Zipkin v. Kaiser Foundation Health Plan CA2/5

CourtCalifornia Court of Appeal
DecidedMarch 25, 2014
DocketB245252
StatusUnpublished

This text of Zipkin v. Kaiser Foundation Health Plan CA2/5 (Zipkin v. Kaiser Foundation Health Plan CA2/5) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zipkin v. Kaiser Foundation Health Plan CA2/5, (Cal. Ct. App. 2014).

Opinion

Filed 3/25/14 Zipkin v. Kaiser Foundation Health Plan CA2/5 NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION FIVE

BARBARA ZIPKIN, B245252

Plaintiff and Respondent, (Los Angeles County Super. Ct. No. BC479175) v.

KAISER FOUNDATION HEALTH PLAN, INC. et al.,

Defendants and Appellants.

APPEAL from an order of the Superior Court of Los Angeles County, Michael P. Linfield, Judge. Reversed with directions. Davis Wright Tremaine, John P. LeCrone and Francisco Ochoa; and Paul Hastings, Paul W. Cane, Jr., and Elizabeth J. MacGregor for Defendants and Appellants. Pine & Pine, Norman Pine and Stacy L. Tillet; and The Mathews Law Group and Charles T. Mathews for Plaintiff and Respondent. I. INTRODUCTION

This is an appeal from an order denying the motion to compel arbitration of defendants: Kaiser Foundation Health Plan, Inc.; Kaiser Foundation Hospitals; Southern California Permanente Medical Group; Rhonda Smalls; and Donald Marcus. Defendants argue plaintiff, Barbara Zipkin, M.D., agreed to arbitrate her claims under the dispute resolution procedure. Defendants contend the trial court erred in finding the agreement unenforceable based on unconscionability. We conclude there is slight procedural unconscionability based on the adhesive nature of the arbitration agreement. But we find the arbitration agreement is not highly substantively unconscionable in any sense subject to the possible severance of two contractual terms. Accordingly, we reverse the order subject, upon plaintiff’s request, to severance of the attorney’s fees clause and amendment. Upon remittitur issuance, the trial court shall enter a new order granting the motion to compel arbitration subject to severance of these challenged clauses.

II. BACKGROUND

A. Overview

Plaintiff is a licensed medical doctor specializing in obstetrics and gynecology. She joined Southern California Permanente Medical Group (the medical group) as an employee physician in 1980. Plaintiff was nominated and elected as a general partner in the medical group in August 1982.

B. Complaint

On February 16, 2012, plaintiff filed a complaint against defendants alleging claims for: violating Business and Professions Code section 2056; violating Health and Safety Code section 1278.5; violating Labor Code section 1102.5; disability and age

2 discrimination in violation of Government Code section 12490, subdivision (g); wrongful termination in violation of a fundamental policy; eavesdropping violations of Penal Code section 632 et seq.; and intentional emotional distress infliction. The prayer for relief seeks: economic, special and punitive damages; injunctive relief; prejudgment interest; and costs and attorney’s fees. Plaintiff alleges on June 9, 2011, she called a meeting to complain about the inadequate patient care. On June 24, 2011, plaintiff was falsely accused of providing care to a nonmember. On July 6, 2011, Dr. Donald Marcus called her into his office to complain about her comments at the June 9, 2011 meeting. Dr. Marcus presented plaintiff with two options—early retirement or reduced compensation for six months followed by termination. Plaintiff refused to take early retirement. She was placed on administrative leave four days later. On July 13, 2011, plaintiff wrote a letter addressed to the: Department of Managed Health Care; Medical Board of California; California Department of Insurance; and Franchise Tax Department. In her letter, plaintiff formally complained about: micromanagement of physician time; retaliatory measures against doctors who felt the need to spend more time with their patients; and refusal to reschedule patient appointments when doctors conducted a more serious medical procedure. She alleges “Kaiser Permanente” and the medical group’s profit-maximizing practices were “antithetical” to requirements imposed on a noncharitable organization. Later, plaintiff was terminated from the medical group partnership on November 22, 2011.

C. Defendants’ Motion To Compel Arbitration

On June 27, 2012, defendants moved to compel arbitration. Defendants argued plaintiff agreed to arbitration under the partnership agreement, which contained a binding dispute resolution procedure applicable to all partner physicians. Before filing the motion to compel arbitration, defendants requested that plaintiff agree to binding arbitration under the dispute resolution procedure. Defendants agreed to pay plaintiff’s

3 share of the administrative fees and costs associated with arbitration. Plaintiff refused to arbitrate her claims. The binding dispute resolution procedure was first added to the partnership agreement in 1992 and was most recently revised in May 2006. The medical group sent plaintiff the revised binding dispute procedure by mail in May 2006. On July 25, 2006, plaintiff signed an acknowledgment she had read the dispute resolution procedure. Plaintiff signed and dated below the following statement: “I have received a copy of the Dispute Resolution Procedure approved by the [medical group] Board of Directors on May 24, 2006, and have read it. I agree to abide by the Dispute Resolution Procedure and by any changes made from time to time by the [medical group] Board of Directors.” The dispute resolution procedure agreement identifies the kinds of disputes to which it applies: “[T]his [dispute resolution procedure] applies to a dispute between a Physician and any other person where [the medical group] is sought to be held vicariously or indirectly liable on account of the other person’s conduct, and to any dispute between [the medical group] and any other person where a Physician is sought to be held vicariously liable on account of the other person’s conduct.” Additionally, the dispute resolution procedure agreement defines certain situations to which it does not apply: any nonpartner physician’s worker’s compensation claim; “a judicial action by either party for a temporary restraining order or a preliminary injunction to preserve the status quo pending arbitration”; any report to a law enforcement agency concerning conduct believed to be criminal; and any legally required report to a state professional board. Process I in the written dispute resolution states: “The aggrieved party (‘Complaining party’) must give written notice of any claim by making a timely written demand for initiation of the [dispute resolution procedure] on the other party . . . The written demand must be sent by certified or registered mail, return receipt requested, within the time limitations period for asserting such a claim in a court of law in order to be considered timely. . . . [¶] The written demand for initiation of the [dispute resolution procedure] (the ‘Complaint’) shall be dated and signed by the Complaining

4 Party, and shall describe the nature of all claims asserted and a short and plain statement of facts on which the claims are based, including (i) a list of witnesses to the events underlying the dispute, (ii) the date the dispute arose, (iii) an adequate description (or copy) of the principal documents that contain any statement supporting the claims, (iv) the relief requested, and (v) the names of all persons from whom relief is requested.” If either party is not satisfied with the written response in Process I, the dispute proceeds to Process II, or, if applicable, Process III.

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Bluebook (online)
Zipkin v. Kaiser Foundation Health Plan CA2/5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zipkin-v-kaiser-foundation-health-plan-ca25-calctapp-2014.