Goidel v. Aetna Life Insurance Company

CourtDistrict Court, S.D. New York
DecidedJanuary 20, 2023
Docket1:21-cv-07619
StatusUnknown

This text of Goidel v. Aetna Life Insurance Company (Goidel v. Aetna Life Insurance Company) 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
Goidel v. Aetna Life Insurance Company, (S.D.N.Y. 2023).

Opinion

J M A R DO IN EA CN BDT HA RRT AT AEHH R WE LDA W . N G D G DS . . R C. E. E A B E M ELB R NELA I BRN ID , EYC J RY K R G E . ER RH OFF 600 FIFT NH E A WV A YET N OT U RO 1 KER 0 ,N A T NHTE F E Y R L WS OO A YOCT K R O E L RF KA EW L 1 L 0E 0R 2 0C ENTER N MA AIR RV U I DSA B S AS Y AU V LD B ID.H E B BA NE A ET C RVA K MIL DL AL EEA NSS

D D H ILI A A AA N L NN I NREE L . ML L J. . . IH E MK BO O AEU R R AK N M Z S EAT LNE IN FT wAE wXL w: : ( ( .2 2 e1 1 c2 b2) ) a w7 76 6 m3 3- - .c5 5 o0 0 m0 00 1 ANDS RN A ERIC W NAK OL K B EU . L O Z J O RU E NR .S LL DTA EAE ÓN L HA ND L

KATHERINE ROSENFELD SANA MAYAT ZOE SALZMAN HARVEY PRAGER SAM SHAPIRO VIVAKE PRASAD EARL S. WARD MAX SELVER O.ANDREW F. WILSON EMILY K. WANGER December 27, 2022 Via ECF Hon. Vernon S. Broderick, U.S.D.J. United States District Court Southern District of New York 40 Foley Square New York, NY 10007 Re: Goidel et al. v. Aetna Life Insurance Co., No. 21-cv-7619 Your Honor: The parties submit this joint letter, pursuant to the Court’s Individual Rule 3, seeking the Court’s assistance in resolving a discovery dispute the parties have been unable to resolve on their own. Plaintiffs filed this class action lawsuit alleging that Defendant Aetna Life Insurance Co. (“Aetna”) discriminates against LGBTQ members in its coverage of fertility treatments such as intrauterine insemination and in vitro fertilization, in violation of Section 1557 of the Affordable Care Act. Plaintiffs assert putative classes which include New Yorkers enrolled in plans provided or administered by Aetna who have been or are currently being denied coverage for fertility treatment due to their sexual orientation or gender identity. Dispute: Plaintiffs seek unredacted names of Aetna plan members in New York who submitted discrimination complaints to Aetna based on Aetna’s denial of coverage for fertility benefits due to the fact that the members were in same-sex relationships. Defendants contend that they cannot produce these names because they constitute personal health information (“PHI”) protected from disclosure by law. Parties’ Attempts at Resolution: Plaintiffs served a deficiency letter on Aetna on November 10, 2022, requesting unredacted discrimination complaints. Plaintiffs stated that they are available to meet and confer regarding the exact mechanism by which potential witness and class member information may be provided to Plaintiffs to address any privacy concerns Aetna may have about providing unredacted information about members. The parties met and conferred on December 6, 2022. Aetna stated that it could not agree to disclose the names of the Aetna members whose redacted records have been produced in discovery. Aetna confirmed its position by email on December 9, 2022.

Plaintiffs’ position:

Plaintiffs are entitled to unredacted names of Aetna plan members in New York who submitted discrimination complaints to Aetna based on Aetna’s denial of coverage for fertility benefits due to the fact that the members were in same-sex relationships. These individuals likely possess crucial evidence which would establish that class members’ claims involve common questions of fact and would speak to Aetna’s intent to deny coverage to these individuals based on their sexual orientation.

Courts have required defendants in putative class actions to produce class member names before class certification “where it either relates to ‘issues relevant to class certification such as numerosity or where contact with members of the class could yield information relevant to issues in the case.’” Chen-Oster v. Goldman, Sachs & Co., 293 F.R.D. 557, 565 (S.D.N.Y. 2013) (quoting Dziennik v. Sealift, No. 05–CV–4659, 2006 WL 1455464, at *1 (E.D.N.Y. May 23, 2006)). In Chen-Oster, former women employees of an investment bank had filed a class action alleging gender discrimination against the bank. They sought the unredacted names of gender- related discrimination complaints that employees had filed internally, in order to “establish common questions of law or fact at the class certification stage, establish pretext at the merits stage, and answer potential affirmative defenses raised by Goldman Sachs.” Id. at 565. “Given the potential relevance of complainants’ stories, the plaintiffs should have the same access as [defendant] to these potential witnesses.” Id. at 566 (cleaned up). The court recognized that the complainants had a privacy interest in the contents of their complaints, but it ruled that their privacy concerns were best addressed through the protective order already in place in the case. Id.

Here, as in Chen-Oster, “unredacted names are required in order for the plaintiffs to contact potential witnesses and develop anecdotal evidence of the alleged gender discrimination, and are thus relevant to their claims.” Id. at 565. Aetna has represented to Plaintiffs that it has not kept systematic records of whether individuals who have been denied fertility coverage are LGBTQ. Aetna has also represented that employees staffing its National Infertility Unit hotline who speak to individuals about their fertility benefits typically do not take notes on their calls. Thus, Aetna has apparently kept minimal information about the members who seek fertility coverage which would be discoverable and could enable Plaintiffs to develop anecdotal evidence about the facts surrounding discrimination faced by class members. For this reason, the unredacted names of individuals who have already identified themselves to Aetna as putative class members by submitting discrimination complaints are necessary for Plaintiffs to develop evidence for class certification.

Additionally, as in Chen-Oster, the Protective Order governing discovery already adequately protects the privacy interests of individuals who submitted discrimination complaints to Aetna. HIPAA, the federal law governing the protection, disclosure, and use of personal health information (“PHI”), permits disclosure of PHI for judicial proceedings under a qualified protective order. “[A] purpose of HIPAA was that health information, that may eventually be used in litigation or court proceedings, should be made available during the discovery phase.” Bayne v. Provost, 359 F. Supp. 2d 234, 237 (N.D.N.Y. 2005) (citing 45 C.F.R. § 164.512(e)(1)(ii)). A qualified protective order under HIPAA must “[p]rohibit[] the parties from using or disclosing the protected health information for any purpose other than the litigation or proceeding for which such information was requested” and “[r]equire[] the return to the covered entity or destruction of the protected health information (including all copies made) at the end of the litigation or proceeding.” 45 C.F.R. § 164.512(e)(1)(v)(A)-(B); see also In re Zyprexa Prod. Liab. Litig., 254 F.R.D. 50, 53–54 (E.D.N.Y. 2008), aff’d, No. 04-MD-1596, 2008 WL 4682311 (E.D.N.Y. Oct. 21, 2008) (Disclosures of PHI are permissible “[i]n response to an order of a court[,] . . . provided that the covered entity discloses only the protected health information expressly authorized by such order[.]” (quoting 45 C.F.R. § 164.512(e)(1)(i))). The Protective Order, entered on October 26, 2021, already provides for the disclosure and use of “Confidential Health Information,” including the names and other identifying information of any Aetna subscriber. See ECF No. 18 at 2–5. This order ensures the protections required by HIPAA.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bayne v. Provost
359 F. Supp. 2d 234 (N.D. New York, 2005)
In re Zyprexa Products Liability Litigation
254 F.R.D. 50 (E.D. New York, 2008)
Chen-Oster v. Goldman, Sachs & Co.
293 F.R.D. 557 (S.D. New York, 2013)
Crabtree v. Hayden, Stone Inc.
43 F.R.D. 281 (S.D. New York, 1967)

Cite This Page — Counsel Stack

Bluebook (online)
Goidel v. Aetna Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goidel-v-aetna-life-insurance-company-nysd-2023.