Candelaria v. Health Care Service Corporation

CourtDistrict Court, D. New Mexico
DecidedJuly 8, 2020
Docket2:17-cv-00404
StatusUnknown

This text of Candelaria v. Health Care Service Corporation (Candelaria v. Health Care Service Corporation) is published on Counsel Stack Legal Research, covering District Court, D. New Mexico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Candelaria v. Health Care Service Corporation, (D.N.M. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF NEW MEXICO

NORA CANDELARIA, KIMANI SINGLETON and all others similarly situated Under 29 USC § 216(b),

Plaintiffs,

vs. Civ. No. 17-404 KG/SMV

HEALTH CARE SERVICE CORPORATION,

Defendant.

MEMORANDUM OPINION AND ORDER

This matter comes before the Court upon a February 26, 2020, letter by pro se Medical Management Specialists (MMS Objectors) to the Clerk of the Court.1 (Doc. 63). The Court construes the letter as an Objection to the proposed class action settlement in this case. Plaintiffs and Defendant responded to the Objection on March 19, 2020, arguing that the Court should overrule the Objection. (Doc. 65). Having considered the Objection and the response as well as the pertinent law, the Court overrules the Objection and will reset the final settlement approval hearing.

1 The Court notes that although it must liberally construe pro se filings, pro se litigants must still comply with the Federal Rules of Civil Procedure. See, e.g., See Hall v. Witteman, 584 F.3d 859, 863 (10th Cir. 2009) (finding that plaintiff’s “pro se status entitles him to a liberal construction of his pleadings”); Ogden v. San Juan County, 32 F.3d 452, 455 (10th Cir. 1994), cert. denied, 514 U.S. 1048 (1995) (noting that while Tenth Circuit “liberally construe[s] pro se pleadings, an appellant's pro se status does not excuse the obligation of any litigant to comply with the fundamental requirements of the Federal Rules of Civil and Appellate Procedure”). Moreover, the Court is not obliged to craft legal theories for pro se litigants or to supply factual allegations to support pro se litigants’ claims for relief. See Hall v. Bellmon, 935 F.2d 1106, 1110 (10th Cir. 1991) (holding that “we do not believe it is the proper function of the district court to assume the role of advocate for the pro se litigant”). I. Background This is a class action lawsuit filed in April 2017. Plaintiffs, Medical Management Employees (MMEs) employed by Defendant, sued Defendant for misclassifying MMEs as exempt from overtime pay and not paying MMEs for overtime as required under the New Mexico Minimum Wage Act, the Illinois Minimum Wage Law, and the Fair Labor Standards

Act (FLSA). (Doc. 25) at ¶¶ 1 and 4. Plaintiffs defined the class in their First Amended Class and Collective Action Complaint (First Amended Complaint) as follows:

Defendant’s current and former non-supervisory MMEs who were paid a salary, who worked more than 40 hours in one or more workweeks over the past three years and whose job duties include Data Collection, Data Entry, Care Utilization, Plan Education, Care Coordination, or other similar duties. This definition specifically includes, without limitation, such job titles as “care coordinator,” “member care coordinator,” “case manager,” “medical management specialist,” “UM/CM coordinator,” “behavioral health coordinator,” “medical social worker,” “utilization review nurse,” “care management specialist,” and other job titles performing similar duties.

Id. at ¶ 7. In July 2019, the parties notified the Court that they had “reached an agreement in principle to resolve all wage-hour claims asserted in this lawsuit.” (Doc. 56). In reaching a proposed settlement, Plaintiffs narrowed the class to persons with “non-career path” job titles which do not require a registered nurse (RN) licensure or advanced specialized education.2 (Doc. 65) at 5-6; (Doc. 65-1). Consequently, the Settlement Class Members are not presumptively exempt from overtime pay under the FLSA’s learned professional exemption.

2 The Settlement Class Members, at a minimum, must possess “4 years’ health, social services or community advocacy experience,” “4 years of experience in the healthcare industry,” “2 years of customer service experience communicating with providers, subscribers, and/or other external customers,” or “3 years managed care systems experience.” (Doc. 65-1) at 2, 5, 7 and 9. (Doc. 65) at 6; see also 29 C.F.R. § 541.301. 3 The “non-career path” job titles held by the Settlement Class Members are Community Health Coordinator, Family Health Assistant, Managed Care Program Coordinator, and Member Care Coordinator. (Doc. 65) at 6; see also (Doc. 65-1). In November 2019, Plaintiffs filed “Plaintiffs’ Unopposed Motion for Preliminary

Approval of Class and Collective Action Settlement.” (Doc. 61). On December 5, 2019, the Court granted Plaintiffs’ unopposed motion and entered an “Order Preliminarily Approving Settlement Agreement,” which set a hearing on March 19, 2020, to determine whether to finally approve the proposed settlement. (Doc. 62). The Court noted that it would hear any objections to the settlement by the Settlement Class Members at the hearing. Id. at ¶ 15. On February 26, 2020, 22 MMS Objectors filed a letter objecting to the proposed settlement. The MMS Objectors complain that they have been unfairly omitted from the Settlement Class although their job duties are consistent with Member Care Coordinators and Defendant has also not paid the MMS Objectors for overtime work. The Court notes that 21 of

the MMS Objectors have RN licensures and one has a master’s social worker licensure. (Doc. 63) at 3-6; (Doc. 65-3). In fact, unlike the job titles held by the Settlement Class Members, an MMS is required to have an RN licensure, social work licensure, or professional counselor

3 Employees meet the learned professional exemption if they perform work in a field of science that requires “advanced knowledge… customarily acquired by a prolonged course of specialized intellectual instruction.” 29 C.F.R. § 541.301(a). “Advanced knowledge cannot be attained at the high school level.” Id. at § 541.301(b). Also, “[t]he best prima facie evidence that an employee meets [the customarily acquired by a prolonged course of specialized intellectual instruction] requirement is possession of the appropriate academic degree.” Id. at § 541.301(d). Notably, “[r]egistered nurses who are registered by the appropriate State examining board generally meet the duties requirements for the learned professional exemption.” Id. at § 541.301(e)(2). licensure. (Doc. 65-2). Moreover, unlike the Settlement Class Members, the MMS job title provides a “career path.” Id. Upon receiving the MMS Objectors’ letter, the Court vacated the final settlement approval hearing on March 5, 2020. (Doc. 64). Thereafter, on March 19, 2020, Plaintiffs and Defendant responded to the Objection. (Doc. 65).

II. Discussion Plaintiffs and Defendant argue that the Court should overrule the Objection because the MMS Objectors lack standing to object to the proposed settlement and the parties appropriately narrowed the Settlement Class to four job titles that did not include the MMS job title. The Court addresses the standing issue first because it concerns the Court’s jurisdiction to hear the Objection. Article III of the United States Constitution limits federal court jurisdiction to “cases” and “controversies.” Spokeo, Inc. v. Robins, 136 S. Ct. 1540, 1547 (2016), as revised (May 24, 2016). To present an Article III case or controversy, the MMS Objectors must establish standing

to bring their Objection. Id. (citations omitted); see also Lujan v. Defs.

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