to that aspect.
H.R. Rep. No. 101-247, at 59, reprinted in 1989 U.S.C.C.A.N. 1096, 1951 (emphasis added).
2. W. Va. Code § 8-12-8 does not limit continuing insurance coverage.
Because we find that W. Va. Code § 8-12-8 is not preempted by federal law, we must
examine its provisions to determine if they impose a temporal limit on continuing health insurance coverage. W. Va. Code § 8-12-8 provides, in pertinent part:
We have long held, '[a]
statutory provision which is clear and unambiguous and plainly expresses the
legislative intent will not be interpreted by the courts but will be given
full force and effect. Syllabus point 2, State v. Epperly, 135
W. Va. 877, 65 S.E.2d 488 (1951).' Syllabus point 1, State v. Jarvis,
199 W. Va. 635, 487 S.E.2d 293 (1997).
Syl. pt. 4, Daily Gazette Co. v. West Virginia Dev. Office, 206 W.
Va. 51, 521 S.E.2d 543 (1999). There
is no language in W. Va. Code § 8-12-8 that creates any temporal limitation
on the City's duty to provide insurance to the spouses or dependents of deceased
members who choose to continue coverage. Likewise, this Court is not authorized
to read such language into the statute. See State ex rel. Frazier v. Meadows, 193 W. Va. 20, 24, 454 S.E.2d 65, 69
(1994) (Courts are not free to read into the language what is not there, but rather should apply the statute as written.).
(See footnote 11)
3. The plain statutory language
of W. Va. Code § 8-12-8 is controlling. Lastly, the City argues that
significant harm will befall municipalities if we affirm the circuit court's
ruling. While we appreciate the City's position, we have emphasized that we
are not plenipotentiaries in the realm of statutory interpretation. '[T]he
judiciary may not sit as a superlegislature to judge the wisdom or desirability
of legislative policy determinations made in areas that neither affect fundamental
rights nor proceed along suspect lines.' State ex rel. Blankenship
v. Richardson, 196 W. Va. 726, 735, 474 S.E.2d 906, 915 (1996) (quoting
Lewis v. Canaan Valley Resorts, Inc., 185 W. Va. 684, 692, 408 S.E.2d
634, 642 (1991)). Even in the face of sound policy arguments, '[i]t is
not the province of the courts to make or supervise legislation, and a statute
may not, under the guise of interpretation, be modified, revised, amended, distorted,
remodeled, or rewritten[.]' State v. Richards, 206 W. Va. 573,
577, 526 S.E.2d 539, 543 (1999) (quoting State v. General Daniel Morgan Post
No. 548, 144 W. Va. 137, 145, 107 S.E.2d 353, 358 (1959) (citation omitted)).
It is only in rare instances that we will negate the meaning of a plain and
unambiguous statute,
(See footnote 13) and the City raises none of these exceptions.
(See footnote 14) Indeed, [w]hile it is unfortunate
that the legislature did not foresee the situation now before us, we cannot
rewrite the statute so as to provide relief . . . nor can we interpret
the statute in a manner inconsistent with the plain meaning of the words.
Van Kirk v. Young, 180 W. Va. 18, 20, 375 S.E.2d 197, 198 (1988).
The City's argument that mandamus
was not an appropriate remedy in this case was based directly upon its assertion
that, under federal law, it was not required to accept Ms. Orlofske's premium
payments for her continuing health insurance coverage beyond the thirty-six
months required by the COBRA amendments to the PHSA. According to the City,
because it had no duty to provide coverage, mandamus is unavailable.
(See footnote 15)
Contrary to the City's position, we have found that there is no federal preemption.
Thus, in relying on federal law, the City was acting under a misapprehension
of the law.
Syl. pt. 6, in part, Mountaineer Disposal Serv., Inc. v. Dyer, 156 W. Va.
766, 197 S.E.2d 111 (1973). Because W. Va. Code § 8-12-8 is not preempted
and is facially plain, mandamus is available to compel the City to accept Ms.
Orlofske's premium payments as long as she continues to properly pay them. See
also Retirees Association, 185 W. Va. at 384, 407 S.E.2d at 388 (granting
mandamus relief under another part of W. Va. Code § 8-12-8).
(See footnote 16)
For the foregoing reasons, the decision of the Circuit Court of Ohio County is
affirmed.
Footnote: 2
Footnote: 3
Footnote: 4
Footnote: 5
Footnote: 6
Footnote: 7
Footnote: 8
with respect to any covered employee, any of the following
events which, but for the continuation coverage required under
this subchapter, would result in the loss of coverage of a
qualified beneficiary:
(1) The death of the covered employee.
(2) The termination (other than by reason of such employee's
gross misconduct), or reduction of hours, of the covered
employee's employment.
(3) The divorce or legal separation of the covered employee
from the employee's spouse.
(4) The covered employee becoming entitled to benefits under
title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.].
(5) A dependent child ceasing to be a dependent child under the
generally applicable requirements of the plan.
42 U.S.C. § 300bb-3.
Footnote: 9
Footnote: 10
Footnote: 11
Footnote: 12
Footnote: 13
Footnote: 14
Footnote: 15
[a] writ of mandamus will not issue unless three elements
coexist--(1) a clear legal right in the petitioner to the relief
sought; (2) a legal duty on the part of respondent to do the thing
which the petitioner seeks to compel; and (3) the absence of
another adequate remedy.
Footnote: 16