Tucker v. Maximus, Inc.

CourtDistrict Court, W.D. Missouri
DecidedJuly 28, 2022
Docket4:20-cv-00902
StatusUnknown

This text of Tucker v. Maximus, Inc. (Tucker v. Maximus, Inc.) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tucker v. Maximus, Inc., (W.D. Mo. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI WESTERN DIVISION JUANITA TUCKER, ) ) Plaintiff, ) ) v. ) Case No. 4:20-cv-00902-DGK ) MAXIMUS, INC. and TRIWEST ) HEALTHCARE ALLIANCE CORP., ) ) Defendants. )

ORDER GRANTING PARTIAL SUMMARY JUDGMENT

This is an employment discrimination case. Plaintiff Juanita Tucker alleges Defendants Maximus, Inc. (“Maximus”) discriminated against her based on her gender, age, and disability, and then unlawfully retaliated against her for reporting sexual harassment in violation of Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act (“ADA”), and the Age Discrimination in Employment Act (“ADEA”). Defendants deny the allegations. Now before the Court is TriWest’s motion for summary judgment on all claims against it. ECF No. 60. Holding that TriWest was not Plaintiff’s employer for purposes of the applicable discrimination statutes and so cannot be liable, the motion is GRANTED. Standard A movant is entitled to summary judgment if it “shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). Material facts are those facts “that might affect the outcome of the suit under the governing law,” and a genuine dispute over material facts is one “such that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A court makes this determination by viewing the facts in the light most favorable to the nonmoving party and drawing all reasonable inferences in that party’s favor. Tolan v. Cotton, 572 U.S. 650, 656 (2014); Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 588–89 (1986). To survive summary judgment, the nonmoving party must substantiate her allegations with sufficient probative evidence that would permit a finding in her favor based on more than mere speculation,

conjecture, or fantasy. Mann v. Yarnell, 497 F.3d 822, 825 (8th Cir. 2007). Material Undisputed Facts With respect to the pending motion, the material undisputed facts are as follows.1 TriWest’s Relationship with Maximus TriWest manages health care for United States veterans as part of its work with the Department of Veterans Affairs. At some point, the record is unclear when, TriWest contracted with TDB Communications (“TDB”) to provide call center services to TriWest for the delivery and placement of healthcare for veterans with community care providers. TDB in turn subcontracted with Maximus to do the actual call center work. When TriWest entered into its contract with TDB, it knew that TDB would be subcontracting most of its duties to Maximus. In the TDB/Maximus contract, Maximus agreed to place phone calls on TriWest’s behalf to community health care professionals to schedule medical appointments for veterans, pursuant to TriWest’s specifications and models of activity. The scope of work in TDB/Maximus contract largely mirrored the scope of work in the TriWest/TDB contract. For example, the 1:12 supervisor to agent ratio called for in the TDB/Maximus contract was required by the TriWest/TDB contract. With respect to staffing, the TDB/Maximus contract contained the following requirements: Appointment Scheduling. After a 60-day initial start-up period, on average, Supplier [Maximus] personnel should be able to schedule twelve (12) appointments in a normal

1 The Court has limited these facts to those that are undisputed and material to the pending summary judgment motion. Excluded are legal conclusions, argument presented as fact, and proposed facts not properly supported by admissible evidence. The Court has also included inferences from undisputed material facts and facts the opposing party has not controverted properly. See Fed. R. Civ. P. 56(c); L.R. 56.1(a). Because the Court is entering summary judgment in TriWest’s favor, the Court construes what is a material fact very broadly to include almost all the facts Plaintiff asserts are material. 7.5-hour shift. Supplier shall provide (1) supervisor for every (12) of its personnel performing the Services. Supplier shall audit ten percent (10%) of all scheduled appointments, including the accuracy of documentation and a review of the recorded phone call. All errors shall be corrected by Supplier within twenty-four (24) hours. TriWest will audit a random sample of all completed appointments. Target quality score is ninety percent (90%). When the performance standards have not been achieved, Supplier will submit a written corrective action plan to TriWest within seven (7) business days.

Provider Outreach. On average, Supplier personnel should be able to contact four (4) providers per hour. Supplier shall provide (1) supervisor for every (12) of its personnel performing the Services. Supplier shall audit ten percent (10%) of all scheduled appointments, including the accuracy of documentation and a review of the recorded phone call. All errors shall be corrected by Supplier within twenty-four (24) hours. TriWest will audit a random sample of all completed appointments. Target quality score is ninety percent (90%). When the performance standards have not been achieved, Supplier will submit a written corrective action plan to TriWest within seven (7) business days.

The contract also required Maximus to meet with TriWest to calibrate service levels, discuss process improvement opportunities, and generally transfer any knowledge gained through the course of service delivery. The contract further required the Maximus to be compliant with all HIPAA and privacy requirements, perform ongoing training of additional staff beyond initial program implementation, maintain secure access to all systems provided by TriWest, conduct quality assurance audits, and resolve problems. It also required Maximus to conform to all TriWest security rules; attest to running a federal background check on staff hired for the project; and attest to other compliance and security training, because TriWest requires such training before access to its systems. When customer service representatives and supervisors answered phone calls, they answered as TriWest. The TDB/Maximus contract also provided that TriWest would provide a variety of services to Maximus to facilitate performance. These services included providing initial training to all Maximus staff assigned to each category of work, supervisors, and quality assurance auditors; providing quality assurance criteria and associated templates; providing desk procedures for each category of work; conducting periodic quality audits; suppling Maximus employees with access to all required systems; and providing “second level” support for all complex questions, issues, or escalations that “first level” Maximus employees could not answer. The contract specified that TriWest would provide trainers to teach Maximus’s supervisors how to train others, and that TriWest would make its facilities available to Maximus personnel if access to those facilities was necessary for Maximus to provide services. The director of the call center where Plaintiff worked had communications with TriWest on a regular basis concerning the metrics that TriWest needed, and how many calls needed to be taken.

TriWest and Maximus representatives would meet two to three times a week to go over overall operations, quality, and other items of that nature.

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Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Nationwide Mutual Insurance v. Darden
503 U.S. 318 (Supreme Court, 1992)
Mann v. Yarnell
497 F.3d 822 (Eighth Circuit, 2007)
Newsom v. Anheuser-Busch Companies, Inc.
286 F. Supp. 2d 1063 (E.D. Missouri, 2003)
Tolan v. Cotton
134 S. Ct. 1861 (Supreme Court, 2014)
Larry Alexander v. Avera St. Luke's Hospital
768 F.3d 756 (Eighth Circuit, 2014)
Nischan v. Stratosphere Quality, LLC
865 F.3d 922 (Seventh Circuit, 2017)

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Bluebook (online)
Tucker v. Maximus, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/tucker-v-maximus-inc-mowd-2022.