Hines v. Humana Insurance Company

District Court, S.D. Ohio·Decided August 30, 2023·No. 1:21-cv-00409·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF OHIO EASTERN DIVISION

BRANDON HINES, : : Plaintiff, : Case No. 1:21-cv-0409 : v. : Chief Judge Algenon L. Marbley : HUMANA INSURANCE COMPANY, : Magistrate Judge Karen L. Litkovitz : Defendant. :

OPINION & ORDER

This matter comes before this Court on Defendant Humana Insurance Company’s (“Humana”) Motion for Summary Judgment (ECF No. 32). For the reasons stated more fully below, Defendant’s Motion is GRANTED IN PART, and DENIED IN PART. I. BACKGROUND Plaintiff Brandon Hines was hired as a Customer Care Specialist for Defendant Humana on August 8, 2016. (ECF No. 29 at 28:5–11). In that position, Hines answered incoming customer calls and resolved their complaints and questions. (ECF No. 32 at 5). In the fall of 2017, Plaintiff applied for four different jobs within the company, but was denied from all. Two of the positions were given to a white woman and a Black woman. (ECF No. 37 at 1). On January 25, 2018, Hines filed a complaint with Humana alleging unfair treatment, favoritism, and conflict of interest, (see ECF No. 32 at 9), stating that he did not trust Humana’s hiring process because of previous job experiences as a member of a “certain demographic,” which he stated in his deposition to mean his status as a Black man. (ECF Nos. 29 at 100; 37 at 2). Plaintiff also raised the same concerns when speaking with an associate. (ECF No. 29 at 64:14–23). Humana closed the complaint on March 14, 2018, finding his allegations unfounded. (ECF No. 37 at 2) In April 2018, due to excellent performance, Hines was transferred to a new team supervised by Domonique Romero. (Id. at 3). Hines then submitted ideas to Humana’s STAR awards program which encouraged suggestions for improving efficiency and provided monetary prizes for implemented suggestions. (ECF No. 32 at 11). Hines indicated to Romero that Humana had implemented one of his suggestions without crediting him and inquired about other

suggestions he had made.1 (ECF No. 37 at 3). In June 2018, Hines emailed Carol Perkins, Romero’s supervisor, and submitted another formal complaint reiterating his previous concerns, raising concern about not being informed that he had received a STAR award despite receiving the monetary award, and put in his two weeks’ notice.2 (ECF Nos. 32 at 11; 37 at 4). While Plaintiff did not resign, he indicated that his emotional state was poor. (ECF No. 37 at 4). In July 2018, Hines started mental health treatment and was approved for twelve weeks of leave under the Family and Medical Leave Act (“FMLA”) from July 24, 2018 to October 15, 2018. (ECF No. 32 at 5, 12–13). On September 12, 2018, UNUM, Humana’s third-party administrator for leave and disability requests, approved Hines for short term disability (“STD”) through

September 30, 2018. (Id. at 13). At the end of September, Hines’ doctor informed UNUM that Hines needed medical leave until November 7, 2018, but that he could return to work after. (Id.). On November 7, 2018, Hines returned to work for one day, but said he could not answer the phones.3 (Id. at 5, 14). Hines alleges on that day he was confronted by Ranesha Jenkins, his former supervisor, about the need for a doctor’s note and was “berated” by Alex Tipton, Romero’s backup. (ECF No. 37 at 5). He was diagnosed with depression and began treatment but did not

1 Hines alleges that he submitted four additional suggestions to the STAR program that went unrecognized, but Humana concluded the ideas did not warrant credit because the company was already working on two of the ideas and did not implement the other two. (ECF No. 32 at 12). 2 Defendant alleges the second complaint was filed on June 8, 2018 (ECF No. 32 at 11), while Plaintiff alleges that it was submitted on June 13, 2018 (ECF No. 37 at 3). 3 Hines testified in his deposition that he was under the impression that his therapist had put in place restrictions for his return to work, including that he was not ready to answer phones yet. (ECF No. 29 at 145:19–146:2). return to work. (ECF No. 32 at 15). On November 16, 2018, Hines’ FMLA was exhausted, and he was required to return to work on November 21, 2018. (Id.). On November 27, 2018, however, UNUM notified Humana that Hines was approved for STD benefits beginning November 14, 2018 to December 14, 2018. (Id.). On January 24, 2019, UNUM approved Hines’ STD benefits through February 1, 2019,

but if he could not return to work on February 2, 2019, he needed to provide supporting medical records and a return-to-work plan. (Id.). On February 1, 2019, Hines’ STD benefits were approved through February 13, 2019, but required he provide the same supporting documentation if he could not return to work on February 14, 2019. (Id. at 16). On February 25, 2019, Penny Hodgkins, UNUM’s lead Disability Benefits Specialist, sent Hines’ doctors a questionnaire to confirm his medical status. His therapist and primary care physician responded that Plaintiff had a continuing disability but would be able to return to work part time or full time in April or May 2019. (Id. at 6). UNUM approved Hines’ STD benefits through March 6, 2019—hitting the twenty-six-week maximum for STD benefits—and a copy of the letter was sent to Humana. (Id.; No. 32-1, ¶ 5).

On March 19, 2019, UNUM informed Hines that his STD benefits had been exhausted and were closed. (ECF No. 32 at 16). Separately, Ericka O’Connell, of Human Resources (“HR”), emailed Hodgkins asking when Hines would be eligible for long term disability (“LTD”) benefits, and Hodgkins responded that Hines was eligible. (ECF No. 37 at 7). On March 22, 2019, O’Connell directed Romero to send Hines a return to work (“RTW”) letter telling Hines to contact Romero to “request an extension under [the] ADA” if not released to work. (Id.). On March 25, 2019, Romero sent Hines a letter informing him that his FMLA and STD benefits were exhausted, and that he had to return to work by March 29, 2019 with a doctor’s release. (Id.). Romero did not tell Hines that he could request a leave extension under the Americans with Disabilities Act (“ADA”), and incorrectly stated that his recent STD request was denied. (Id. at 8). Hines argues that O’Connell understood, per UNUM, that he needed to be off work through March 2019. (Id.). On March 29, 2019, Hines emails Romero and Carolyn Jackson, a Humana HR Partner: “I received the letter you sent via UPS and also USPS. I have not been released by my physician and I am still under physician care.” (ECF No. 32 at 16). On April 1, 2019, O’Connell instructed

Jackson to send Hines the “ADA packet” for him to seek LTD, but the packet was never sent. (ECF No. 37 at 9). That same day, Perkins, Romero’s supervisor, informed O’Connell that she and Romero supported Hines’ termination. (Id.). That same day, Hines also contacted Hodgkins at UNUM to set up LTD benefits. (Id.). Hodgkins informed Hines, through a message, that his LTD claim would be reviewed with a transition date of May 14, 2019. (Id.). While Hodgkins claimed that the March 19, 2019 letter included these details, it was not included in Hines’ letter. (Id.). On April 4, 2019, O’Connell informed Perkins, Romero, and Jackson that Hines’ termination was justified because Hines did not stay in contact with Humana and provided untimely responses. (Id. at 9–10). That same day, Hines was informed that his failure to

substantiate his continue absence was considered a voluntary resignation effective March 29, 2019. (ECF No. 32 at 17). Subsequently, on April 24, 2019, however, UNUM advised Plaintiff and Romero that Hines’ LTD claim was under review. (ECF No. 37 at 11). Finally, on May 14, 2019, Humana sent Hines a letter demanding he return his work equipment. (Id.). Hines replied on May 21, 2019 that he did not intend to resign and would not comply with the letter because he was approved for LTD benefits. (ECF No. 32 at 17).

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