Martinez v. Superior HealthPlan, Inc.

371 F. Supp. 3d 370
CourtDistrict Court, W.D. Texas
DecidedMarch 5, 2019
DocketCivil Action No. SA-16-CV-870-XR
StatusPublished
Cited by3 cases

This text of 371 F. Supp. 3d 370 (Martinez v. Superior HealthPlan, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martinez v. Superior HealthPlan, Inc., 371 F. Supp. 3d 370 (W.D. Tex. 2019).

Opinion

XAVIER RODRIGUEZ, UNITED STATES DISTRICT JUDGE

On this date, the Court considered the Motions for Summary Judgment filed by Defendants Superior HealthPlan, Inc. and Centene Corporation (docket nos. 72 & 73). Plaintiffs sold Medicare Advantage plans for Superior HealthPlan, Inc. and allege that they were mis-classified as independent contractors when they were in fact employees. They assert claims under the Fair Labor Standards Act ("FLSA") for failure to pay required overtime wages. Defendants contend that Plaintiffs were independent contractors, but even if they were employees, they were exempt outside sales employees. Assuming that Plaintiffs were employees rather than independent contractors, which the Court does not decide, the Court finds that Plaintiffs were exempt under the "outside sales employees" exemption.

Background

Plaintiffs are individuals who worked as sales representatives for Superior HealthPlan, Inc. ("Superior"). Centene Corporation is a holding company with multiple subsidiaries, including Defendant Superior and non-party Centene Management Company, LLC.

Plaintiffs filed their Original Complaint against Defendants Superior HealthPlan, Inc. and Centene Corporation on August 31, 2016, alleging violations of the FLSA for failure to pay required overtime wages. Defendants filed a motion to dismiss under Rule 12(b)(6) or, alternatively, for a more definite statement. After a hearing, the Court issued an oral order granting in part and denying in part, and Plaintiffs then filed a First Amended Complaint.

The First Amended Original Complaint alleged that Plaintiffs entered into an Employed Sales Rep and Exclusive Independent Sales Agent Agreement with Superior and that their job duties included, but were not limited to, soliciting Medicare Advantage Plans to the public on behalf of Superior and Centene. Plaintiffs alleged that Superior and Centene exercised substantial control over Plaintiffs' job duties and responsibilities. Plaintiffs further alleged that although they executed written agreements with Superior, Centene also maintained an employer relationship with them as evidenced by payroll and IRS records.

Plaintiffs alleged that their jobs "often required that they talk to and meet with customers during and after the regular work day" and "frequently worked numerous hours well in excess of forty (40) hours per week." Plaintiffs alleged that they were de facto employees entitled to the protections afforded by the FLSA. They further alleged that because they were misclassified as independent contractors, they were denied employee benefits such as pension, retirement, profit-sharing, and insurance. Thus, they alleged that Defendants intentionally and willfully deprived them of the opportunity to participate in *374these benefits under ERISA. Last, Plaintiffs assert a violation of the Consolidated Omnibus Budget Reconciliation Act ("COBRA") based on their failure to be informed of and failure to obtain COBRA benefits.

Defendants filed a motion to dismiss the amended complaint. The Court mostly denied the motion to dismiss, but did find that Plaintiffs needed to plead more specific facts demonstrating individual or enterprise coverage. Plaintiffs then filed a Second Amended Complaint (docket no. 37), which remains the live pleading. It asserts claims under the FLSA, ERISA, and COBRA. Defendant Superior filed counterclaims against David Silva and Eugene Martinez for money had and received based on mistaken overpayment of commissions.

The Court granted Defendants' motion to dismiss and dismissed Plaintiffs' ERISA and COBRA claims on the basis that, even assuming they were employees, they did not meet eligibility requirements. Docket no. 49. The Court denied Plaintiffs' motion to dismiss Defendants' counterclaims. Id. Thus, Plaintiffs' FLSA claims and Superior's counterclaims remain pending.

Defendants now move for summary judgment on Plaintiffs' FLSA claims. Defendant Superior asserts that all Plaintiffs were independent contractors or, in the alternative, were outside salespersons exempt from FLSA overtime coverage. Superior further asserts that there is no cause of action for FLSA record-keeping violations, and that Ruby Martinez and Sylvia Trevino's FLSA claims must be dismissed under the statute of limitations. Defendant Centene adopts Superior's arguments and additionally moves for summary judgment on the basis that it was not Plaintiffs' employer. Plaintiffs responded in opposition. Because Plaintiffs' response failed to meaningfully respond to Defendants' assertion that Plaintiffs were exempt outside salespersons, Defendants focused their reply on application of the exemption, asking the Court to rule that the exemption applies.

Facts

The Court will assume without deciding for purposes of this motion that Plaintiffs were employees rather than independent contractors, and limits its analysis to the issue of whether Plaintiffs were exempt outside salespersons. That issue requires the Court to determine whether Plaintiffs' primary duty was making sales and whether they were customarily and regularly engaged away from the employer's places of business. For purposes of the analysis, the Court will further presume that both Superior and Centene were Plaintiffs' employers, but does not decide the issue.

Plaintiffs each entered into independent sales agreements with Superior on November 30, 2012. Each contract was called "Employed Sales Rep and Exclusive Independent Sales Agent Agreement" and was entered into between the individual Plaintiff and Superior "for the purpose of setting forth the terms and conditions under which Sales Rep/Independent Agent shall provide certain services to Superior for the solicitation of Medicare Advantage Plans." Superior is authorized by the Department of Health and Human Services to offer Medicare Advantage Plans.1

*375Each Sales Rep/Independent Agent may solicit enrollment of Enrolling Persons in a "defined service area" under the Agreement, which is "limited to the jurisdiction(s) in which Superior is licensed to operate as a Medicare Advantage Organization." "Sales Rep/Independent Agent" is defined as the signing agent who (1) is duly licensed pursuant to the jurisdiction in which such Sales Rep/Independent Agent intends to solicit Enrolling Persons, (2) is approved and appointed by Superior to solicit enrollment of Enrolling Persons under the Agreement; and (3) has executed the Independent Sales Agent Agreement with Superior to solicit enrollment of Enrolling Persons under the Agreement.

Under the Agreement, each sales agent was responsible for complying with continuing education requirements for maintaining licensure and was to pay for licenses, fees, or taxes for licensing, except Superior would pay the appointment fees for those holding a Texas Resident Agent license. Agrmt. ¶ 2.1.

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Bluebook (online)
371 F. Supp. 3d 370, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-superior-healthplan-inc-txwd-2019.