Rotthoff v. New York State Catholic Health Plan, Inc.

CourtDistrict Court, E.D. New York
DecidedSeptember 28, 2020
Docket1:19-cv-04027
StatusUnknown

This text of Rotthoff v. New York State Catholic Health Plan, Inc. (Rotthoff v. New York State Catholic Health Plan, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rotthoff v. New York State Catholic Health Plan, Inc., (E.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK --------------------------------------------------------------- X : NECOLE ROTTHOFF, AND ALL OTHERS SIMILARLY SITUATED, : Plaintiff, : MEMORANDUM DECISION AND ORDER : 19-CV-04027 (AMD) (CLP) – against – : : NEW YORK STATE CATHOLIC HEALTH : PLAN, INC., d/b/a FIDELIS CARE NEW : YORK, et al., : Defendants. --------------------------------------------------------------- X A NN M. DONNELLY, United States District Judge: Before the Court are the defendants’ motions to dismiss the amended complaint, in which the plaintiff brings a putative class and collective action against New York State Catholic Health Plan, Inc. doing business as Fidelis Care New York, Centene Corporation, Centene Management Company, LLC, New York Quality Healthcare Corporation formally known as Centene Acquisition Corporation, and Centene Company of New York, LLC, alleging violations of the Fair Labor Standards Act (“FLSA”) and New York Labor Law (“NYLL”). For the reasons that follow, the defendants’ motions are denied. BACKGROUND The defendants are health insurance providers that provide coverage to over 1.7 million members in New York under the “Fidelis Care” name. (ECF No. 30 ¶ 1.) The plaintiff worked for the defendants as a Care Management Employee from May of 2016 to January of 2019. (Id. ¶¶ 14, 97.) The defendants employed individuals—whom the plaintiff calls “Care Management Employees”—“to perform utilization review and case management functions” in their Clinical & Nursing “job family.” (Id. ¶ 2.) Care Management Employees had various job titles, including the following terms or variations of these terms: “(1) Case/Care Manager; (2) Care Coordinator;

(3) Utilization Review/Management; (4) UAS/Assessment Nurse; and (5) Intake Nurse/Specialist.” (Id.) These individuals performed primarily “non-exempt work, including collecting information to document insured individual’s medical circumstances, inputting answers to those questions into [the] computer system, using established guidelines to maximize utilization of plan resources through application of predetermined criteria, coordinating care by performing ministerial tasks, . . . [and] supplying insured individuals with additional information and resources to allow them to educate themselves about their health plan, and other similar work.” (Id. ¶ 7.) The defendants classified Care Management Employees as exempt from state and federal overtime laws. (Id. ¶ 6.) During her employment, the plaintiff performed typical care management work. (Id. ¶¶

98, 101.) Her “job duties were routine and rote and did not include the exercise of discretion and judgment with respect to matters of significance;” she did not provide “nursing care in a clinical setting” or “direct medical care to individuals.” (Id. ¶¶ 99, 100.) According to the plaintiff, the defendants required her to work more than forty hours per week. (Id. ¶¶ 102, 103.) For example, from about February of 2018 to September of 2018, the plaintiff “regularly began work at 8:30 am and regularly worked until at least 5:30 pm Monday through Friday.” (Id. ¶ 104.) She “also worked through her 60-minute meal break at least twice per week.” (Id.) However, the defendants did not pay her the overtime rate of one and a half times her regular rate of pay when she worked more than forty hours a week; they paid her a salary, and classified her as exempt from the overtime provisions of the FLSA and NYLL. (Id. ¶¶ 105, 107, 108.) In addition, the plaintiff claims that the defendants did not give her an accurate hiring notice when she was hired, issue accurate wage statements or list the number of hours she worked on her paystubs. (Id. ¶¶ 109, 110, 111.)

The plaintiff also claims that all of the defendants were her employers. (Id. ¶¶ 15-34.) On September 12, 2017, New York State Catholic Health Plan, Inc. (“Fidelis”) “entered into an Asset Purchase Agreement with Centene Corporation to transfer substantially all of its assets in exchange for $3.75 billion.” (Id. ¶ 68.) Fidelis submitted a petition to the New York Attorney General for review and appeal of the transaction; the petition explained that New York Quality Healthcare Corporation was “formed as a wholly owned subsidiary of Centene [Corporation] to operate the business acquired [from Fidelis],” and that Centene Management Company and Centene Company of New York would “assume responsibilities for all operations related to the Managed Care Business Segments.” (Id. ¶¶ 70-73 (quotation marks omitted).) On June 13, 2018, Centene Corporation and New York Quality Healthcare Corporation entered into an

“Undertaking Agreement” with the Attorney General, in which Centene Corporation agreed that it would extend employment offers to Fidelis employees and not terminate them for a period of one year, absent good cause or a material adverse change to the agreement. (Id. ¶¶ 74-75.) Centene Corporation also agreed to “cause” New York Quality Healthcare Corporation to set and enforce policies and procedures, designate an employee responsible for a compliance program, provide training and education, and ensure that communication lines were accessible. (Id. ¶ 76.) The Attorney General approved the transaction on June 14, 2018, and it closed on July 1, 2018. (Id. ¶¶ 78-79.) The plaintiff alleges that following the closing, Centene Corporation made employment offers to her and other Care Management Employees. (Id. ¶ 80.) Fidelis transferred the proceeds of the transaction and its remaining assets to Mother Cabrini Health Foundation, Inc., and Centene Corporation, New York Quality Healthcare Corporation and Centene Management

Company carried out Fidelis’ “business operations” “without interruption or substantial change.” (Id. ¶¶ 85-86.) The supervisory personnel, management, office locations, working conditions, equipment, methods of production and products remained the same or substantially the same after the transaction. (Id. ¶¶ 80-82, 93-96.) STANDARD OF REVIEW To survive a motion to dismiss, a complaint must plead “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim is plausible “when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Matson v. Bd. of Educ., 631 F.3d 57, 63 (2d Cir. 2011) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)).

Pleadings must be construed in the light most favorable to the plaintiff. Hayden v. Paterson, 594 F.3d 150, 160 (2d Cir. 2010). A court reviewing a Rule 12(b)(6) motion to dismiss “is generally limited to the facts as presented within the four corners of the complaint, to documents attached to the complaint, or to documents incorporated within the complaint by reference.” Williams v. Time Warner, Inc., 440 F. App’x 7, 9 (2d Cir. 2011) (summary order) (quoting Taylor v. Vt. Dep’t of Educ., 313 F.3d 768, 776 (2d Cir. 2002)). DISCUSSION I. Overtime Claims1 Under both the FLSA and NYLL, employees who work more than forty hours a week must be compensated for any additional hours at a rate of at least one and a half times their

regular hourly wage. See 29 U.S.C. § 207(a)(1); 29 C.F.R. § 778.110(a); 12 N.Y.C.R.R. § 142- 2.2; see also Nakahata v.

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Bluebook (online)
Rotthoff v. New York State Catholic Health Plan, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/rotthoff-v-new-york-state-catholic-health-plan-inc-nyed-2020.