Cooper v. Milliman, Inc.

CourtDistrict Court, M.D. Florida
DecidedApril 7, 2025
Docket2:23-cv-00028
StatusUnknown

This text of Cooper v. Milliman, Inc. (Cooper v. Milliman, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cooper v. Milliman, Inc., (M.D. Fla. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

BARBARA COOPER,

Plaintiff,

v. Case No: 2:23-cv-00028-JES-NPM

MILLIMAN, INC.,

Defendant.

OPINION AND ORDER This matter comes before the Court on Plaintiff Barbara Cooper’s Motion to Exclude Opinion Evidence From Rebecca Kuehn (Doc. #83) filed on November 22, 2024. Milliman, Inc.’s Opposition to Plaintiff’s Motion to Exclude and Request to Strike and Award Sanctions (Doc. #87) was filed on December 13, 2024.1 For the reasons set forth below, the motion is granted in part and denied in part. I. The Court recently summarized this Fair Credit Reporting Act (FCRA) case in an Opinion and Order on cross-motions for summary

1 Defendant’s Opposition contains an embedded request to strike the motion and award sanctions for filing what it describes as a “baseless” motion without a Local Rule 3.01(g) Certification. This request is itself a motion, Fed. R. Civ. P. 7(b)(1), for which there is no Rule 3.01(g) certificate. In any event, the Court does not find the motion to be baseless, and therefore declines to either strike the motion or award sanctions. judgment: In October 2022, Cooper applied for insurance with a non-party insurance company (the Insurer). As part of its evaluation process, the Insurer requested a consumer report from Milliman. Milliman, whom the parties agree is a Consumer Reporting Agency pursuant to the FCRA, was furnished with Plaintiff’s prescription and medical history by Anthem, a non-party data furnisher. Milliman compiled the report and sent it the Insurer. The Insurer then denied Plaintiff’s application based on her “prescription and/or medical history.”

Plaintiff obtained a copy of the report from Milliman and disputed its accuracy. Among other errors, the report showed Plaintiff was prescribed flecainide acetate by Dr. Newton Wiggins and multiple fillings of that prescription by Plaintiff. As it turned out, this erroneous information attributed to Plaintiff actually concerned another person with the same first name, last name, and date of birth as Plaintiff. Milliman removed the inaccurate information within thirty days and applied its internal blocking protocol to prevent the removed information from reappearing in future reports.

Plaintiff reapplied and the cycle began anew. The Insurer requested a new report from Milliman. Milliman was furnished with Plaintiff’s prescription and medical history by Anthem, compiled a report, and sent it the Insurer. The Insurer then auto-declined Plaintiff’s application because the report still showed Plaintiff had received a flecainide acetate prescription by Dr. Wiggins. However, the Insurer was able to compare the new report with the old-but-revised report and determine the flecainide acetate prescription by Dr. Wiggins did not actually relate to Plaintiff. The Insurer then overturned the auto-decline and approved Plaintiff’s application. This lawsuit followed.

(Doc. #101, pp. 3-5)(internal citation and footnote omitted.) The Court also adopts its discussion of the legal requirements of the FCRA set forth in that Opinion and Order. II. Two primary questions to be resolved by the jury are whether Milliman’s procedures to assure maximum possible accuracy were

reasonable or unreasonable, and whether its procedures to prevent the reinsertion of inaccurate information in a report were reasonable or unreasonable. Cooper has identified her expert on these issues as Evan Henricks (Henricks). Milliman has identified attorney Rebecca Kuehn (Kuehn) as its expert to rebut Henricks’ opinions. Kuehn’s expert report states she will offer the following opinions: A. Milliman’s Process for Matching Consumer Records is Consistent with Industry Practice and Otherwise Reasonable. B. Milliman’s Procedure for Blocking Information that was Previously Removed from a Consumer Report is Consistent with Industry Practice and Reasonable. (Doc. #79-6, pp. 15, 17.) Plaintiff argues that Kuehn in unqualified and her proffered testimony unreliable because she: (1) has no experience or training in assuring FCRA compliance for procedures concerning the reporting or reinvestigation of consumer medical information; (2) has no knowledge about how identity matching works or about the software Milliman used to prevent the reinsertion of inaccurate information in the second report; (3) has no direct experience with Milliman’s practices and procedures and relies heavily or exclusively on hearsay statements made by Milliman’s corporate representative (Joel Strassburg); and (4) never identifies any industry standards. “As such,” Plaintiff contends, “her opinions are nothing more than bare legal conclusions that

are pasted on to Milliman’s factual theories.” (Doc. #83, p. 24.) Milliman disagrees with each argument. III. Admission of expert opinion evidence is governed by Fed. R. Evid. 702, which provides: A witness who is qualified as an expert by knowledge, skill, experience, training, or education may testify in the form of an opinion or otherwise if the proponent demonstrates to the court that it is more likely than not that:

(a) the expert's scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue; (b) the testimony is based on sufficient facts or data; (c) the testimony is the product of reliable principles and methods; and (d) the expert’s opinion reflects a reliable application of the principles and methods to the facts of the case. Fed. R. Evid. 702. In Kumho Tire Co. v. Carmichael, 526 U.S. 137 (1999) and Daubert v. Merrell Dow Pharms., 509 U.S. 579 (1993), the Supreme Court held that the trial court has a “gatekeeper” function designed to ensure that any and all expert testimony is both relevant and reliable. The importance of this gatekeeping function “cannot be overstated.” United States v. Frazier, 387 F.3d 1244, 1260 (11th Cir. 2004)(en banc). In determining the admissibility of expert testimony under

Rule 702, the Court applies a “rigorous” three-part inquiry. Frazier, 387 F.3d at 1260. A district court determines the admissibility of expert testimony by considering whether: (1) the expert is qualified to testify competently regarding the matters he intends to address; (2) the methodology by which the expert reaches his conclusions is sufficiently reliable as determined by the sort of inquiry mandated in Daubert; and (3) the testimony assists the trier of fact, through the application of scientific, technical, or specialized expertise, to understand the evidence or to determine a fact in issue. Knepfle v. J-Tech Corp., 48 F.4th 1282, 1294 (11th Cir. 2022)(quoting City of Tuscaloosa v. Harcros Chems., Inc., 158 F.3d 548, 562 (11th Cir. 1998)). In short, “the expert must be qualified; his methodology must be reliable; and his testimony must be helpful to the trier of fact.” Doe v. Rollins Coll., 77 F.4th 1340, 1347 (11th Cir. 2023).

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