Green v. Medco Health Solutions of Texas, LLC
Green v. Medco Health Solutions of Texas, LLC
Opinion of the Court
MEMORANDUM OPINION AND ORDER
Before the Court are a Motion for Partial Summary Judgment (doc. 51), filed on December 7, 2012 by Plaintiff Maetta Green, and a Motion for Summary Judgment (doc. 57), filed on December 17, 2012 by Defendants Medco Health Solutions of Texas, LLC (“Medco LLC”), Medco Health Solutions, Inc. (“Medco Inc.”), and Aon Hewitt Absence Management, LLC, f/k/a Disability Management Alternatives, LLC d/b/a Hewitt LCG (“Aon”).
I.
BACKGROUND
A. Employment and Attendance Policies
In this action, Plaintiff alleges that she is a former employee of Defendant Medco LLC and was wrongfully terminated and unlawfully discriminated against by her employer and its agents. Doc. 33, Am. Compl. Plaintiff began her employment in March 2007 with Medco LLC as a Customer Service Representative. Id. ¶ 14. Plaintiff was promoted in January 2008 to Resolution Expert. Doc. 58, Br. at 2-3.
■ Resolution team leaders were not subject to the attendance policy until October 1, 2010 when they joined the collective bargaining unit. Id. n. 9. Prior to that date, resolution team leader absences were evaluated under a general reasonableness rule on a case-by-case basis. Id. at 3. As such, Plaintiff was not subject to the eight-absence limit of the attendance policy from April 2008 until October 2010, but became subject to the policy on October 1, 2010.
As a resolution team leader, Plaintiff was reprimanded in September 2008 for fourteen late arrivals and nine unscheduled absences since May 2008. Doc. 58, Br. at 4. Plaintiff was warned that further incidents would result in discipline, but Plaintiff continued to have poor attendance. Id. Plaintiff was counseled in May 2009 and October 2009 for taking excessive lunches on seventeen occasions and for excessive absences and tardiness. Id. Under the general reasonableness policy, Plaintiff was not terminated for these incidents.
Around February 2010,' Plaintiff requested leave under the Family Medical Leave Act (“FMLA”) to address a persistent cough. Id. at 5. Plaintiff was granted intermittent FMLA leave not to exceed 88 hours each month. In May 2010, Plaintiffs intermittent FMLA leave was changed to 97 hours every three months. Id. The parties appear to agree that Plaintiffs post-October 2010 absences at issue in this case are not related to her FMLA leave.
In June 2010 and the months that followed, Plaintiff experienced headaches, dizziness, blurry vision, and vertigo, which caused her to leave work early. Doc. 62, Br. at l.
B. Disability Benefits Claim and First Appeal
Around June 22, 2010, Plaintiff filed a claim with her employer Medco LLC for short-term disability benefits under the “Medco Disability Plan,” which was administered by Defendants Medco Inc. and Aon.
Defendant Aon denied Plaintiffs claim for short term disability benefits on July '9, 2010 for failure to provide any proof óf disability. Doc. 62, Br. at 2. Plaintiffs physician failed to return Aon’s calls and requests for medical documentation, and Plaintiff failed to respond to Aon’s request that she contact Aon since her physician had not provided the necessary information. Doc. 58, Br. at 8. Aon notified Plaintiff that she had a right to appeal the denial. Id.
On July 24, 2010, Plaintiff appealed the denial and, in the meantime, attended additional medical appointments and received additional diagnoses. Doc. 62, Br. at 2-3. Aon reviewed Plaintiffs medical evidence and retained a physician, Dr. Tamara Bowman, to “peer review” the documentation and contact Plaintiffs physicians. Doc. 58, Br. at 11. Dr. Bowman contacted each of Plaintiffs physicians and determined that Plaintiff had no functional impairment and was able to work. Id. at 11-12. On September 29, 2010, Defendant Aon denied Plaintiffs appeal for short-term disability benefits because “there was no compelling medical evidence of a severe disabling impairment that would preclude Ms. Green from performing the material and substantial duties of her job.” Doc. 33, Am. Compl. ¶ 32.
C. Discussions with Defendants and Final Appeal
A Medco Human Resources employee, Kevin Coehener, sent Plaintiff a letter on October 6, 2010 explaining that Plaintiff had been on unauthorized leave. Id. ¶ 33. Plaintiff and Coehener spoke on October 7, though the parties dispute the contents of the call. On October 15, Plaintiffs counsel wrote to Coehener and indicated that Plaintiff was pursuing-a return-to-work release from her physician and hoped that the parties could “begin discussions” to “determine a reasonable accommodation that would allow [Plaintiff] to perform the essential functions of her job when she returns to work.” Doc. 62, Br. at 4. Co-chener did not respond to the letter. Id. On October 25, Plaintiff told Coehener by phone that she was released for work but was unable to return due to an adverse reaction to her medication. Doc. 58, Br. at 13. One day later, on October 26, 2010, Plaintiff attempted to return to work with a -doctor’s note permitting her to work nights. Doc. 62, Br. at 4. Plaintiff had not told Defendants that she would attempt to return to work that day, and Defendants did not allow her to return because they had not received sufficient notice after her six-month absence. Doc. 70, Reply at 11; doc. 59-18, App. at 609 (Roberts’ deposition testimony explaining that the employer needs 48 hours advance notice of an employee’s return to work in order to ensure that the work release is valid and in order to gain access to Aon’s system). According to Defendants, one of Medco’s human resources employees, Kathy Roberts, explained that in order to return to work, Plaintiff would need to submit documentation to cover all of her prior unexcused absences. Doc. 58, Br. at 13. Roberts also allegedly informed Plaintiff that, in order to change her schedule to a night shift, she would need to support such a request for accommodations with additional information. Id. On November 3, 2010, Plaintiff left a voicemail for Coehener and stated that her doctor had rescinded her return-to-work release due to adverse reactions to medicine, so Plaintiff was unable to return. Id.
D. Request for Accommodations and Termination
Plaintiffs counsel sent Defendants a letter on December 1, 2010 noting that Plaintiffs physician had given her a new release to return to work and that Plaintiff sought one of the following accommodations in order to return to work: (1) a night-shift schedule, (2) a day schedule that would allow her to leave work to attend appointments and make up work time later, or (3) a split-shift schedule to accommodate her appointments. Id. ¶39. Plaintiffs counsel called Cochener on December 6, but Cochener did not return counsel’s call or respond to the letter. Id. ¶¶ 40-41; doc. 62, Br. at 4.
On December 7, 2010, Aon informed Medco LLC that Plaintiff had lost her final appeal for short-term disability benefits. Doc. 58, Br. at 18. On December 8, 2010, Plaintiffs counsel faxed Cochener another letter requesting accommodations but received no response. Doc. 62, Br. at 4-5. The next day, on December 9, 2010, Medco LLC terminated Plaintiff, pointing to her excessive unexcused absences in violation of Medco’s attendance policy. Doc. 33, Am. Compl. ¶ 42; doc. 62, Br. at 5.
E. Procedural History
Plaintiff timely filed a charge of discrimination with the Equal Employment Opportunity Commission and received a Notice of Right to File a Civil Action on July 7, 2011. Doc. 33, Am. Compl. ¶¶ 10-11. Plaintiff filed a Complaint (doc. 1) against Defendants on September 19, 2011. Plaintiff filed a First Amended Complaint (doc. 33) on April 4, 2012, which constitutes the operative pleading in this action. The Amended Complaint alleges: two causes of action for violations of the Americans with Disabilities Act (“ADA”), 42 U.S.C. §§ 12101 et seq. against Defendant Medco LLC only; breach of contract against the two Medco Defendants; violation of the Texas Insurance Code, chapter 541, sub-chapter B, against the two Medco Defendants; breach of fiduciary duty against all Defendants; and breach of the duty of good faith and fair dealing against all Defendants. Doc. 33, Am. Compl. ¶¶ 44-63. Plaintiff seeks statutory, actual, liquidated, and exemplary damages, equitable relief in the form of reinstatement to her employment position with Medco LLC, and costs and attorney’s fees. Id. ¶¶ 64-68, Prayer.
Plaintiff filed a Motion for Partial Summary Judgment (doc. 51) on December 7, 2012. In her motion, Plaintiff seeks entry of judgment only as to Defendant Medco LLC’s liability under the ADA for failure to accommodate her. Doc. 51, Mot. at 1. Defendants jointly filed a cross-Motion for Summary Judgment (doc. 57) on December 17, 2012, moving for judgment on all of Plaintiffs claims. Both motions for summary judgment have been fully briefed and are ripe for review. This Court has
II.
LEGAL STANDARDS
The purpose of summary judgment is “to enable a party who believes there is no genuine dispute as to a specific fact essential to the other side’s case to demand at least one sworn averment of that fact before the lengthy process of litigation continues.” Lujan v. Nat’l Wildlife Fed’n, 497 U.S. 871, 888-89, 110 S.Ct. 3177, 111 L.Ed.2d 695 (1990). Accordingly, Federal Rule of Civil Procedure 56(a) provides that summary judgment is appropriate “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” The substantive law governing a matter determines which facts are material to a case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
The summary judgment movant bears the burden of proving that no genuine issue of material fact exists. Latimer v. SmithKline & French Labs., 919 F.2d 301, 303 (5th Cir. 1990). However, if the nonmovant ultimately bears the burden of proof at trial, the summary judgment movant need not support its motion with evidence negating the non-movant’s case. Celotex Corp. v. Catrett, 4H1 U.S. 317, 323-24, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). Rather, the summary judgment movant may satisfy its burden by pointing to the mere absence of evidence supporting the non-movant’s case. Id. at 325, 106 S.Ct. 2548.
Once the summary judgment movant has met this burden, the non-movant must “go beyond the pleadings and designate specific facts showing that there is a genuine issue for trial.” Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994) (per curiam). Factual controversies regarding the existence of a genuine issue for trial must be resolved in favor of the non-movant. Id. Nevertheless, a non-mov-ant may not simply rely on the Court to sift through the record to find a fact issue, but must instead point to specific evidence in the record and articulate precisely how that evidence supports the challenged claim. Ragas v. Tenn. Gas Pipeline Co., 136 F.3d 455, 458 (5th Cir. 1998). Moreover, the evidence the non-movant does provide must raise more than “some metaphysical doubt as to the material facts.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). This evidence must be such that a jury could reasonably base a verdict in the non-movant’s favor. Anderson, 477 U.S. at 248, 106 S.Ct. 2505. If the non-movant is unable to make such a showing, the court must grant summary judgment. Little, 37 F.3d at 1076.
III.
ANALYSIS
Plaintiff moves for partial summary judgment on her ADA accommodation claim against Defendant Medco LLC. Doc. 62, Br. at 1. Defendants move for summary judgment on all of Plaintiffs claims. Doc. 57, Mot. at 2. The Court addresses each claim, in turn, below.
A. ADA Discrimination
Plaintiff first brings a cause of action under the ADA, alleging that she was disabled and that Medco LLC, motivated by her disability, terminated her. Doc. 33, Am. Compl. ¶¶ 44-45, 48-49. Defendants move for summary judgment on this claim, which Plaintiff opposes.
1. Prima Facie Case
A plaintiff who alleges discrimination on the basis of a disability establishes a prima facie case under the ADA by showing that “1) he has a disability; 2) he is qualified for the position in which he seeks employment; and 3) he was discriminated against because of his disability.” Griffin v. UPS, 661 F.3d 216, 222 (5th Cir. 2011); Maples v. Univ. of Tex. Med. Branch at Galveston, No. 12-41226, 2013 WL 1777501, at *1-2, 2013 U.S.App. LEXIS 8535, at *4 (5th Cir. Apr. 26, 2013) (explaining that discrimination must be a “motivating factor” of the adverse action).
Defendants do not dispute that Plaintiff is “disabled.”
Defendants provide summary judgment evidence in the form of Plaintiffs deposition testimony that Plaintiff admitted that attendance was an important part of her job. Doc. 59-3, App. at 88. Defendants also submit summary judgment evidence in the form of a job announcement that an excellent attendance record was a minimum qualification for Plaintiffs position.
For her part, Plaintiff admits that her disability “resulted in her inability to work for several months.” Doc. 62, Br. at 8. Plaintiff also admits that she was subject to the attendance policy at the time she was terminated. Doc. 67, Br. at 21-22. However, she proffers that, prior to her disability, she had missed more days than was allowed under the attendance policy without being fired, so attendance must not have been an essential requirement of the job or she would have been fired earlier. Doc. 67, Br. at 21-22. Plaintiff similarly contends that “[i]f compliance with the [attendance] policy had become an essential function of Plaintiffs job, certainly Defendants would have told her so.” Doc. 67, Br. at 22.
The flaw in Plaintiffs argument is her failure to recognize that Defendants do not assert that “strict compliance” with the eight-day absence limit in the attendance policy was an essential function of her job, but that attendance generally was an essential function
Plaintiff next insists that, even if she was not “qualified” for her position from June through November 2010, on December 1 she notified Defendants that she would be able to attend work, ie., become “qualified,” with reasonable accommodations. Doc. 67, Br. at 23; doc. 69, Reply at 2. Defendants point the Court to one case which concluded that the fact that it was not disputed that attendance was an essential function of the job and the fact that the plaintiff had not been at work for a year was sufficient to demonstrate that the employee was not a qualified individual, even though he was allegedly able to return to work. See Johnson v. SBC Advanced Solutions, Inc., No. 3:02-CV1637-L, 2004 WL 1151650, at *5-6, 2004 U.S. Dist. LEXIS. 31280, at *15-18. (N.D.Tex. May 21, 2004) (analyzing prior version of the ADA). That case, however, is inappo-site for purposes of this analysis because when the employee alleged that he was suddenly able to return to work after a
The issue of whether a plaintiff is “qualified” for her position appears to be determined at the time of the adverse employment action. See Morton v. GTE N., 922 F.Supp. 1169, 1178 (N.D.Tex. 1996), aff'd 114 F.3d 1182 (5th Cir. 1997). Plaintiff has alleged and provided evidence that she was able to attend work on or after December 1 with a reasonable accommodation, so she has demonstrated that she was qualified at the relevant time. Because the plaintiffs burden of demonstrating a prima facie case of discrimination is low, the Court will assume that Plaintiff has met her prima facie burden and will continue to analyze her discrimination claim under the burden-shifting framework.
2. Legitimate, Nondiscriminatory Reason
Assuming that Plaintiff has met her pri-ma facie burden, the burden of production shifts to Defendants to offer a legitimate, nondiscriminatory reason for terminating Plaintiff. See Manning, 332 F.3d at 881.
Defendants offer extensive summary judgment evidence demonstrating that Medco LLC terminated Plaintiff because she had accumulated an excessive amount of unexcused absences. Doc. 57, Br. at 23-24. Defendants explain that Plaintiff was not terminated during the six-month period preceding her termination because Medco LLC was waiting for the decision from Aon as to whether Plaintiffs final appeal would result in her absences being excused based on short-term disability. Doe. 59-18, App. at 612 (Roberts deposition). On December 7, 2010, Medco LLC learned that Plaintiffs final appeal had been denied and that her absences were deemed unexcused. Even starting Plaintiff with a clean slate of absences on October 1, by December 1, Plaintiff had accumulated two months of unexcused absences, far exceeding the eight-occurrence limit. See, e.g., doc. 59-1, App. at 3-4 (Cochener Aff.). As noted above, Plaintiff does not dispute that she was absent during this time or that she became subject to the attendance policy on October 1. Defendants contend that because Plaintiff had exceeded the allowable absences under the attendance policy, she was terminated. See doc. 59-5, App. at 140 (Cochener deposition stating that there have been no exceptions to the attendance policy); doc. 59-18, App. at 606 (Roberts deposition testimony stating that the attendance policy was “strictly enforced”), 634 (King deposition stating that employees are always terminated when their absences exceed the allotted number). Accordingly, the Court concludes that Defendants have satisfied their burden of production in showing that Medco LLC’s reason for terminating Plaintiff was based on the non-discriminatory, legitimate reason that Plaintiff had accumulated an excessive amount of unexcused absences in violation of the attendance policy. See Smith v. Tuesday Morning Corp., No. 3-06CV1046-R, 2007 WL 2851107, at *5, 2007 U.S. Dist. LEXIS 97307, at *15 (N.D.Tex. Oct. 2, 2007) (“As a general proposition, an employer’s termination of an employee for violation of a neutral attendance policy is legitimate.”).
3. Pretext
Under the burden-shifting framework, Plaintiff must next demonstrate that Med-co LLC’s proffered reason for terminating her is actually pretext for its true reason
Plaintiff first argues that Medco LLC’s reason is pretext because she was never told that she was subject to the attendance policy. Doc. 67, Resp. at 23-24. Generally, an employee’s lack of knowledge or notice of her employer’s policy is insufficient to demonstrate that termination decisions made under that policy are pretext. See Roberts v. Mega Life & Health Ins. Co., No. 3:04-CV-756-M, 2005 WL 659026, at *5-6, 2005 U.S. Dist. LEXIS 4388, at *16-17 (N.D.Tex. Mar. 22, 2005) (employee’s lack of knowledge that she was violating the attendance policy was not evidence of pretext); Griesbaum v. Aventis Pharms., 259 Fed.Appx. 459, 469-70 (3d Cir. 2007) (employee’s lack of knowledge of the employer’s leave policy, which was readily available, does not establish pretext); see also Thomas v. Brazos Cnty., No. H-06-3917, 2007 WL 4223433, at *1 n. 5, *8 n. 48, 2007 U.S. Dist. LEXIS 87818, at *5 n. 5, 34-35 n. 48 (S.D.Tex. Nov. 29, 2007) (employee’s argument that he was unaware of the policies which subjected him to termination based on his conduct was insufficient to establish prima facie case of discrimination).
Plaintiff next declares that Defendants did not clear Plaintiffs absences pri- or to October 2010, despite stating that they would wipe her attendance slate clean once she became subject to the attendance policy. Doc. 67, Resp. at 24; doc. 59-1, App. at 3-4 (Cochener deposition explaining that resolution team leaders were given a clean slate of occurrences on October 1, 2010 when they became subject to the attendance policy). Plaintiff does not provide adequate summary judgment evidence to dispute that her termination was warranted based on her post-October 1, 2010 absences. Further, Plaintiff does not argue that the number of days she was absent after October 1 without a doctor’s note, and therefore the number of occurrences under the policy, exceeded eight. See doc. 59-1, App. at 4 (Cochener deposition explaining that “Green’s unexcused absences from October 1, 2010 to Deceim-ber 1, 2010 constituted occurrences under the Attendance Policy”). Although her termination form mentions that she had been absent since June 2010, she does not dispute that fact but instead unpersuasively surmises that Medco LLC must have terminated her for pre-October absences. Doc. 59-5, App. at 163 (termination form). Plaintiff also indicates that a timeline of Plaintiffs absences, which she alleges Medco LLC relied upon in terminating her, included pre-October absences. Doc. 67, Br. at 24 (citing doc. 59-5, App. at 156). In response, Defendants clarified that the timeline expresses that “[d]ue to the recent development of the [resolution team leader] department coming under the ... bargaining unit (effective October 1), the attendance record for Maetta may need to be converted to the bargaining unit’s occurrence schedule or to a ‘clean slate.’ However, it is unclear at this time how that will be handled as it has yet to be negotiated with the Union.” Doc. 59-5, App. at 182 (timeline). Thus, on the face of the timeline, it explains that the absences may need to be altered. The time-line is therefore insufficient evidence to dispute Defendant’s summary judgment evidence that, when Plaintiff was terminated, the decision was based on only her post-October 1 absences.
In a similar vein, Plaintiff maintains that her two months of absences leading up to her termination should have been counted as only one occurrence under
Plaintiff also argues that if her unexcused absences were the true reason for termination, she would have been terminated much sooner. Doc. 67, Resp. at 24-25. Plaintiffs arguments amount to mere speculation and do not address Defendants’ summary judgment evidence that she was subject to different attendance policies during her employment as a resolution team leader.
Finally, Plaintiff contends that Medco LLC provided “shifting stories” of its reasons for terminating her, but points the Court to no summary judgment evidence of the alleged shifting stories. Doc. 67, Resp. at 25.
In conclusion, the Court decides that Plaintiff has not adequately raised a dispute of fact through summary judgment evidence that Medco LLC’s reason for terminating her for excessive unexcused absences was pretext. Defendants have carried their summary judgment burden in showing that they are entitled to judgment on Plaintiffs ADA discrimination claim. Accordingly, the Court GRANTS summary júdgment to Defendants on this claim.
B. ADA Accommodation
Plaintiff also raises an ADA claim against Defendant Medco LLC for the failure to reasonably accommodate her disability. Doc. 33, 'Am. Compl. ¶¶ 44-47, 49. Plaintiff and Defendants both move for cross-summary judgment on this claim, and each opposes the other’s motion.
Under the ADA, employer discrimination includes situations where an employer fails to make “reasonable accommodations to the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or employee.” 42 U.S.C. § 12112(b)(5)(A); Griffin, 661 F.3d at 224. To establish a prima facie case for a failure to accommodate under the ADA, an individual must show that “(1) he had a disability; (2) he was qualified for the job; (3) [his employer] knew of the disability; (4) he requested an accommodation; (5) a reasonable accommodation existed that would have allowed him to perform the essential functions of the job; and (6) the [employer] failed to provide a reasonable accommodation.” Tribble v. Ouachita Parish Police Jury, 939 F.Supp.2d 626, 632, 2013 WL 1411810, at *5 (W.D.La. 2013); Mzyk v. N.E. Indep. Sch. Dist.,. 397 Fed.Appx. 13, 16 n. 3 (5th Cir. 2010). “Once an employee
1. Accommodations Requests
Plaintiff argues that she made requests for accommodations from Defendants, but that Defendants never engaged in the interactive process as required by the ADA. Doc. 62, Br. at 8. Plaintiff offers four potential incidents in which she requested accommodations.
First, on October 15, 2010, Plaintiffs counsel wrote to Cochener and indicated that Plaintiff was in the process of requesting a return-to-work release from her physician and hoped that the parties could “begin discussions” to “determine a reasonable accommodation that would allow [Plaintiff] to perform the .essential functions of her job when she returns to work.” Doc. 62, Br. at 4. The Court concludes that, as a matter of law, the October 15 letter was. insufficient to constitute a request .for accommodations. See Loulseged v. Akzo Nobel Inc., 178 F.3d 731, 735-36 (5th Cir. 1999) (explaining that the duty to launch the interactive process and to provide a concrete request for a specific reasonable accommodation is upon the employee); Griffin, 661 F.3d at 224 (“an employer cannot be found to have violated the ADA when responsibility for the breakdown of the ‘informal, interactive process’ is traceable to the employee and not the employer” (citing Loulseged, 178 F.3d at 736)). The request was predicated on Plaintiffs obtaining a return-to-work release and the parties sitting down to “begin” discussing what accommodations Plaintiff might seek. Defendants cannot be made responsible for failing to accommodate Plaintiff at that time since no specific accommodations were requested by Plaintiff and since the request for accommodations was made contingent on obtaining a return-to-work release. Id.
Next, on October 26, Plaintiff went to her place of employment with a return-to-work release and asked for a night shift.
Finally, on December 1 and 8, Plaintiffs counsel sent letters to Defendants requesting one of three specific accommodations that Plaintiff believed would enable her to return to work and would make her qualified for her position. Doc. 53, App. at 60-61, 64-65. These included (1) a night-shift schedule, (2) a day schedule that would allow her to leave work to attend appointments and make up work time later, or (3) a split-shift schedule to accommodate her appointments. Doc. 33, Am. Compl. ¶ 39. The Court agrees with Plaintiff that the two December requests for accommodations sufficiently explained that accommodations were needed and even offered proposals for reasonable accommodations. Doc. 62, Br. at 10. The Court also agrees that Defendants never responded to the December requests or otherwise engaged in the interactive process. Id. Instead, upon learning that Plaintiffs final appeal had been denied, Medco LLC terminated her.
Rather than dispute these facts, Defendants raise two primary arguments as to why they were not required to engage in the interactive process following the December accommodations requests: first, that Plaintiffs December requests for accommodations were untimely because she was effectively terminated prior to her requests and, second, that no accommodations could forgive her unexcused absences, which warranted immediate termination. See, e.g., doc. 64, Br. The Court reviews these arguments, below. The Court does not analyze the arguments related to Plaintiffs “qualification,” as the Court has already found that Plaintiff demonstrated that she was qualified with accommodations on the date the termination decision was made. See Hamm, 223 Fed.Appx. at 508.
2. Effective Termination and Untimely Accommodations Request
Defendants argue that Plaintiffs December requests for accommodations were untimely because the termination process was underway prior to her requests. Doc. 64, Br. at 18-19; doc. 58, Br. at 29. Plaintiff argues that, even if Defendants had a legitimate reason to terminate her, the moment she requested accommodations, Defendants were required to at least engage in the interactive process before terminating her. Doc. 62, Br. at 9-10 (explaining that Defendants are “not entitled to skip the process and terminate Plaintiff before engaging in the required accommodation analysis”).
In this case, Defendants provide summary judgment evidence that Plaintiff had far exceeded the eight allowable unexcused occurrences when she failed to return to work from October 1 (the date at which her position became subject to the attendance policy and her slate of prior absences was wiped clean) through her termination. Defendants explain that Medco LLC was awaiting the results of Plaintiffs final short-term disability benefits appeal to determine if any of Plaintiffs absences would be deemed excused and thus her termination unwarranted under the attendance policy. Doc. 59-18, App. at 612 (Roberts deposition testimony stating that, although she did not make the termination decisions, a denial of Plaintiffs appeal by Aon would result in Plaintiffs termination). On November 26, Aon informed only Plaintiff, and not Med-co LLC, of its decision to deny Plaintiffs final appeal. It is reasonable to conclude that Plaintiff was effectively terminated when her appeal was denied. Doc. 58, Br. at 29; doc. 64, Br. at 18; doc. 59-5, App. at 163 (termination form explaining that Aon’s denial of appeal meant absences were unexcused under the attendance policy, requiring her termination); doc. 59-5, App. at 140 (no exceptions to the attendance policy); doc. 59-18, App. at 606 (attendance' policy was “strictly enforced”), 634 (employees are always terminated when their absences exceed the allotted number). Plaintiffs request for accommodations, five days after she learned that none of her absences would be excused, was therefore untimely.
The fact that Medco LLC did not actually process Plaintiffs termination
3. Forgiving Past Conduct Warranting Immediate Termination
Alternatively, Defendants were not required to engage in the .interactive process during the brief interim from the initial December 1 accommodation request to the December 9 termination, because Plaintiffs request for accommodations did not and could not include a request to forgive her two months of unexcused absences. Courts have consistently explained that a “second chance” or forgiveness of prior misconduct otherwise warranting termination is not a “reasonable accommodation.” Brookins v. Indianapolis Power & Light Co., 90 F.Supp.2d 993, 1006-08 (S.D.Ind. 2000) (citing Siefken v. Village of Arlington Heights, 65 F.3d 664, 666-67 (7th Cir. 1995)). “Since [a] reasonable accommodation is always prospective, an employer is not required to excuse past misconduct even if it is the result of the individual’s disability.” Id. at 1007 (citing U.S. Equal Opportunity Employment Commission, Enforcement Guidance: Reasonable Accommodation and Undue Hardship Under the Americans With Disabilities Act at 24, question number 35); see Davila v. Qwest Corp., 113 Fed. Appx, 849, 854 (10th Cir. 2004) (“[A]s many cases have recognized in various contexts, excusing workplace misconduct to provide a fresh start/second chance to an employee whose disability could be offered as an after-the-fact excuse is not a required accommodation under the ADA.”). The Fifth Circuit has explained in a related context that an employer is obligated to provide reasonable accommodations for a disability but is not required to approve a “retroactive accommodation” or “second chance” excusing prior misconduct stemming from the alleged disability. See Burch v. Coca-Cola Co., 119 F.3d 305, 320 n. 14 (5th Cir. 1997) (evaluating alcoholism under pre2008 version of the ADA and Rehabilitation Act). “Thus, the ADA does not insulate an employee from adverse action taken by an employer because of misconduct in the workplace, even if his improper behavior is arguably attributable to an impairment.” Lottinger v. Shell Oil Co., 143 F.Supp.2d 743, 758, 768 (S.D.Tex. 2001).
Even if Plaintiffs termination had not been effective until the actual date of termination, December 9, there was no requirement that Defendant consider Plaintiffs request when her misconduct, i.e., multiple absences definitively determined on December 7 to be unexcused, required her immediate termination. See doc. 59-18, App. at 609-10, 616; doc. 68, App. at 4. Plaintiffs arguments in opposi
This Court concludes that Plaintiffs December requests for accommodations were untimely and did not excuse her multiple unexcused absences requiring immediate termination. Accordingly, Defendant’s failure to consider her requests in the week prior to terminating her was not a violation of the ADA. The Court GRANTS summary judgment to Defendants and DENIES summary judgment to Plaintiffs on the ADA accommodations claim.
C. Breach of Contract
Plaintiff next brings a claim for breach of contract against the Medco Defendants, alleging that they breached an agreement to pay Plaintiff short-term disability benefits. Doc. 33, Am. Compl. ¶¶ 50-53. Defendants move for summary judgment on this claim, and Plaintiff opposes their motion.
Under Texas law, the essential elements of a breach of contract claim are “(1) the existence of a valid contract; (2) performance or tendered performance by the plaintiff; (3) breach of the contract by the defendant; and (4) damages to the plaintiff resulting from that breach.” Walker v. Presidium, Inc., 296 S.W.3d 687, 693 (Tex.App.-El Paso 2009, no pet.); Am. Gen. Life Ins. Co. v. Kirsh, 378 Fed.Appx. 379, 383 (5th Cir. 2010) (citing Smith Int’l, Inc. v. Egle Group, LLC, 490 F.3d 380, 387 (5th Cir. 2007)).
The pleadings allege that the disability benefits plan Plaintiff received through her employment with Defendant Medco LLC constitutes a binding contract, which the Medco Defendants breached when they failed to award her short-term disability benefits upon her inability to perform her job. Doc. 33, Am. Compl. ¶¶ 50-52. Defendants dispute that a valid contract exists, arguing that the benefits plan was not a contract. Doc. 58, Br. at 31-32. Defendants point to the language of the plan, which provides that:
Nothing in this [Summary Plan Description] represents nor is considered an employment contract, and neither the existence of the Medchoice Disability Program nor any statements made by or on behalf of the Company shall be construed to create any promise or contractual right to employment or to the benefits of employment. The Company or you may terminate the employment relationship without notice at any time and for any reason.
Doc. 59-1, App. at 18. The plan also provides that coverage ends upon termination. Id. at 14. It explains that the plan may be discontinued or altered at any time and that such changes can be retroactive. Id. at 18.
Plaintiff responds that the plan is a contract because Defendants promised to give her benefits if she accepted employment and that once she accepted employment, the promise to give benefits became enforceable, even if it was illusory in part. Doc. 67, Br. at 30-31. She points to two inapposite and distinguishable cases in support of her argument. Id.
Courts have explained that a short-term disability policy is not a valid contract in an employment-at-will context, especially where the policy explicitly provides that it does not create contractual rights. See Hirth v. Metro. Life Ins. Co, 189 Fed.Appx. 292, 293 (5th Cir. 2006) (applying Texas law and holding that a short-term disability policy is not a valid contract because it explicitly provided that it was not a contract and because the plaintiffs employment was at-will); Gamble v. Gregg Cnty., 932 S.W.2d 253, 255 (Tex. App.-Texarkana 1996, no writ) (“In an employment-at-will situation, an employee
Accordingly, the Court concludes that the disability benefits plan does not constitute a valid contract. Defendants are GRANTED summary judgment on the breach of contract cause of action. Given the Court’s ruling, it need not consider Defendants’ other arguments in support of summary judgment on this claim.
D.Texas Insurance Code
Plaintiff also brings a claim under the Texas Insurance Code, chapter 541, sub-chapter B, against Medco LLC and Medco Inc. Doc. 33, Am. Compl. ¶¶ 54-57. She alleges that Defendants misrepresented that they would reasonably and objectively assess her short-term disability claim, consider all of the evidence in support of her claim, and rely on qualified experts in reviewing her claim. Id. ¶ 56. Defendants moved for summary judgment on this claim, but Plaintiff failed to respond to the matter. Given Plaintiffs failure to respond, and given Defendants’ well-reasoned argument with respect to this claim, see doc. 58, Br. at 36-38, the Court GRANTS summary judgment to Defendants on Plaintiffs Texas Insurance Code claim.
E. Breach of Fiduciary Duty
Plaintiff next raises a claim for breach of fiduciary duty against all Defendants, alleging that they inappropriately denied her claim for short-term disability benefits. Doc. 33, Am. Compl. ¶¶ 58-60. Defendants move for summary judgment on this claim. Plaintiff failed to address their arguments in her Response, instead focusing on Defendant’s arguments with respect to the breach of good faith and fair dealing claim, see infra. See doc. 67, Br. at 38. Given Plaintiffs failure to respond, and given Defendants’ well-reasoned argument with respect to this claim, see doc. 58, Br. at 41-42, the Court GRANTS summary judgment to Defendants on Plaintiffs breach of fiduciary duty claim as well.
F. Breach of Duty of Good Faith and Fair Dealing
Finally, Plaintiff brings a claim for breach of the duty of good faith and fair dealing against Defendants, alleging that they unfairly denied her short-term disability benefits. Doc. 33, Am. Compl. ¶¶ 61-63. The pleadings allege that the benefits plan constituted an “insurance” agreement between Plaintiff and Defendants, which gave rise to a duty of good faith and fair dealing. Id. ¶ 61. Defendants move for summary judgment on this claim, and Plaintiff opposes this request.
“A duty of good faith and fair dealing arises only by express contractual language or when there is a special relationship between the parties.” Bass v. Hendrix, 931 F.Süpp. 523, 524 (S.D.Tex. 1996). Courts have found special relationships to arise in situations where there is an unequal bargaining position between
The Court has already rejected Plaintiffs argument that the plan is a contract. Thus, the only issue remaining is whether there is a “special relationship” between the parties giving rise to a duty of good faith and fair dealing.
Simply put, Plaintiff has not adequately demonstrated a dispute of fact or law that the plan is not a contract and did not create a special relationship between the parties. Thus, a duty of good faith and fair dealing does not exist in this case. See Bass, 931 F.Supp. at 524. This dispute is not akin to an insured-insurer relationship, but fits squarely within the cases involving at-will employment disputes. See Hirth, 189 Fed.Appx. at 293; O’Bryant, 18 S.W.3d at 216; see also Constantine v. Am. Airlines Pension Benefit Plan, 162 F.Supp.2d 552, 558 (N.D.Tex. 2001) (holding that an employee flights benefit plan did not give rise to a duty of good faith and fair dealing because no such duty exists in the employment context). The Court concludes that Defendants have shown an entitlement to summary judgment on Plaintiffs breach of duty of good faith and-fair dealing claim.
CONCLUSION
For the reasons stated above, the Court DENIES Plaintiffs Partial Motion for Summary Judgment (doc. 51) and GRANTS Defendants’ Motion for Summary Judgment (doc. 57).
Because this Order disposes of all claims in this case, the Court DENIES AS MOOT Defendants’ Motions to Exclude (docs. 78 and 80), both filed on March 20, 2013.
SO ORDERED.
. Medco Health Solutions Inc. Welfare Benefits Plan was an original defendant to this action, but the parties stipulated to its dismissal on June 1, 2012. Doc. 45, Stipulation.
. On. December 20, 2012 and with leave of the Court, Plaintiff filed an Amended Brief (doc. 62) in support of her Motion for Partial Summary Judgment, to replace her original Brief (doc. 52).
. Medco Inc. is responsible for deciding the eligibility of employees for short term disability benefits. Doc. 33, Am. Compl. ¶ 18. Med-co Inc. delegated its authority to determine benefits eligibility to Aon. Id. ¶ 19.
. Plaintiff presents evidence to prove that she was disabled. Plaintiff misconstrues Defendants’ legal argument, believing that Defendants oppose her allegations of disability rather than her qualification. See doc. 67, Br. at 18-20. Defendants have conceded that Plaintiff is disabled for the purposes of summary judgment on the ADA claims, so whether Plaintiff is disabled is not a matter in dispute. Doc. 70, Reply at 1.
. Whether attendance is an essential function of a job such that an employee is not qualified if she cannot attend work is a separate and distinct inquiry from whether, in the next stages of the burden-shifting framework, the employer can demonstrate that the reasons for termination were based on strict adherence to an attendance policy.
. It is unclear whether Plaintiff considers her October 26 conversation with Roberts to include a request for accommodations, so the Court analyzes it as such out of an abundance of caution.
. Plaintiff cites Cutrera v. Board of Supervisors in support of her argument that “[a]n employ
. The pleadings under this count appear to base the breach of the duty of good faith and fair dealing claim only on the alleged "insurance” agreement and not on a "special relationship.” See doc. 33, Am. Compl. ¶¶ 61-62. However, because Plaintiff contends that the claim is also based on a special relationship, the Court will consider the argument out of an abundance of caution.
Reference
- Full Case Name
- Maetta GREEN v. MEDCO HEALTH SOLUTIONS OF TEXAS, LLC Medco Health Solutions, Inc. and Aon Hewitt Absence Management, LLC
- Cited By
- 11 cases
- Status
- Published