Green v. Medco Health Solutions of Texas, LLC

947 F. Supp. 2d 712, 28 Am. Disabilities Cas. (BNA) 45, 2013 WL 2317054, 2013 U.S. Dist. LEXIS 74284
District Court, N.D. Texas·Decided May 27, 2013·No. Civil Action No. 3:11-CV-2432-B·Published·Cited by 11 cases

Opinion

MEMORANDUM OPINION AND ORDER

JANE J. BOYLE, District Judge.

Before the Court are a Motion for Partial Summary Judgment (doc. 51), filed on December 7, 2012 by Plaintiff Maetta Green, and a Motion for Summary Judgment (doc. 57), filed on December 17, 2012 by Defendants Medco Health Solutions of Texas, LLC (“Medco LLC”), Medco Health Solutions, Inc. (“Medco Inc.”), and Aon Hewitt Absence Management, LLC, f/k/a Disability Management Alternatives, LLC d/b/a Hewitt LCG (“Aon”).1 For the reasons that follow, the Court DENIES Plaintiffs Motion and GRANTS Defendants’ Motion.

I.

BACKGROUND

A. Employment and Attendance Policies

In this action, Plaintiff alleges that she is a former employee of Defendant Medco LLC and was wrongfully terminated and unlawfully discriminated against by her employer and its agents. Doc. 33, Am. Compl. Plaintiff began her employment in March 2007 with Medco LLC as a Customer Service Representative. Id. ¶ 14. Plaintiff was promoted in January 2008 to Resolution Expert. Doc. 58, Br. at 2-3. [717] In April 2008, she was again promoted to Resolution Team Leader. Id. at 3. In her positions as a customer service representative and resolution expert, Plaintiff was part of a collective bargaining unit with the United Steelworkers. Id. at 3. Participation in the bargaining unit subjected Plaintiff to Medco LLC’s attendance policy. The attendance policy provides that an employee who incurs over eight unexcused “occurrences” will be terminated. Id. An absence of greater than four hours during a single shift constitutes one occurrence. Id. n. 6.

■ Resolution team leaders were not subject to the attendance policy until October 1, 2010 when they joined the collective bargaining unit. Id. n. 9. Prior to that date, resolution team leader absences were evaluated under a general reasonableness rule on a case-by-case basis. Id. at 3. As such, Plaintiff was not subject to the eight-absence limit of the attendance policy from April 2008 until October 2010, but became subject to the policy on October 1, 2010.

As a resolution team leader, Plaintiff was reprimanded in September 2008 for fourteen late arrivals and nine unscheduled absences since May 2008. Doc. 58, Br. at 4. Plaintiff was warned that further incidents would result in discipline, but Plaintiff continued to have poor attendance. Id. Plaintiff was counseled in May 2009 and October 2009 for taking excessive lunches on seventeen occasions and for excessive absences and tardiness. Id. Under the general reasonableness policy, Plaintiff was not terminated for these incidents.

Around February 2010,' Plaintiff requested leave under the Family Medical Leave Act (“FMLA”) to address a persistent cough. Id. at 5. Plaintiff was granted intermittent FMLA leave not to exceed 88 hours each month. In May 2010, Plaintiffs intermittent FMLA leave was changed to 97 hours every three months. Id. The parties appear to agree that Plaintiffs post-October 2010 absences at issue in this case are not related to her FMLA leave.

In June 2010 and the months that followed, Plaintiff experienced headaches, dizziness, blurry vision, and vertigo, which caused her to leave work early. Doc. 62, Br. at l.2 As her symptoms worsened, she underwent multiple medical appointments and treatments with different physicians and specialists. Id. at 2-4. Plaintiff was ultimately diagnosed with idiopathic intra-cranial hypertension and empty sella syndrome. Doc. 33, Am. Compl. ¶ 27.

B. Disability Benefits Claim and First Appeal

Around June 22, 2010, Plaintiff filed a claim with her employer Medco LLC for short-term disability benefits under the “Medco Disability Plan,” which was administered by Defendants Medco Inc. and Aon.3 Doc. 62, Br. at 2. The plan provided benefits of up to 100% of an employee’s base compensation for not more than 25 weeks if the employee could not work due to injury or illness. Doc. 33, Am. Compl. ¶ 16. In order to receive benefits, the employee had to be “actively at work and become unable to perform the material and substantial duties of her regular occupation due to illness, pregnancy, or acci[718] dental injury for seven consecutive calendar days.” Doc. 33, Am. Compl. ¶ 17. Short-term disability benefits were offered at no cost to the employees and were not subject to the Employee Retirement Income Security Act (“ERISA”) or its implementing regulations. Doc. 58, Br. at 5-6.

Defendant Aon denied Plaintiffs claim for short term disability benefits on July '9, 2010 for failure to provide any proof óf disability. Doc. 62, Br. at 2. Plaintiffs physician failed to return Aon’s calls and requests for medical documentation, and Plaintiff failed to respond to Aon’s request that she contact Aon since her physician had not provided the necessary information. Doc. 58, Br. at 8. Aon notified Plaintiff that she had a right to appeal the denial. Id.

On July 24, 2010, Plaintiff appealed the denial and, in the meantime, attended additional medical appointments and received additional diagnoses. Doc. 62, Br. at 2-3. Aon reviewed Plaintiffs medical evidence and retained a physician, Dr. Tamara Bowman, to “peer review” the documentation and contact Plaintiffs physicians. Doc. 58, Br. at 11. Dr. Bowman contacted each of Plaintiffs physicians and determined that Plaintiff had no functional impairment and was able to work. Id. at 11-12. On September 29, 2010, Defendant Aon denied Plaintiffs appeal for short-term disability benefits because “there was no compelling medical evidence of a severe disabling impairment that would preclude Ms. Green from performing the material and substantial duties of her job.” Doc. 33, Am. Compl. ¶ 32.

C. Discussions with Defendants and Final Appeal

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Green v. Medco Health Solutions of Texas, LLC, 947 F. Supp. 2d 712, 28 Am. Disabilities Cas. (BNA) 45, 2013 WL 2317054, 2013 U.S. Dist. LEXIS 74284 (N.D. Tex. 2013).

947 F. Supp. 2d 712 (Green v. Medco Health Solutions of Texas, LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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