Carr v. Health Insurance Plan of Greater New York, Inc.

111 F. Supp. 2d 403, 2000 U.S. Dist. LEXIS 12656, 2000 WL 1253233
CourtDistrict Court, S.D. New York
DecidedAugust 31, 2000
Docket99Civ.3706(NRB)
StatusPublished
Cited by6 cases

This text of 111 F. Supp. 2d 403 (Carr v. Health Insurance Plan of Greater New York, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carr v. Health Insurance Plan of Greater New York, Inc., 111 F. Supp. 2d 403, 2000 U.S. Dist. LEXIS 12656, 2000 WL 1253233 (S.D.N.Y. 2000).

Opinion

OPINION AND ORDER

BUCHWALD, District Judge.

Plaintiff Frank H. Carr (“plaintiff’ or “Carr”) brings this action against defendants Health Insurance Plan of Greater New York (“HIP”), the Queens-Long Island Medical Group, P.C., and Reza Sabet (“Sabet”) (collectively, “defendants”), alleging that they violated his federally protected right to contract under 42 U.S.C. § 1981, as well as under related state and city provisions, N.Y. Exec. Law § 296 and N.Y.C. Admin. Code § 8-502. Defendant now moves this Court for summary judgment pursuant to Rule 56 of the Federal Rules of Civil Procedure. Plaintiff cross-moves for further discovery pursuant to Rule 56(f). For the reasons set forth below, defendants’ motion is granted in part and denied in part. Plaintiffs motion for further discovery is also granted in part and denied in part as subject to the conditions set forth below.

BACKGROUND

Except as noted, the following pertinent facts are either undisputed or construed most favorably to the plaintiff. 1

Defendant HIP is a not-for-profit corporation, authorized to operate as a medical expense indemnity insurer and health maintenance organization under New York law. Def. 56.1 ¶ 1. To provide medical care to its customers, HIP generally contracts with a number of independent medical groups to render such care. Id. ¶ 2. *405 HIP also supplements the amount of medical care available to its customers by contracting with various independent doctors, hospitals, and consultant specialists so that the independent medical groups can make referrals to those providers “when they deem it to be in their patients’ best medical interests.” Id. ¶ 3.

The Queens-Long Island Medical Group, P.C. (“the Group”) is one such independent medical provider. It is a professional corporation engaged in the practice of medicine and it contracted with HIP to supply medical services to HIP customers in Queens, Nassau, and Suffolk counties. Id. ¶ 4. The Group was formed in 1990 as the result of a consolidation among three smaller such groups. Affidavit of Reza Sabet, dated Jan. 27, 1998 (“Sabet ML”) ¶ 2 n. I. 2 Defendant Sabet is the President and Medical Director of the Group and has held that position during all times relevant to this action. Def. 56.1 ¶ 5.

Plaintiff Carr is an African-American orthopedic surgeon who has been practicing medicine for almost twenty years. PI. 56.1 ¶ 3. Carr joined one of the Group’s three predecessors, East Nassau Medical Group (“East Nassau”), as an orthopedic surgeon in July of 1985, although he took an extended leave of absence from East Nassau from September 1986 to August of 1988. Def. 56.1 ¶ 7-8. Along with the rest of East Nassau, Carr took part in the 1990 merger, becoming both a shareholder and an employee of the newly constituted Group. Id. f 9. Throughout the years that Carr was affiliated with the Group, he treated HIP patients referred to him by the Group. PL 56.1 ¶¶ 5-6.

As a part of the contracts between HIP and East Nassau, and between HIP and the Group, the parties agreed that any physician affiliated with the Group would be required to obtain Board certification in his or her respective specialty by the American Board of Medical Specialties (“ABMS”) or the American Osteopathic Board of Medical Specialties (“AOBMS”) within five years of joining the Group. Def. 56.1 ¶ 6. In August of 1986, Isobel Pollack, a “senior vice president” "with HIP, sent Carr a letter reminding him that “that all physicians have five years, from the time of their Medical Control Board approval date, to become Board Certified.” HIP’s Notice of Motion (“HIP Mot.”), Ex. 1. The letter warned Carr that if he were not “Board Certified in your specialty by January 1991, ” then “you will be asked to leave your position.” Id. (emphasis original). Carr received a similar letter from another HIP vice president, Jesse Jampol (“Jampol”) in May of 1989, several months after he returned from his leave of absence in 1988. Id., Ex. 3. Apparently, that letter restarted Carr’s five-year time limit because Jampol sent another letter in April of 1993, reminding Carr that he had until April of 1994 to become Board Certified. Id., Ex. 4.

In December of 1995, yet another HIP vice president, J. Michael Hogan (“Hogan”), sent a letter to Carr advising him that HIP’s records indicated that the April, 1994 deadline had expired without Carr having obtained his Board Certification. In response, 3 Carr forwarded a copy of a “Board certificate” issued in December of 1987 by the “American Board of Clinical Orthopaedic Surgery.” Id., Ex. 5. Carr also informed Hogan that he was “in the process of [sic] double Boarded in Orthopedic Surgery” and was “scheduled to take the Boards in July, 1995.” Id.

Hogan wrote again in March, 1995, stating that the agreement between HIP and the Group specifically required that board certification be attained through the ABMS or the AOBMS, and that HIP does *406 not recognize the American Board of Clinical Orthopaedic Surgery as a certifying body. Id., Ex. 6. He did, however, recognize Carr’s expressed intention to sit for the ABMS boards (“Specialty Boards”) and extended to Carr the opportunity to continue his relationship with HIP so long as he passed the July 1995 Specialty Boards and provided adequate documentation. Id. Two months later, Hogan confirmed by letter that Carr’s appointment would be effective through November, 1995 and that his future status was contingent on Carr achieving ABMS Board Certification. Id., Ex. 7. 4 Carr signed and dated the bottom portion of this letter, marked “Board Certification Required” on June 19,1995. Id. 5

On December 4, 1995, Carr informed Hogan by letter that he failed the July 1995 exam “by a few points” and offered to retake the exam in July of 1996. Id., Ex. 9. Hogan responded by sending a certified letter, January 2, 1996, id., Ex. 10, which “informed Dr. Carr that he no longer would be allowed to provide care for patients within the HIP system ... because he was not board certified in his specialty.” PI. 56.1 ¶ 8. HIP extended Carr’s appointment through April 1, 1996 “to allow for a smooth transition of patient care.” HIP Mot. Ex. 10.

Sabet followed up with a letter on behalf of the Group on February 29, 1996, id. Ex. 11, which “informed Dr. Carr that his employment with the [] Group would be terminated ... because he no longer could treat HIP patients.” PL 56.1 ¶ 10.

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Bluebook (online)
111 F. Supp. 2d 403, 2000 U.S. Dist. LEXIS 12656, 2000 WL 1253233, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carr-v-health-insurance-plan-of-greater-new-york-inc-nysd-2000.