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  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
  • Andrea Spears vs. Health Net of California Inc Unlimited Civil document preview
						
                                

Preview

1 TIMOTHY J. LONG (STATE BAR NO. 137591) tjlong@orrick.com 2 ORRICK, HERRINGTON & SUTCLIFFE LLP 400 Capitol Mall, Suite 3000 3 Sacramento, CA 95814-4497 Telephone: +1 916 447 9200 4 Facsimile: +1 916 329 4900 5 STEPHANIE GAIL LEE (STATE BAR NO. 285379) stephanie.lee@orrick.com 6 ORRICK, HERRINGTON «& SUTCLIFFE LLP 777 South Figueroa Street, Suite 3200 7 Los Angeles, CA 90017-5855 Telephone: +1-213-629-2020 8 Facsimile: +1-213-612-2499 9 Attomeys for Defendant HEALTH NET OF CALIFORNIA, INC. 10 11 SUPERIOR COURT OF THE STATE OF CALIFORNIA 12 COUNTY OF SACRAMENTO 13, ANDREA SPEARS, an individual, on behalf Consolidated Case No. 34-2017-00210560- of herself and on behalf of all persons similarly CU-OE-GDS 14 situated. Plaintiff, REPLY MEMORANDUM OF POINTS 15 AND AUTHORITIES IN SUPPORT OF V. DEFENDANT HEALTH NET OF 16 CALIFORNIA, INC.'S MOTION FOR HEALTH NET OF CALIFORNIA, INC., a SUMMARY ADJUDICATION 17 Califomia Corporation; and Does 1 through 50, inclusive. Hearing Date: April 26, 2018 .18 Time: 9:00 a.m. Defendants. Judge: Hon. Christopher E. Kraeger 19 Dept.: 54 20 Complaint Filed: April 5, 2017 FAC Filed: June 29, 2017 21 Consolidated Complaint Filed: Dec. 21, 2017 22 TOMAS R. ARANA, on behalf of himself, all others similarly situated. Complaint Filed: August 1, 2017 23 24 Plaintiff, 25 26 HEALTH NET OF CALIFORNIA, INC., a Califomia corporation; and DOES 1-50, 27 inclusive. 28 Defendant. REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 L INTRODUCTION • t/iUORSEO 2 HNCA has moved for summary adjudication oneigSlgsiggMaf^fbagedcp n four alleged 3 wrongfiil acts. Those wrongful acts are that HNCA: (1) imnmbfeU^MfclMed from,the regular 4 rate all contributions to the HNI Plan, including the cash benefit payments the Plan made to 5 HNCA non-exempt employees such Plaintiff Spears who declined some or all of the Plan benefits 6 (what Plaintiff Spears refers to as "cash-in-lieu of benefits"); (2) improperly excluded from the 7 regular rate bonuses paid to Plaintiffs and other putative class members; (3) improperly calculated 8 the regular rate paid to non-exempt employees by not including shift differentials; and (4) 9 employed an unlawful rounding program when it calculated Plaintiffs' pay. The undisputed 10 evidence that HNCA has submitted proves that there is no triable issue as to any of these 11 allegations. Indeed, Plaintiff Spears does not dispute HNCA's showing as to the alleged 12 wrongful acts (2), (3) and (4), therefore the Court must grant summary adjudication on the issues 13 tied to those allegations. Plaintiff Arana did not oppose this motion at all; the Court must 14 therefore grant summary adjudication on all eight issues as to Plaintiff Arana. The only issues 15 left for the Court to decide are those associated with alleged wrongfiil act (1): did HNCA properly 16 exclude benefit contributions, and specifically the cash benefits paid out by the Plan, from the 17 regular rate? Stated differently, have all the requirements of the Benefit-Plan Contributions 18 Exception (29 U.S.C. § 207(e)(4); 29 C.F.R. § 778.215(a)) been satisfied? The answer is, "YES." 19 The Court should reject Plaintiff Spears' opposition arguments as to alleged wrongfiil 20 act (1) and grant this motion in its entirety. Indeed, Plaintiff Spears' opposition arguments reveal 21 a basic misunderstanding of how the Plan worked, as well as the governing law. For example, 22 plaintiff Spears seems to believe that HNCA paid the cash benefits directly to her and other 23 putative class members. Not so. Rather, it is undisputed that HNCA "paid the actual costs of the 24 benefits [which included funds for "Flex DoUeirs" which included cash benefits]" by depositing 25 these funds "into an account maintained and controlled by HNI as the Plan's sponsor." RUF 8.' 26 And once paid, "HNCA's contributions were irrevocable - once made to HNI, HNCA was unable 27 28 ' References to "RUF" are to HNCA's Reply Separate Statement of Undisputed Material Facts filed herewith. -1- REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 to recapture or divert the funds to HNCA's use or benefit." RUF 6-9. Plaintiffs then received 2 "Flex Dollars pursuant to the terms of the Plan." RUF 13. Those Flex Dollars, including cash 3 benefit, came from the aforementioned account administered by HNI as the Plein's sponsor, into 4 which HNCA irrevocably deposited money to be used by the Plan. Id. 5 How the Plan worked and the flow of contributions and benefits is illustrated below: 6 7 8 Iirevocable contributions Account Where HNCA employee HNCA (monies) to be used for controlled elects both deatal and employee 9 Plan purposes related to and medical, contrtbutioiis used covered by providing benefits to adnuinistered to pay for the cost of benefits 10 HNCA employees benefit(s) employee selected selection by HNI 11 WTiereHNCA employee 12 declines either medical or 13 dental, the Plan provided a"cash 14 benefit" 15 16 17 HNCA employee 18 receives the cash benefit 19 20 What is clear and undisputed is that the relevant fiow of fimds, including any cash benefit an 21 employee received when she did not elect medical and/or dental benefits, is all part of the Plan. 22 In this case, every requirement of the Benefit-Plzui Contributions Exception (29 U.S.C. § 23 207(e)(4); 29 C.F.R. § 778.215(a)) is satisfied. HNCA is therefore entitled to summary 24 adjudication on the issues associated with Plaintiff Spears' alleged wrongful act (1), as well as 25 every other issue that is the subject of this Motion. 26 /// 27 /// 28 /// REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 II. ARGUMENT 2 A. Contributions Made Irrevocably By HNCA To HNI, Including Cash Benefits Ultimately Received by Plaintiff Spears From The Plan, Were Properlv 3 Excluded From The Regular Rate. 4 The parties agree that one exception to general rale that all remimeration paid to 5 employees should be included in the regular rate is the Benefit-Plan Contributions Exception, 6 found at 29 U.S.C. section 207(e)(4) ("Section 207(e)(4)"). To satisfy the Benefit-Plan 7 Contributions Exception, one must satisfy five requirements. See 29 C.F.R. § 778.215(a). 8 Notwithstanding Plaintiff Spears' attempt to obfuscate the analysis, the undisputed facts prove 9 that all five requirements are satisfied in this case. i() 1. Contributions Were Made Pursuant To The Plan And Communicated To HNCA Employees. 11 Plaintiff Spears does not dispute that the Plan meets the first requirement. She concedes 12 that HNCA's contributions were made pursuant to a specific plan adopted by HNCA and 13 communicated to the employees via the Plan SPD and EOC documents. RUFs 3-10; see 29 14 C.F.R. § 778.215(a)(1). 15 2. The Primary Purpose Of The Plan Was To Provide Health And 16 Welfare Benefits to HNCA Employees. 17 Plaintiff Speeu^s also does not dispute that the Plan meets the second requirement because 18 the primary purpose of the Plan was to provide health and welfare benefits to HNCA employees. 19 UFs 10-12, Ex. K-L; see 29 C.F.R. § 778.215(a)(2). The Plan provided ehgible employees with 20 "core" benefits, including basic life and basic AD&D insurance, at no cost to the employees. 21 RUF 11. 22 3. Benefits Were Specified Pursuant To The Plan. 23 Plaintiff Spears does not dispute that the Plan meets the third requirement because the 24 Plan, Plan SPD and EOC documents specified the benefits and coverage available under the Plan. 25 RUF 10; see 29 C.F.R. § 778.215(a)(3). 26 27 28 -3 - REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 4. HNCA's Contributions Were Paid Irrevocably To Third Party HNI, The Plan Sponsor and Administrator. Plaintiff Spears does not dispute that the Plan meets the fourth requirement either. See 29 C.F.R. § 778.215(a)(4). Pursuant to the funding arrangement between Plan sponsor and administrator HNI and HNCA, HNCA deposited its employer contributions under the Plan into an account maintained and controlled by HNI. RUFs 6, 8. The contributions made by HNCA pursuant to the Plan were irrevocable - once the contributions were made to HNI, HNCA was unable to recapture or divert the fimds for HNCA's use or benefit. RUF 9. This concession by Plaintiff Spears, which she must make, is critical. Her opposition tries to mislead the Court into thinking that the monetary value of certain Plan benefits she received, including the cash benefits, came from HNCA. In a sense the money did, because HNCA initially sent the money to HNI by irrevocably transferring money to HNI as the Plan sponsor and administrator to pay for these benefits (RUF 9) But because the money was transferred irrevocably to HNI, a point Plaintiff Spears does not and cannot dispute, and then was used by HNI to administer the Plan, including paying to Plaintiff Spears (and others) any cash benefits (again something that she cannot and does not dispute), this prong of the Benefit-Plan Contributions Exception is satisfied. RUFs 3-12. Moreover it proves that Plaintiff Spears did not receive the benefits that she alleges should have been included in the regular rate from HNCA. Those benefits came from the Plan. Finally, it is irrelevant for the purposes of the Benefit-Plan Contributions Exception that the monetary value of the Plan benefits Plaintiff Spears received (e.g., MedlxWave and DeFlxElct) is listed on her wage statement. Similarly, the tax treatment of these Plan benefits is also irrelevant. What matters for the Benefit-Plan Contributions Exception is that Plaintiff Spears received these benefits from the Plan, which she did. 1 (seeking "time records"), she would have been able determine whether the cash benefits were 2 incidental, or not. Opp. Mem. 12:10-14. As the Court knows these RFPs were the subject of 3 three recent discovery motions. 4 Apart from the substantively defective nature of her Section 437c(h) request eind that 5 Plaintiff Spears chose not to initiate any discovery on the points about which she now complains, 6 as discussed in section II.E below, the payroll records and time records that Plaintiff Spears 7 claims she needs do not contain the information that the undisputed evidentiary showing HNCA 8 has provided to prove that this prong of the Benefit-Plan Contributions Exception is satisfied. 9 First, payroll records of the non-exempt employees Plaintiff Spears seeks to represent do 10 not yield the data the HNCA declarant (Ms. Sarabia) relied upon when she provided the 11 undisputed evidence to prove that the fifth requirement is met. Even if HNCA had produced all 12 the payroll records for each and every non-exempt employee, the information in those records 13 would not provide a complete picture of what one needs to know to determine that the fifth 14 requirement is satisfied. For example, since the Plan applied to all HNCA employees (UF 3, 7), 15 not just non-exempt employees, the data would not tell one whether the cash benefits were higher 16 or lower than 20% the total amount of the contributions HNCA paid irrevocably to the Plan. 17 Stated differently, the data would be at best incomplete since it excludes a large percentage of 18 Plan Participants - i.e., exempt employees. The payroll records also do not show whether the 19 amount of Flex Dollars provided was generally less than the total cost of benefit(s) that 20 Pauticipants elected because it is again incomplete. Furthermore, individual non-exempt class 21 member payroll records do not show whether in a majority of cases. Participants were required to 22 contribute some amount toward the cost of benefits elected. And these records do not show the 23 total cash benefits paid out by the Plan as compared to HNCA's overall contributions to the Plan. 24 Second, what time records have to do with anything relevant to this Motion is anyone's 25 guess, and Plaintiff Spears does not explain. The times recorded by non-exempt employees as to 26 when they started or stopped work have nothing to do with how much the Plan paid out in cash 27 benefits, the contributions made by HNCA to the Plan, or the stracture of the Plan itself 28 . -5- REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 The vmdisputed evidence proves that the total value of the cash benefits paid out by the 2 Plan was indeed "incidental" and well below the 20% cap referenced in the DOL regulations. 3 The fifth requirement of the Benefit-Plan Contributions Exception is satisfied and HNCA is 4 entitled to summary adjudication. See Abarca v. Manheim Servs. Corp., No. 05 C 3873, 2007 5 WL 188034, at *6-7 (where undisputed facts demonstrate that employer's plain has satisfied all 6 parts of 29 C.F.R. § 778.215(a), "excess" flex credits paid as "cash" provided to employee 7 through the plan does not need to be included in the regular rate of pay calculation). 8 B. Flores Does Not Hold That Cash Benefits Can Never Be Excluded From The Regular Rate Of Pay. 9 Plaintiff Spears relies heavily on Flores for the proposition that the cash benefits received 10 by Plaintiff Spears and others may never be excluded under Section 207(e)(4). She is wrong. 11 Unlike the health and welfare plan in Flores, it is undisputed that HNCA did not administer its own 12 benefits plan; instead HNCA made irrevocable contributions to third party HNI in its capacity as 13 the Plan sponsor and administrator. RUFs 3-10; see Flores v. City of San Gabriel, 824 F.3d 890, 14 901 (2016) (City argued that it should not be penalized for administering its own flexible benefits 15 plan). 16 In Flores, the Ninth Circuit rejected the City's argument that its cash-in-lieu of benefits 17 payments were properly excluded pursuant to Section 207(e)(4) because the City made these 18 payments directly to its employees and not "to a trustee of third person." Flores, 824 F.3d at 901. 19 The Flores court explained that the cash-in-lieu of benefits payments fell outside the ambit of the 20 Benefit-Plan Contributions Exception because the payments in that case were not made to a trastee 21 or third party - nothing more. The payments the City made were not Plan benefits. Of course, 22 those are not the facts here. Unlike the City's health and welfare plan in Flores, HNCA did not 23 administer its own benefits plan — HNI did. Nor did HNCA make payments directly to its 24 employees. Instead, HNI was responsible for disbursing HNCA's irrevocable contributions for 25 proper Plan purposes, which HNI did. RUFs 5, 9. Thus, the cash benefits, as well as all the other 26 benefits provided under the Plan, did not need to be included in the regular rate. Abarca, 2007 WL 27 188034, at *6-7. 28 REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 C. Plaintiffs Concede That HNCA Appropriately Allocated Bonus Payments 2 And Shift Differential Premiums In Determining The Regular Rate Of Pay. 3 HNCA provided undisputed evidence that it properly allocated bonuses and shift 4 differentials when calculating the regulair rate in compliance with applicable law. RUFs 23, 46. 5 Plaintiffs do not dispute this showing, HNCA is therefore entitled to summary adjudication. 6 D. Plaintiffs Concede That HNCA Did Not Have A Rounding Practice. 7 Plaintiffs do not dispute that during the pertinent time period, HNCA did not utilize or g implement any rounding program. RUFs 47-49. HNCA is therefore entitled to summary 9 adjudication on this allegied wrongful act, as well. 10 E. The Court Should Reject Plaintiff Spears' Section 437c(h) "Request." 11 The Court should reject Plaintiff Spears' "request" to deny summary adjudication based 12 on her (1) failure to conduct any discovery as to the evidence HNCA submitted in support of this 13 motion (such as deposing one of the declarants) and (2) her claim that payroll records and time 14 records for all non-exempt employees would have allowed her to evaluate whether HNCA has 15 satisfied the fifth requirement of the Benefit-Plan Contributions Exception. Opp. Mem., 13:6-16. 16 First, Plaintiff Spears' is procedurally and substantively deficient. Relief under Section 17 437c(h) can only be provided upon a good faith showing by affidavit that a continuance is needed 18 to obtain facts essential to justify opposition to the summary judgment motion. Oldcastle 19 Precast, Inc. v. Lumbermens Mut. Cas. Co., 170 Cal.App.4th 554, 577 (2009). Plaintiff Spears 20 has failed to provide such an affidavit, and for this reason alone, the Court should deny her 21 "request." 22 Second, as pointed out above in Section II.A.5. above, the payroll records and time 23 records at issue would not provide the information that she claims. Those records are incomplete 24 and irrelevant. 25 Finally, Plaintiff Spears has had ample time to seek discovery from HNCA relating to the 26 issues addressed in this Motion, but chose instead to do no such discovery. In the Case 27 Management Conference ("CMC") Statement HNCA submitted prior to the December 8, 2017 28 CMC, HNCA informed Judge Perkins and Plaintiffs that it intended to file this Motion attacking -7- REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION 1 Plaintiffs' regular rate and rounding claims. To the extent that HNCA included additional 2 evidence in its moving papers (about which neither Plaintiff had asked for up to that point). 3 Plaintiff Spears has had ample opportunity to propound written discovery conceming that 4 evidence or to depose the declarants who submitted declarations in support of this Motion. To 5 date, neither Plaintiff has inifiated any such discovery. Plainfiff Spears' decision not to diligently 6 seek discovery is not a basis to confinue this Motion. Cooksey v. Alexakis, 123 Cal.App.4th 246 7 (2004) (lack of diligence may be a ground for denying a request for a continuance of a summary 8 judgment motion hearing, since a good faith showing that further discovery is needed to oppose 9 summary judgment requires some justification of why such discovery could not have been 10 completed sooner). The Court should therefore deny Plaintiff Spears' request to continue this 11 Motion. 12 III. CONCLUSION 13 For all the foregoing reasons, the Court should grant HNCA's Motion for Summary 14 Adjudication. 15 16 Dated: April 20, 2018 ORRICK, HERRINGTON & SUTCLIF 17 18 19 TIMOTH^.XLONG AttorneySior Defendant 20 HEALTH NET OF C A L I F O R M A H N C 21 22 23 24 25 26 27 28 8- REPLY IN SUPPORT OF DEFENDANT'S MOTION FOR SUMMARY ADJUDICATION