Frank Foster v. Nationwide Mutual Insurance Co.

710 F.3d 640, 20 Wage & Hour Cas.2d (BNA) 732, 2013 WL 1149758, 2013 U.S. App. LEXIS 5539
CourtCourt of Appeals for the Sixth Circuit
DecidedMarch 21, 2013
Docket12-3107
StatusPublished
Cited by30 cases

This text of 710 F.3d 640 (Frank Foster v. Nationwide Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frank Foster v. Nationwide Mutual Insurance Co., 710 F.3d 640, 20 Wage & Hour Cas.2d (BNA) 732, 2013 WL 1149758, 2013 U.S. App. LEXIS 5539 (6th Cir. 2013).

Opinion

OPINION

RALPH B. GUY, JR., Circuit Judge.

Plaintiffs, ninety-one current and former special investigators (Sis) employed by Nationwide Mutual Insurance Company, appeal from the judgment entered against them with respect to their collective claims that Nationwide improperly classified Sis as administrative employees exempt from the overtime requirements of the Fair Labor Standards Act (FLSA) (29 U.S.C. §§ 207 and 213(a)(1)) and analogous provisions of New York and California law. Plaintiffs challenge the partial summary judgment entered in favor of Nationwide, Foster v. Nationwide Mut. Ins. Co., 695 F.Supp.2d 748 (S.D.Ohio 2010), as well as resolution of the remaining issues in favor of Nationwide following a seven-day bench trial, Foster v. Nationwide Mut. Ins. Co., No. 2:08-CV-020, 2012 WL 407442 (S.D.Ohio Jan. 5, 2012) (unpublished). Finding no error in the district court’s careful and thorough analysis, we affirm.

I.

Nationwide is an insurance company in the business of providing a wide range of insurance coverage, including vehicle, *642 property, commercial, and life insurance products. Its corporate structure includes a Special Investigation Unit (SIU) that is divided into geographical regions, each of which is led by an SIU Director who supervises a group of SIU managers who, in turn, supervise the Sis. The SIU operates alongside the claims-adjusting units, which are likewise led by a director who oversees claims managers and claims adjusters. As Nationwide’s internal document described it, the SIU “ ‘exists to service its corporate partners by providing the highest quality and expedient investigative, informational and consulting services to detect and deter fraud and to support other objectives of Nationwide.’ ” Foster, 2012 WL 407442, at *2 (quoting Joint Ex. 2 at 1). The SIU’s work is aimed at reducing the number of non-meritorious claims that are paid in order to keep Nationwide’s insurance products competitively priced.

About one percent of the roughly one million claims filed on Nationwide policies each year are identified by claims adjusters as presenting certain “indicators of fraud.” Those claims are referred to the SIU and, if accepted, are assigned to an SI for investigation. Sis are well compensated with an average annual salary of $75,000; are generally experienced investigators with prior background in law enforcement or insurance claims; and, as the evidence established at trial, “spend the majority, if not an overwhelming majority, of their time carrying out investigations of suspicious claims.” Id. at *19. Due to various state law licensing requirements for claims adjusters (CAs) and concerns about possible litigation, Nationwide precludes its Sis from actually adjusting such claims or making decisions whether to pay or deny the claims. Together the SI and CA develop a plan of action for the investigation, which the SI then conducts relatively free from direct supervision but subject to guidelines and strict auditing standards. The Sis’ primary duty is conducting the investigations, but the parties disputed “the degree of autonomy, discretion, and judgment exercised by the Sis in carrying out the various tasks that comprise a given investigation and the level of significance that should be attributed to the various tasks.” Id. at *3.

The FLSA requires overtime pay for each hour worked in excess of forty hours per week, but exempts “any employee employed in a bona fide executive, administrative, or professional capacity.” 29 U.S.C. § 213(a)(1). Congress did not define these exemptions, but delegated authority to the Department of Labor (DOL) to issue regulations to define and delimit these terms. Id.; see Christopher v. SmithKline Beecham Corp., — U.S.-, 132 S.Ct. 2156, 2162, 183 L.Ed.2d 153 (2012). The current regulations, reissued and streamlined with minor amendments in 2004, provide that the administrative exemption covers employees:

(1) Compensated ... at a rate of not less than $455 per week ...;
(2) Whose primary duty is the performance of office or non-manual work directly related to the management or general business operations of the employer or the employer’s customers; and
(3) Whose primary duty includes the exercise of discretion and independent judgment with respect to matters of significance.

29 C.F.R. § 541.200(a). The exemption is to be narrowly construed against the employer, and the employer bears the burden of proving each element by a preponderance of the evidence. Renfro v. Indiana Mich. Power Co. (Renfro II), 497 F.3d 573, 575-7 (6th Cir.2007).

In deciding the motions for summary judgment, the district court addressed all three elements of the administrative exemption. The first element is unquestionably met in this case, and plaintiffs do not *643 argue otherwise. The district court further found that whatever the precise scope of the Sis’ primary duty, the second element was also met because the Sis’ primary duty is the performance of work “directly related” to the “general business operations” of Nationwide. Foster, 695 F.Supp.2d at 755-58. The district court denied summary judgment with respect to the third element, finding that the evidence in the record presented a genuine issue of material fact whether the Sis’ “primary duty includes the exercise of discretion and independent judgment with respect to matters of significance.” 29 C.F.R. § 541.200(a)(3); see Foster, 695 F.Supp.2d at 758-63. Finally, the district court found that these conclusions applied equally to those claims brought under New York and California law. 1

After further discovery, plaintiffs waived their right to jury trial and the district court presided over a bench trial that included considerable focus on the work performed by Nationwide’s Sis. Since the evidence admitted at trial — which included the testimony of more than fifteen witnesses and voluminous exhibits — is fully summarized by the district court, we do not repeat it here. Foster, 2012 WL 407442, at *4-18. Based on that evidence, the district court made the factual determination that “the primary duty of Nationwide’s Sis is to conduct investigations into suspicious claims with the purpose or goal of resolving indicators of fraud present in those claims.” Id. at *19.

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Bluebook (online)
710 F.3d 640, 20 Wage & Hour Cas.2d (BNA) 732, 2013 WL 1149758, 2013 U.S. App. LEXIS 5539, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frank-foster-v-nationwide-mutual-insurance-co-ca6-2013.