Adkins-Bagola v. Universal Nursing Servs., Unpublished Decision (11-17-2004)

2004 Ohio 6082
CourtOhio Court of Appeals
DecidedNovember 17, 2004
DocketC.A. No. 22033.
StatusUnpublished
Cited by1 cases

This text of 2004 Ohio 6082 (Adkins-Bagola v. Universal Nursing Servs., Unpublished Decision (11-17-2004)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Adkins-Bagola v. Universal Nursing Servs., Unpublished Decision (11-17-2004), 2004 Ohio 6082 (Ohio Ct. App. 2004).

Opinion

DECISION AND JOURNAL ENTRY
{¶ 1} Appellant, Universal Nursing Services, Inc., appeals the decision of the Summit County Court of Common Pleas granting certification of a class action. We reverse and remand.

{¶ 2} Appellee, Kimberly Adkins-Bagola (Bagola), was employed as a registered nurse with Appellant from February 1997, until she ended her employment in October of 1999. Appellant, Universal Nursing Services, Inc., (Universal) is in the home health care field and provides medical assistance for persons who are confined to home nursing care facilities. Bagola received certain benefits through her employer, including health insurance. Pursuant to the terms of the insurance agreement, the Universal employees had deductions taken from their pay checks to supplement the cost of insurance.

{¶ 3} Bagola1 filed a complaint against Universal on December 15, 1999. She alleged that Universal allowed the medical insurance to lapse, causing her and other Universal employees to incur medical expenses that would have been covered under the insurance policy. She complained that deductions were being taken from her paycheck for periods where she was not covered under the insurance policy. Essentially, she maintains that she was paying for health insurance, but not receiving any benefits from it from May of 1999, until she quit working at Universal in October of 1999.

{¶ 4} On December 19, 2000, Bagola filed a motion for class certification. Bagola sought to represent past and present Universal employees who were not provided health coverage from May 20, 1999, to November 5, 1999, but who had deductions taken from their paychecks to supplement the cost of the insurance.

{¶ 5} The trial court held an evidentiary hearing on Bagola's motion to certify the class on September 28, 2001. On March 24, 2004, the trial court issued an order certifying the class as "present and past employees of [Universal] who were paying in whole or in part for group health insurance through regular payroll deductions from May 20, 1999 through November 1, 1999." Universal appeals, asserting one assignment of error for our review.

ASSIGNMENT OF ERROR
"The lower court abused its discretion and erred to the prejudice of [Universal] when it granted [Bagola's] Motion for Class Certification, because [Bagola] failed to show that the individuals in question fit within the criteria required under 23(a) or 23(b) of the Rules of Civil Procedure."

{¶ 6} Universal argues that the trial court wrongly granted class certification. Specifically, Universal maintains that class certification was inappropriate because there is no identifiable class, it does not meet the numerosity requirements, the class representative's claim is not typical of the claim of the other class members, and the class does not meet the requirements of Civ.R. 23(B)(1), (2) or (3). We agree.

{¶ 7} Universal maintained two policies with Anthem Blue Cross and Blue Shield (Anthem) which provided health insurance coverage to its employees. One policy was Code 904, or paraprofessional, and the other was Code 903, or professional category.2 Bagola's insurance policy was under the Code 904 paraprofessional category offered by Anthem. Employees who wished to be insured had their insurance premiums deducted from their paychecks. Universal supplemented the employee contributions and paid the insurance premiums for both groups to Anthem.

{¶ 8} Universal's entire business is based upon reimbursements from federal and state government sources, which provides for an unpredictable payment schedule. Many times in the past Universal has paid the insurance premiums late, due to the cash flow problems created by the irregular payment schedule of the government. Universal has had its insurance policies canceled several times in the past due to failure to make timely premium payments, but the policies, prior to November of 1999, had always been reinstated.

{¶ 9} Universal received a letter from Anthem on May 28, 1999, stating that the premium payment had not been received and Anthem was canceling Universal's insurance policy. Upon receiving the letter, Universal requested reinstatement, which had always been successful in the past. Universal submitted checks for groups 903 and 904 for the insurance premiums, but one of the checks did not clear.3 Negotiations with Anthem continued for the span of a few months. On November 16, 1999, Anthem advised Universal that it would not reinstate the policy.

{¶ 10} Universal's Chief Financial Officer personally contacted Anthem and requested reinstatement, which he had done before successfully. He was informed that Anthem would not reinstate the policy. On December 7, 1999, he wrote a letter to the staff informing them that between May 21, 1999, and November 5, 1999, no coverage would be honored by Anthem, but that the company would pay all medical benefits that would have been covered and that all payroll deductions would be terminated immediately.

{¶ 11} Payroll deductions had continued during the negotiations period from May 21, 1999, until they were ended on November 5, 1999. Medical bills accrued between May 21, 1999, and November 5, 1999, therefore were not paid by Anthem, but, rather, were paid by Universal for the employees who submitted their bills. David Rookard, the chief financial officer of Universal, testified that almost all of the employees submitted bills, and of those who had submitted bills, they were all paid. He testified that Bagola never submitted her medical bills to be paid.

{¶ 12} Bagola commenced the instant suit to recover the payroll deductions taken for the time period that the Universal employees were not covered by Anthem, and for the medical bills she accrued during that time. She sought to have the case certified as a class action, the class composed of present and past Universal employees who had payroll deductions taken for the period of the insurance lapse. The trial court conducted a hearing and granted class certification. Universal appeals the trial court's decision to grant class certification.

{¶ 13} A trial judge is given broad discretion when deciding whether to certify a class action. Marks v. C.P. Chem. Co. (1987), 31 Ohio St.3d 200, syllabus. The decision of the trial judge as to class certification should be affirmed absent a showing of an abuse of discretion. Baughman v. State Farm Mut.Auto Ins. Co. (2000), 88 Ohio St.3d 480, 483. However, "[t]he trial court's discretion in deciding whether to certify a class action is not unlimited, and indeed is bounded by and must be exercised within the framework of Civ.R. 23." Hamilton v. OhioSav. Bank (1998), 82 Ohio St.3d 67, 70.

{¶ 14} Before a trial court grants class certification, it must find that the requirements of Civ.R. 23(A) have been met and that the class fits within one of the Civ.R. 23(B) categories.Planned Parenthood Assn. of Cincinnati, Inc. v. Project Jericho (1990), 52 Ohio St.3d 56, 63.

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Bluebook (online)
2004 Ohio 6082, Counsel Stack Legal Research, https://law.counselstack.com/opinion/adkins-bagola-v-universal-nursing-servs-unpublished-decision-ohioctapp-2004.