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OnQue Technologies, Inc.

  Publisher of COBRA OnQue ®, expert COBRA administration software.
 

Denial of COBRA benefits for gross misconduct was upheld on appeal.

In 1997, Ricky Bryant and Stephen Bannister sued their employer, Food Lion, Inc., alleging various ERISA violations, including the claim that it wrongfully denied them the right to continue health insurance coverage. According to the trial court, they were fired for acts of "gross misconduct," and so were not entitled to COBRA coverage. In a recent opinion, the 4th Circuit Court of Appeals agreed.

Bannister, a long-time dairy clerk, was warned repeatedly that his failure to clean the milk case was inexcusable. He had been given repeated warnings about the importance of following cleanliness procedures and was previously reprimanded in writing for violation of Food Lion's written Rule of Conduct #3 (absolute refusal to comply with a supervisor's instructions.) Bryant was discharged for similar reasons: He repeatedly refused to obey direct orders from his store manager and grocery supervisor to accomplish tasks related to cleanliness. The trial court characterized Bryant's conduct as "willful and intentional insubordination," a violation of Food Lion's Rule of Conduct #3.

NOTE: The trial court noted that neither the statute nor the Department of Labor defines "gross misconduct" for purposes of denying COBRA coverage: "Congress left the matter to each employer to tailor its own definition." In response to this lack of official guidance, Food Lion's human resources department defined gross misconduct by listing eight Rules of Conduct, any one of which was considered serious enough to warrant immediate discharge without warning. By developing a definition of gross misconduct, which was "consistent with company needs and not intentionally overbroad or arbitrary," Food Lion showed a good faith effort to comply with COBRA.

(Bryant v. Food Lion, Inc., US Court of Appeals, 4th Circuit, Dkt. No. 00-1894, April 30, 2001)

 
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