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Volume 19 (2016)

STEVEN D. MARSHALL, Plaintiff, v. GORDON TRUCKING, INC., Defendant.

United States District Court,

  1. Oregon.

STEVEN D. MARSHALL, Plaintiff,

v.

GORDON TRUCKING, INC., Defendant.

3:12-cv-01550-BR

|

Filed 10/17/2016

Attorneys and Law Firms

ERIC J. FJELSTAD, Smith & Fjelstad, 722 N. Main Avenue, Gresham, OR 97030, (503) 669-2242, Attorneys for Plaintiff

CHRISTINE A. SLATTERY, SCOTT OBERG OBORNE, Jackson Lewis LLP, 1001 S.W. 5th Ave., Suite 1205, Portland, OR 97204, (503) 229-0404, Attorneys for Defendant

 

 

OPINION AND ORDER

ANNA J. BROWN United States District Judge

*1 This matter comes before the Court on remand from the Ninth Circuit dated June 1, 2016, regarding this Court’s Opinion and Order (#35) issued October 30, 2013, granting Defendant Gordon Trucking Inc.’s Motion (#28) for Summary Judgment. The Ninth Circuit found this Court “understandably treated” Defendant’s Motion as an “unenumerated 12(b) motion” under the then-existing case law and evaluated Defendant’s Motion under that standard.

 

On remand the Ninth Circuit instructed the Court to follow Albino v. Baca, 747 F.3d 1162 (9th Cir. 2014), which was announced six months after this Court’s decision on Defendant’s Motion. In Albino the Ninth Circuit held a failure to exhaust administrative remedies “is an affirmative defense that should normally be raised through a summary judgment motion” and evaluated under the applicable standard for such motions.

 

In addition, the Ninth Circuit held this Court erred when it found it did not have subject-matter jurisdiction because of Defendant’s failure to exhaust his remedies under the United States Department of Transportation (DOT) Federal Motor Carrier Safety Administration regulations. The Ninth Circuit also directed this Court to consider whether to exercise its discretion to excuse exhaustion or to invoke the doctrine of primary jurisdiction.

 

Defendant moves for summary judgment on the grounds that (1) Plaintiff Steven D. Marshall failed to exhaust the DOT administrative remedies and (2) Plaintiff cannot prove he is a “qualified individual” under the Americans with Disability Act (ADA), 42 U.S.C. § 12111.

 

For the reasons that follow, the Court GRANTS Defendant’s Motion.

 

 

FACTUAL BACKGROUND

The following facts, as set forth in the Court’s Opinion and Order (#35) issued October 30, 2013, are undisputed unless otherwise noted:

 

Defendant is an interstate long-haul trucking company based in Pacific, Washington. As an interstate carrier Defendant is required to comply with federal regulations promulgated by the DOT.

 

In December 2010 Defendant purchased Plaintiff’s former employer, Cascade Express. Plaintiff applied for a position with Defendant and was given a conditional job offer. To complete the application process Plaintiff was required to have a DOT medical examination in order to be certified as medically qualified to drive for Defendant. Dr. Christopher Swan conducted the medical examination, during which Plaintiff disclosed he suffered from a bipolar disorder and was taking the medication lithium to treat his illness. In spite of Plaintiff’s disclosure, Dr. Swan issued a medical-examiner’s certificate indicating Plaintiff was physically qualified to drive a commercial vehicle. Defendant reviewed the results of Dr. Swan’s medical examination and the certificate of physical qualification. Defendant also consulted with its retained physician, Dr. Stephen Sorsby, to determine whether Plaintiff was medically qualified to drive under DOT regulations while taking lithium. At that time Dr. Sorsby was the Regional Medical Director at U.S. HealthWorks and a specialist regarding DOT-regulated drivers.

 

*2 Dr. Sorsby disagreed with Dr. Swan’s conclusion that Plaintiff was qualified to drive commercial vehicles. Although lithium is not a substance banned under DOT regulations, Dr. Sorsby concluded Plaintiff was not medically qualified to be a commercial driver under DOT regulations because Dr. Sorsby believes lithium has a propensity to cause night blindness. As a result, Defendant excludes all individuals who take lithium from driving a commercial motor vehicle for Defendant. Defendant, therefore, told Plaintiff that he was disqualified under DOT regulations from driving for Defendant while taking lithium. Defendant suggested Plaintiff speak with his personal physician about an alternative medication. Shortly thereafter Plaintiff informed Defendant that his doctor refused to take him off of lithium.

 

Defendant then terminated1 Plaintiff’s employment in light of Dr. Sorsby’s opinion that Plaintiff was not medically qualified to drive commercial vehicles under DOT regulations because Plaintiff was taking lithium.

 

 

PROCEDURAL BACKGROUND

In November 2011 Plaintiff filed a claim with the Oregon Bureau of Labor and Industries (BOLI). The filing of his claim was, in effect, a joint filing with the federal Equal Employment Opportunity Commission (EEOC) pursuant to a work-sharing agreement between BOLI and EEOC. In June 2012 the EEOC sent Plaintiff a Right to Sue notice.

 

DOT regulations provide appeal procedures when there is a “disagreement between the physician for the driver and the physician for the motor carrier concerning the driver’s qualifications.” 49 C.F.R. § 391.47(b)(2). Nevertheless, even though there was a disagreement between Plaintiff’s physician and Defendant’s physician as to Plaintiff’s qualifications, Plaintiff did not seek a determination from DOT as to his medical qualifications to drive commercial vehicles pursuant to 49 C.F.R. § 391.47.

 

Plaintiff filed this action against Defendant on August 28, 2012, asserting a claim for disability discrimination under the Americans with Disability Act (ADA), 42 U.S.C. § 12111. Plaintiff seeks relief under three separate counts: disparate treatment (Count One), failure to engage in interactive process (Count Two), and failure to accommodate (Count Three).

 

Defendant filed its original Motion (#28) for Summary Judgment on June 24, 2013. On October 30, 2013, the Court granted Defendant’s Motion and entered a Judgment on October 31, 2013, dismissing Plaintiff’s action for lack of jurisdiction. On November 19, 2013, Plaintiff filed a Notice of Appeal to the Ninth Circuit.

 

As noted, the Ninth Circuit issued its Mandate on June 1, 2016, reversing and remanding this case. On July 29, 2016, the Court again took Defendant’s Motion for Summary Judgment under advisement pursuant to the standards specified in that Mandate.

 

 

STANDARDS

Summary judgment is appropriate when “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Washington Mut. Ins. v. United States, 636 F.3d 1207, 1216 (9th Cir. 2011). See also Fed. R. Civ. P. 56(a). The moving party must show the absence of a dispute as to a material fact. Rivera v. Philip Morris, Inc., 395 F.3d 1142, 1146 (9th Cir. 2005). In response to a properly supported motion for summary judgment, the nonmoving party must go beyond the pleadings and show there is a genuine dispute as to a material fact for trial. Id. “This burden is not a light one …. The non-moving party must do more than show there is some ‘metaphysical doubt’ as to the material facts at issue.” In re Oracle Corp. Sec. Litig., 627 F.3d 376, 387 (9th Cir. 2010) (citation omitted).

 

*3 A dispute as to a material fact is genuine “if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Villiarimo v. Aloha Island Air, Inc., 281 F.3d 1054, 1061 (9th Cir. 2002) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986)). The court must draw all reasonable inferences in favor of the nonmoving party. Sluimer v. Verity, Inc., 606 F.3d 584, 587 (9th Cir. 2010). “Summary judgment cannot be granted where contrary inferences may be drawn from the evidence as to material issues.” Easter v. Am. W. Fin., 381 F.3d 948, 957 (9th Cir. 2004)(citation omitted). A “mere disagreement or bald assertion” that a genuine dispute as to a material fact exists “will not preclude the grant of summary judgment.” Deering v. Lassen Cmty. Coll. Dist., No. 2:07-CV-1521-JAM-DAD, 2011 WL 202797, at *2 (E.D. Cal., Jan. 20, 2011) (citing Harper v. Wallingford, 877 F.2d 728, 731 (9th Cir. 1989)). When the nonmoving party’s claims are factually implausible, that party must “come forward with more persuasive evidence than otherwise would be necessary.” LVRC Holdings LLC v. Brekka, 581 F.3d 1127, 1137 (9th Cir. 2009)(citation omitted).

 

The substantive law governing a claim or a defense determines whether a fact is material. Miller v. Glenn Miller Prod., Inc., 454 F.3d 975, 987 (9th Cir. 2006). If the resolution of a factual dispute would not affect the outcome of the claim, the court may grant summary judgment. Id.

 

 

DISCUSSION

As noted, the failure to exhaust administrative remedies is an affirmative defense that must be pled and proved by a defendant. Albino, 747 F.3d at 1168. A defendant has the initial burden to prove that there is an available administrative remedy and that the plaintiff did not exhaust that available remedy. After the defendant has carried that burden, the plaintiff must produce evidence showing there is something in his particular case that made the existing and generally available administrative remedy effectively unavailable to him. Albino, 747 F.3d at 1172.

 

If the court determines the plaintiff has failed to exhaust the administrative remedies available to him, the court may excuse the plaintiff’s failure or, in the exercise of its discretion, invoke primary jurisdiction and direct the parties to proceed before the agency.

 

 

  1. Defendant has shown an administrative remedy is available to Plaintiff.

Congress has given the Secretary of Transportation the power to prescribe the qualifications for drivers of commercial motor carriers. 49 U.S.C. § 31102(b)(1)(C). The DOT sets minimum standards for commercial drivers with respect to hiring, qualifications, and safety. See 49 C.F.R. § 391.1, et seq. As noted, because Defendant is an interstate trucking company, it is required to comply with DOT regulations. Under these regulations “a motor carrier shall not … permit a person to drive a commercial motor vehicle unless that person is qualified to drive” under the physical-qualification standards. 49 C.F.R. § 391.11(a). When a dispute arises regarding a driver’s medical qualification based on a conflict of medical opinion, the DOT has established an administrative process to address the dispute under 49 C.F.R. § 391.47.

 

The Ninth Circuit has not addressed the issue of a plaintiff’s failure to exhaust DOT administrative remedies in an ADA case. In Harris v. P.A.M. Transp., Inc., the leading case on this issue, the Eighth Circuit explained the applicable DOT regulations regarding the driver physical-qualification requirements and the administrative procedure for settling disputes as follows:

Congress has delegated to the Secretary of Transportation the authority to prescribe driver qualifications. See 49 U.S.C. § 31102(b)(1). Pursuant to this authority, the DOT promulgated the Federal Motor Carrier Safety Regulations, under which a person “shall not drive a commercial motor vehicle” without a “medical examiner’s certificate that [the person] is physically qualified.” 49 C.F.R. § 391.41(a). Specifically, “the medical examiner is required to certify that the driver does not have any physical, mental, or organic condition that might affect the driver’s ability to operate a commercial motor vehicle safely.” 49 C.F.R. § 391.43(f). And, most importantly in this case, DOT regulations provide appeal procedures for instances of “disagreement between the physician for the driver and the physician for the motor carrier concerning the driver’s qualifications.” 49 C.F.R. § 391.47(b)(2).

*4 339 F.3d 635, 638 (8th Cir. 2003).

 

The Court notes a plaintiff who contends his motor-carrier employer violated his rights under the ADA is not specifically required under any statute to exhaust the administrative remedies provided under 49 C.F.R. § 391.47 nor does 49 C.F.R. § 391.47 refer specifically to ADA or discrimination claims. Courts following Harris have, nevertheless, found it prudent to impose an exhaustion requirement because of the DOT’s greater competence in determining when its safety-regulation requirements are being met. See, e.g., EEOC v. P.A.M. Transp., Inc., No. 09-13851, 2011 WL 3919300 (E.D. Mich. May 10, 2011); Cliburn v. CUSA KBC, LLC, No. SA-07-CV-0620, 2007 WL 4199605 (W.D. Tex. Nov. 25, 2007); EEOC v. Celadon Trucking Serv., Inc., No. 1:12-cv-00275, 2015 WL 3961180 (S.D. Ind. June 30, 2015). The Harris court noted:

Federal courts addressing claims similar to [the plaintiff’s] have held that “[e]xhaustion of DOT procedures should be required” in these circumstances because driver fitness “falls squarely within the regulatory scheme (and substantive expertise) of DOT.” Campbell v. Federal Express Corp., 918 F. Supp. 912, 918 (D. Md. 1996). See also Prado v. Continental Air Transp. Co., 982 F. Supp. 1304, 1308 (N.D. Ill. 1997)(“The court will not abrogate clear congressional intent which vests driver fitness issues in the Secretary of Transportation.”). We agree.

Id. This Court agrees with the analysis in Harris and the cases that follow it. Here, as noted, to satisfy DOT requirements, Plaintiff’s physician performed a medical examination of Plaintiff and issued a medical-examiner’s certificate indicating Plaintiff was medically qualified to drive a commercial vehicle. Defendant’s medical examiner disagreed and determined Plaintiff was not medically qualified to drive as a result of his use of lithium and its propensity to cause night blindness. The Court concludes this resulting “disagreement” concerning Plaintiff’s “ability to operate a commercial motor vehicle safely” should have been resolved pursuant to the administrative process set out in 49 C.F.R. § 391.47.

 

On this record, therefore, the Court, adopting the reasoning of Harris, concludes there is not a genuine dispute of material fact that an administrative process exists to resolve the dispute as to Plaintiff’s medical qualifications to drive a commercial vehicle.

 

 

  1. Defendant has shown Plaintiff did not exhaust the available administrative remedies provided under 49 C.F.R. § 391.47.

With respect to Defendant’s duty to establish that Plaintiff failed to exhaust the available administrative remedy, the parties’ Joint Statement of Agreed Facts (#26) indicates “Defendant never received information that Plaintiff sought a determination from the DOT of his medical qualifications pursuant to 49 C.F.R. § 391.47(a), and there is no evidence in the record he has ever done so.”

 

The Court, therefore, concludes it is undisputed that Plaintiff did not exhaust the administrative remedies available to him pursuant to 49 C.F.R. § 391.47.

 

 

III. Plaintiff has not shown his failure to exhaust the available administrative remedies was because those remedies were, in effect, “unavailable” to him.

*5 As noted, after a defendant has carried its burden to establish the availability of and failure to exhaust administrative remedies, a plaintiff has the burden to produce evidence that shows there is something in his particular case that made the existing administrative remedies effectively unavailable to him. See Albino, 747 F.3d at 1172. Here Plaintiff contends the Court should excuse his failure to exhaust the available administrative process because such process would have been futile and, in any event, he was a qualified person with a disability who Defendant discriminated against in violation of the ADA.

 

 

  1. Plaintiff has not shown the administrative procedures under 49 C.F.R. § 391.47 were unavailable to him as a practical matter.

Plaintiff contends when Defendant terminated him, Defendant merely invoked its own policy that prohibited lithium use by its drivers rather than any particular DOT regulation that prohibits the use of lithium by commercial drivers. Plaintiff argues, therefore, the dispute does not turn on the disagreement of medical examiners as required by the administrative process, but instead on the application of Defendant’s rules rather than DOT regulations. Defendant, however, asserts the decision to terminate Plaintiff was based on the opinion of Dr. Sorsby, Defendant’s medical examiner, that Plaintiff was not medically qualified to drive under DOT regulations as a result of Plaintiff’s use of lithium, a medication that Dr. Sorsby believed had the side- effect of causing night blindness.

 

DOT regulations provide a person is medically disqualified if he has a “mental, nervous, organic, or functional disease or psychiatric disorder likely to interfere with his/her ability to drive a commercial motor vehicle safely.” 49 C.F.R. § 391.41(b)(9). Here it is undisputed that Plaintiff takes lithium for the treatment of his bipolar disorder. Plaintiff’s physician, Dr. Swan, although aware of Plaintiff’s use of lithium to treat his illness, issued a medical-examiner’s certificate indicating Plaintiff was medically qualified to drive a commercial vehicle pursuant to DOT regulations. Dr. Sorsby, Defendant’s retained physician, provided his opinion that Plaintiff is not medically qualified to drive pursuant to DOT regulations because night-blindness, which could interfere with Plaintiff’s ability to drive safely, is a possible side-effect of lithium.

 

In the Joint Statement of Agreed Facts (#26) the parties agreed, in effect, that the issue at the heart of this matter is precisely the type of disagreement that the DOT administrative process is designed to address: “Dr. Sorsby disagreed with Dr. Swan’s conclusion that Plaintiff was qualified to drive commercial vehicles…. Despite Plaintiff’s disclosure that he was taking lithium, Dr. Swan issued Plaintiff a medical examiner’s certificate of physical qualifications…. [I]n [Dr. Sorsby’s] opinion, Plaintiff was not medically qualified to drive pursuant to DOT regulations because of the lithium he was taking.” Thus, as noted, the opinions of the two physicians resulted in a conflict in the interpretation and the application of the DOT regulations that the administrative process was intended to address.

 

Nevertheless, Plaintiff contends the DOT process was futile as it was not well-known nor well-developed and, even more significant, the administrative process did not provide the remedy of re-hiring him if the outcome was in his favor. The issue, however, is whether a process is available “as a practical matter” or “capable of use” rather than whether the process is “well-known or well-developed.” Id. at 1171. Plaintiff does not submit any evidence to show the process was unavailable to him, that he was incapable of utilizing it, or that a remedy was not available under the administrative process. In Brown v. Valoff the Ninth Circuit held the obligation to exhaust “available” remedies (in the context of a Prison Litigation Reform Act case) persists as long as some remedy remains “available.” 422 F.3d 926 (9th Cir. 2015). Here the available remedy under the administrative process certainly would have determined whether Plaintiff was or was not medically qualified to be a commercial driver pursuant to 49 C.F.R. § 391.47.

 

 

  1. Plaintiff has not yet shown he was a “qualified” person with a disability under the ADA.

*6 Plaintiff next contends he is an “otherwise qualified” person with a disability under the ADA. Plaintiff argues he was a qualified commercial driver under DOT medical standards, which do not ban the use of lithium; that his termination by Defendant was based on Plaintiff’s use of lithium to treat his bipolar medical condition; and, therefore, Plaintiff is a qualified person with a disability. Defendant, however, argues Plaintiff cannot establish he was a qualified individual with a disability under the ADA because it has not been established whether Plaintiff was qualified under DOT regulations “to operate a commercial motor vehicle safely.”

 

Title I of the ADA prohibits employment discrimination “on the basis of disability.” 42 U.S.C. § 12112(a). Congress, however, did not intend the ADA to bypass federal safety regulations. As the Supreme Court explained:

When Congress enacted the ADA, it recognized that federal safety rules would limit application of the ADA as a matter of law. The Senate Labor and Human Resources Committee Report on the ADA stated that “a person with a disability applying for or currently holding a job subject to [DOT standards for drivers] must be able to satisfy these physical qualification standards in order to be considered a qualified individual with a disability under Title I of this legislation.” The two primary House committees shared this understanding.

Albertson’s, Inc. v. Kirkingburg, 527 U.S. 555 (1999)(alteration in original) (citations omitted). Thus, courts have held an employment action based on an employee’s or prospective employee’s inability to satisfy DOT medical standards does not violate disability discrimination laws (Williams v. J.B. Hunt Transp., Inc., 826 F.3d 806, 811 (5th Circ. 2016)) because otherwise motor-carrier employers would face the dilemma of risking ADA liability or violating the DOT’s command that “a motor carrier shall not … permit a person to drive a commercial motor vehicle unless that person is qualified” under the agency’s safety regulations (49 C.F.R. § 391.11).

 

Although the Ninth Circuit has not explicitly addressed this issue, the Fifth Circuit Court of Appeals, relying on Harris, did so in Williams v. J.B. Hunt Transp., Inc., 826 F.3d 806 (5th Cir. 2016). Following a line of cases from other circuits, the Fifth Circuit concluded the plaintiff “was not a qualified individual under the ADA” because he lacked the requisite DOT certification required by federal law and failed to exhaust the administrative procedures under 49 C.F.R. § 391.47 to challenge that determination. Id. at 812 (citing Harris v. P.A.M. Transp., Inc., 339 F.3d 635 (8th Cir. 2003)). See also Bay v. Cassens Transp. Co., 212 F.3d 969 (7th Cir. 2000); King v. Mrs. Grissom’s Salads, Inc., No. 98-5258, 1999 WL 552512 (6th Cir. 1999)).

 

Here Plaintiff contends he was a qualified person under the ADA based on the medical certification of “his personal doctor,” but, as noted, his personal doctor’s certification was in conflict with the medical opinion of the Defendant’s doctor who determined Plaintiff was not medically qualified. Like the plaintiff in Williams, Plaintiff did not exhaust the administrative procedures available to him under 49 C.F.R § 391.47 to resolve the conflicting medical opinions, and, therefore, it has not been established whether Plaintiff was a “qualified individual” under the ADA.

 

On this record the Court concludes Plaintiff has not carried his burden to show his failure to exhaust the available administrative remedies was excused or would have been futile.

 

 

  1. The dispute at issue is within the primary jurisdiction of the DOT.

As noted, the Court has concluded an administrative remedy-is available, Plaintiff was required to avail himself of that administrative process, and Plaintiff has not exhausted that remedy.

 

*7 The Ninth Circuit directed the Court on remand to consider whether to exercise its discretion to excuse exhaustion, which would allow Plaintiff to proceed in this Court or to invoke the doctrine of primary jurisdiction and refer the matter to the DOT for further administrative proceedings.

 

The Court notes the doctrine of primary jurisdiction is not equivalent to the requirement of exhaustion of administrative remedies. Brown v. MCI WorldCom Network Servs., Inc., 277 F.3d 1166, 1173 (9th Cir. 2002). When “relief is available from an administrative agency, the plaintiff is ordinarily required to pursue that avenue or redress before proceeding to the courts; and until that recourse is exhausted, suit is premature and must be dismissed.” Syntek Semiconductor v. Microchip Tech., Inc., 307 F.3d 775, 780, 781 (9th Cir. 2002) (citing Reiter v. Cooper, 507 U.S. 258, 269 (1993)). In contrast, the doctrine of primary jurisdiction “is a prudential doctrine under which courts may, under appropriate circumstances, determine that the initial decision making responsibility should be performed by the relevant agency rather than the courts … when protection of the integrity of a regulatory scheme dictates preliminary resort to the agency which administers the scheme.” Syntek, 307 F.3d at 780-81. When considering this issue, courts have employed such factors as (1) the need to resolve an issue that (2) has been placed by Congress within the jurisdiction of an administrative body having regulatory authority (3) pursuant to a statute that subjects an industry or activity to a comprehensive regulatory authority that (4) requires expertise or uniformity in administration. Id. at 781.

 

As the court noted in Harris, it is clear that congressional intent vests the issue of driver fitness in the Secretary of Transportation and squarely within the regulatory scheme and substantive expertise of DOT. Harris, 339 F.3d at 63. Thus, the Court concludes the administrative process set out in 49 C.F.R. § 391.47 was established in part to resolve medical disputes regarding driver qualifications.

 

On this record the Court concludes resolution of this medical issue lies within the jurisdiction of the administrative body that exercises regulatory authority over a national activity that requires uniformity in administration. The Court, therefore, concludes application of the doctrine of primary jurisdiction is appropriate and, accordingly, refers this matter to the DOT.

 

Finally, although Plaintiff asserts the statute of limitations would prevent him from refiling his claim in this Court at the end of the administrative process, the Supreme Court noted in Reiter that “referral of the issue to the administrative agency does not deprive the court of jurisdiction; it has discretion either to retain jurisdiction or, if the parties would not be unfairly disadvantaged, to dismiss the case without prejudice.” 507 U.S. at 268-69. Thus, because the statute of limitations may preclude Plaintiff from refiling his claim at the conclusion of the administrative process, this Court retains jurisdiction over this matter and stays this case pending the outcome of the administrative process available to the parties.

 

 

CONCLUSION

For these reasons, the Court GRANTS Defendant’s Motion (#28) for Summary Judgment and REFERS2 the matter to the Department of Transportation for further administrative proceedings. The Court retains jurisdiction over this case pending the available administrative process and STAYS this action pending the outcome of that process.

 

*8 The Court DIRECTS the parties to file a joint status report beginning 120 days from the date of this Opinion and Order and every 120 days thereafter regarding the status of the administrative process and to advise the Court immediately when the administrative process is complete.

 

IT IS SO ORDERED.

 

DATED this 17th day of October, 2016.

Footnotes

1

The Joint Statement of Agreed Facts (#26) states in FN 2: “Although Plaintiff has alleged he was terminated, Plaintiff’s end of employment was more akin to a withdrawal of the conditional job offer. Plaintiff never drove for Gordon Trucking. Regardless, it is undisputed that Plaintiff was not permitted to drive for Gordon Trucking by virtue of being medically disqualified under DOT regulations.” For purposes of this Motion, therefore, the Court will refer to Plaintiff as being “terminated.”

2

There is no formal transfer mechanism between federal courts and the agency. The parties, therefore, are responsible for initiating the appropriate proceedings before the agency pursuant to this Opinion and Order.

 

 

 

JOHN EVANS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY and AMERICAN TRUCKING & TRANSPORTATION RISK RETENTION GROUP

United States District Court,

E.D. Michigan, Southern Division.

JOHN EVANS, Plaintiff,

v.

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY and AMERICAN TRUCKING & TRANSPORTATION RISK RETENTION GROUP, Defendants.

Case No. 15-13184

|

Filed 10/19/2016

 

 

MEMORANDUM AND ORDER GRANTING ATTIC’S MOTION FOR SUMMARY JUDGMENT (Doc. 58), GRANTING IN PART AND DENYING IN PART WITHOUT PREJUDICE PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT (Doc. 57), and DENYING IN PART WITH PREJUDICE AND DENYING IN PART WITHOUT PREJUDICE STATE FARM’S MOTION TO DISMISS (Doc. 56)

AVERN COHN UNITED STATES DISTRICT JUDGE

This is an insurance case. The case has two parts. The first deals with an insurer priority dispute. The second deals with proofs of benefits owed.

 

 

  1. PART ONE: Which Insurer Is Responsible
  2. INTRODUCTION
  3. The Case

Plaintiff John Evans is a truck driver and Michigan resident. On Tuesday, May 27, 2014, Evans was involved in a motor vehicle accident in Cleveland, Ohio while hauling a load of steel from Michigan to New York.

 

Evans was engaged to haul the load by a trucking company, T.S. Expediting Services, Inc. (TSE). TSE’s liability insurer is Defendant American Trucking and Transportation Insurance Company (ATTIC), a Montana corporation.

 

Evans was hospitalized for neck and back injuries and discharged the next day. In the year after, he received medical treatment and physical therapy, but did not work.

 

Evans seeks payment of personal protection insurance (PIP) benefits, for work loss and replacement services under the Michigan No-Fault Automobile Insurance Act (No-Fault Act), M.C.L. § 500.3101, et seq. Evans claims the PIP benefits as a spouse under an automobile insurance policy issued to his wife by Defendant State Farm Mutual Automobile Insurance Company (State Farm), an Illinois corporation.

 

There is no dispute Evans is covered for PIP benefits under the No-Fault Act related to his accident. However, State Farm says ATTIC is the priority insurer under the No-Fault Act because TSE, ATTIC’S insured, was Evans’s employer and furnished the truck he drove. ATTIC says State Farm is liable as Evans was not TSE’s employee but an independent contractor.

 

ATTIC removed the case from Oakland County Circuit Court based on diversity jurisdiction.

 

 

  1. Pending Motions

State Farm moved to dismiss, (Doc. 56). Evans moved for summary judgment, (Doc. 57). ATTIC moved for summary judgment, (Doc. 58). The 3 motions concern in part which insurer—State Farm or ATTIC—is responsible to pay PIP benefits to Evans.

 

As will be explained, State Farm—not ATTIC—is the responsible insurer for payment of PIP benefits to Evans under the No-Fault Act. To this extent, ATTIC’s motion for summary judgment is GRANTED. ATTIC is terminated as a party.

 

Evans is entitled to PIP benefits from State Farm as a spouse under his wife’s policy. To this extent, Evans’s motion for summary judgment is GRANTED IN PART and State Farm’s motion to dismiss is DENIED IN PART WITH PREJUDICE.

 

 

  1. BACKGROUND
  2. Truck Operations
  3. Lisa Tucker’s Arrangement with TSE

Evans drove a truck for Lisa Tucker (Tucker). Tucker provided transportation services to TSE. Tucker leased a cab to TSE. TSE leased its semi-trailer to her. Tucker had exclusive use of the cab and semi-trailer. She could use the cab for any purpose, but the semi-trailer only for TSE business. Tucker engaged a driver to haul TSE-dispatched loads to specified locations using the cab and semi-trailer.

 

Tucker’s arrangement with TSE was governed by a “Motor Vehicle Lease and Independent Contractor Agreement.” The agreement said “the relationship herein created is that of independent contractor, and NOT THAT OF EMPLOYER AND EMPLOYEE.” (Doc. 58-3 at 8). Tucker was free to (1) accept or reject a load for any reason, (2) set her hours, and (3) select routes and stops within a delivery timetable. Tucker separately (1) paid income tax on her earnings, (2) filed tax report forms, (3) deducted income-tax withholdings from her earnings, and (4) paid the expenses of operation including compensation for drivers and maintenance costs of the cab.

 

TSE provided PIP insurance “to the extent required by law” while the cab and semi-trailer were used in transportation services for TSE. Tucker paid for property and liability insurance for the cab when it was not used for TSE transportation services. Either Tucker or TSE could terminate the agreement at any time with 7 days’ notice.

 

 

  1. Tucker’s Compensation from TSE

TSE agreed to pay Tucker $1 per “loaded” mile with a $0.60/mile authorized bonus. There was “no representation as to the amount or frequency” of truck usage. (Id. at 8). Tucker testified in deposition “it was based on load. Each load … paid a certain amount, and [sh]e w[as] paid a percentage of the amount.” (Doc. 57-9 at 27). Elaborating, Tucker noted “[t]he dispatch person would call and say … do you want this load. It pays X amount of dollars.” (Id. at 29).

 

 

  1. Tucker Enlists Evans as a Driver

Tucker knew Evans and that he was an experienced truck driver. After Tucker’s driver walked off the job on his second load, Tucker asked Evans to act as a driver. Evans agreed.

 

Evans attended an orientation put on by TSE on May 19, 2014. He also signed a “Lease and Information Disclaimer.” He was told of procedures for “[a]ccepting or refusing a load” and of compensation based on loaded mileage and bonus miles. (Doc. 58-9 at 3). Compensation was to be “calculated at a percentage of gross revenue, and/or agreed rate for each/every cargo-loaded trip/load under [TSE] Dispatch.” (Id.).

 

Evans was told “[i]t is impossible to predict the type/number of cargo loaded runs I might be dispatched upon in any given time period. THERE ARE NO GUARANTEES” and “THERE ARE NOT GUARANTEES OF ANY SPECIFIC CONTRACT COMPENSATION.” (Id. at 2-3). The form he signed read “I will not be an employee of [TSE]. I will be running my own business, under contract to [TSE], i.e., I will be an independent contractor at all times that I am associated with the company.” (Id. at 3).

 

Evans testified in deposition that he could not reject loads. He testified he planned to work 5 or 6 days per week driving a truck for Tucker. Evans described his role as that of a “subcontractor.”

 

 

  1. Evans’s Compensation

Tucker testified in deposition she told Evans at the outset she would pay him a percentage of her revenue each load. Tucker testified the percentage “might” have been as much as 20% in light of Evans’s experience. The payment would vary by load.

 

In his deposition, Evans testified he was to receive an IRS Form 1099 from Tucker for his services. Evans also testified he was to be paid a “round fee” per load. He testified he understood this would amount to around $1,100 per week, based on his conversations with Tucker.

 

Tucker also testified in deposition that the $1,100 amount seemed “reasonable” given Evans’s experience and the percentage he would make per load. Tucker elaborated that “[TSE] did give me the impression that they had plenty of work.” (Doc. 57-9 at 50).

 

 

  1. Evans’s First Day and Accident

Evans’s first day driving was Tuesday, May 27. The accident occurred in the course of his route that day. The truck was totaled, and the delivery was never completed. Neither Tucker nor Evans was paid.

 

According to an affidavit of a TSE representative, TSE would have paid Tucker for any loads delivered. Tucker was responsible for her own expenses including payment of drivers.

 

 

  1. LEGAL STANDARD

Summary judgment will be granted if the moving party demonstrates 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). There is no genuine issue of material fact when “the record taken as a whole could not lead a rational trier of fact to find for the non-moving party.” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986). The Court must decide “whether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.” In re Dollar Corp., 25 F.3d 1320, 1323 (6th Cir. 1994) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 251-52 (1986)). In doing so, the Court “must view the evidence in the light most favorable to the non-moving party.” Emp’rs Ins. of Wausau v. Petrol. Specialties, Inc., 69 F.3d 98, 101 (6th Cir. 1995).

 

 

  1. DISCUSSION

1.

State Farm says ATTIC is a higher priority insurer under the No-Fault Act because Evans was an employee of TSE. State Farm concludes this on the grounds that (1) TSE “dictate[d]” the number of loads via dispatch, (2) Evans testified he could not reject a load, (3) TSE set the amount to be paid per load, and (4) TSE conveyed detailed instructions to Evans for performing his job as driver at the orientation.

 

ATTIC responds Evans was an independent contractor because the contractor agreement and disclaimer form deemed Tucker and Evans contractors and gave Tucker the right to reject loads, set hours, and choose routes. Further, Evans was not on TSE’s payroll, was to get the Form 1099 from Tucker, and was not guaranteed a number of loads or payment. The arrangement was terminable at will by either Tucker or TSE.

 

 

2.

Under the No-Fault Act, a person or his spouse’s automobile insurer is “liable to pay benefits for accidental bodily injury arising out of the ownership, operation, maintenance or use of a motor vehicle.” M.C.L. §§ 500.3105(1), 500.3114(1). An exception to the rule that one’s own insurer is first in priority exists for “[a]n employee … who suffers accidental bodily injury while an occupant of a motor vehicle owned or registered by the employer.” Id. § 500.3114(3). Such an employee is entitled to PIP benefits first “from the insurer of the furnished vehicle.” Id.

 

To determine if a person is an employee or independent contractor under the No-Fault Act, courts apply a four-factor “economic reality” test. Adanalic v. Harco Nat. Ins. Co., 309 Mich. App. 173, 191 (Mich. Ct. App. 2015). The factors, to be considered together, are: “(a) control of the worker’s duties, (b) payment of wages, (c) right to hire, fire and discipline, and (d) the performance of the duties as an integral part of the employer’s business towards the accomplishment of a common goal.” Id.

 

Adanalic concerned an insurer priority dispute under the No-Fault Act related to an accident involving a truck driver who was injured loading items onto a semi-trailer. Id. at 177-78. The driver owned the cab and leased the semi-trailer from a trucking company for which he contracted to haul loads using the truck. Id. at 177 n.1. The issue was whether the driver was an employee of the trucking company, in which case the company’s insurer was responsible, or an independent contractor, in which case his own wife’s insurer was responsible. Id. at 177-78, 190-91. The Court of Appeals affirmed the trial court’s application of the four-factor test and conclusion that the driver was an independent contractor. Id. at 191-94. In doing so, the Court reasoned the driver (1) had a contractual right to refuse any load offered and determine the means of hauling, (2) could haul loads for competitors, (3) was paid by the load, (4) did not have tax withheld from his pay and received a Form 1099, (5) was responsible for his own operating expenses and income taxes, (6) could terminate the arrangement at will, and (7) was one of many drivers providing a fungible service for the company on a short-term basis. Id.

 

 

3.

Adanalic governs this case. There is no evidence suggesting Evans was an employee of TSE. TSE sent out dispatches for loads it needed drivers to haul. Tucker, who leased a cab to TSE and leased a semi-trailer from TSE, lined up qualified drivers and answered TSE’s dispatches. Tucker engaged Evans’s services as a driver to haul a load for TSE. In exchange, TSE agreed to pay Tucker $1 per loaded mile, and Tucker agreed to pay Evans a portion of this for his efforts.

 

Evans identified himself as a “subcontractor.” He was not paid by TSE, nor was he on its payroll. Evans was to receive a Form 1099 from Tucker. Tucker was free to reject any load, and Evans was not bound to accept any load. Evans could choose his routes. He was not guaranteed any number of loads or payment. Tucker was paid by TSE, and Evans was paid by Tucker, according to the number of loaded miles that were completed. The arrangement could be terminated at will. All of the elements present in Adanalic are present here to establish that Evans was an independent contractor.

 

 

  1. PART TWO—Reasonable Proof of Benefits Owed

It is clear State Farm must pay PIP benefits to Evans; it is unclear what Evans is owed. Evans seeks compensation for work loss and replacement services incurred but has offered insufficient proofs of these benefits.

 

Evans’s motion for summary judgment and State Farm’s motion to dismiss are DENIED IN PART WITHOUT PREJUDICE as to proof of benefits.

 

 

  1. BACKGROUND

Evans got certificates from his doctors certifying that he was unable to work and needed replacement services for periods between June 17, 2014 and May 11, 2015. Evans did not work from the time of the accident through April 20, 2015.

 

 

  1. Work Loss

From April 21, 2015 to December 2015, Evans drove a truck for A&D Transport Express (A&D). He was paid $0.42 per mile. An attached pay statement dated July 22 shows a gross pay of $1,097.40, before deductions, for 10 loads completed between July 5 and July 11. On February 24, 2016, Evans began driving for Jenny Transport. He testified on February 26 he was to be paid “40-something” cents per mile.

 

 

  1. Replacement Services

Evans testified in deposition that his household duties were: cooking 3 days a week for himself and his wife, taking out garbage, doing dishes, and doing laundry “sometimes.” His wife did other household chores. Evans testified he made household repairs and performed outdoor work—lawn mowing, snow shoveling, and painting.

 

Post-accident, Evans testified he needed services for: lawn mowing, washing dishes, cooking, taking out garbage, household repairs, snow shoveling, and lawn fertilizing. Evans testified his wife performed services—washing dishes, cooking, taking out garbage, making some repairs, snow shoveling, and some lawn mowing. An outside company was paid to aerate and fertilize the lawn, and a freelancer to mow the lawn sometimes. Evans testified he told his wife in 2014 she would be paid $20 a day for these services after learning he could be entitled to compensation for replacement services under the No-Fault Act.

 

 

  1. DISCUSSION

1.

State Farm notes Evans has failed to submit documentation to support his PIP claims for work-loss benefits and compensation for replacement services incurred. State Farm says Evans instead offers his own self-serving testimony. State Farm points out that Evans has failed to verify what services were delivered and when, and to corroborate his assertion of a $1,100 weekly income when his pay varied by number and nature of loads dispatched. As Evans did not provide affidavits, tax returns, and the like to substantiate his claims, State Farm says he has failed to offer reasonable proof of benefits to which he is entitled under the No-Fault Act.

 

Evans responds he is entitled to $6,580 in replacement services, reflecting the maximum allowable amount of $20 per day for every day between the accident and his return to work as a truck driver. He requests $51,700 in work-loss benefits, corresponding to the $1,100 weekly pay he testified he could have made working full-time for Tucker. Evans relies on his own testimony as to contemplated earnings from Tucker and household services delivered by his wife, explaining he did not offer affidavits or other proofs of benefits because State Farm denied responsibility. Evans also attaches a weekly pay stub from his subsequent job at A&D.

 

Evans relies on Douglas v. Allstate Ins. Co., 492 Mich. 241 (Mich. 2012), for the proposition that a claimant’s testimony alone may establish reasonable proof of benefits for replacement services. He asserts any deficiencies in his proofs of work-loss benefits are questions of fact for the jury, analogizing to Swartout v. State Farm Mut. Auto. Ins. Co., 156 Mich. App. 350 (Mich. Ct. App. 1986), a case involving a full-time nursing student delayed by an accident in starting a post-graduation job she had lined up.

 

 

2.

A PIP claimant must provide “reasonable proof of … the amount of loss sustained” in order to receive payment of benefits from a responsible insurer. M.C.L. § 500.3142(2). Work-loss benefits include “loss of income from work an injured person would have performed … if he or she had not been injured.” Id. § 500.3107(1)(b). Replacement services are “[e]xpenses … reasonably incurred in obtaining ordinary and necessary services in lieu of those that, if he or she had not been injured, an injured person would have performed.” Id. § 500.3107(1)(c).

 

A plaintiff need not produce formal documentation such as checks, receipts, bills, or invoices to recover for replacement services incurred under the No-Fault Act. Fortier v. Aetna Cas. & Sur. Co., 131 Mich. App. 784, 789-91 (Mich. Ct. App. 1984) (discussing a survivor’s claim for replacement services under M.C.L. § 500.3108(1)). Moreover, replacement services may be compensable even if provided by family members, so long as there was an agreement for payment. Id at 790-92. Nevertheless, some record is needed to substantiate the amount claimed such as a family member’s testimony in conjunction with a written ledger of the services performed, time spent, and rates charged. Id. at 788, 794.

 

For claims of work-loss benefits under the No-Fault Act, a truck driver paid on a per-mileage basis is entitled to compensation for adjusted gross income in the period he was unable to work, that is, projected receipts minus operating costs. See Adams v. Auto Club Ins. Ass’n, 154 Mich. App. 186, 192-93 (Mich. Ct. App. 1986); McAdoo v. United States, 607 F. Supp. 788, 797-98 (E.D. Mich. 1984), declined to follow on other grounds by Premo v. United States, 599 F.3d 540, 548 (6th Cir. 2010). Proof may be in the form of tax returns, earnings statements, or other comparable documentation. See Adams, 154 Mich. App. at 192-93; McAdoo, 607 F. Supp. at 797-98.

 

 

3.

Evans has not offered evidence beyond his own testimony of work lost and replacement services incurred. This is not “reasonable proof under the No-Fault Act. Evans need not document everything to the nines. However, he must offer some reasonable record of (1) how many loaded miles he would have driven per week and how much he likely would have been paid for it, and (2) what services his wife had to perform in his stead and when.

 

Evans’s own account is deficient. His assertion of replacement services 7 days a week is incompatible with his claim that he would have been working 5 or 6 days a week as a truck driver, on the road full-time. Moreover, there is no statement, log, or affidavit from his wife to support the assertion.

 

Evans also has not elucidated key information relating to his lost income. He does not offer an average number of loaded miles a truck driver in his position working for Tucker would have driven in the period he was unable to work. Instead, he asserts a weekly pay of $1,100 without regard to the number of loads accepted, miles driven, or costs deducted. This does not comport with the realities of how truck drivers are paid or how he has been paid. Nor are there other indicia such as tax returns to support it.

 

Evans attaches a pay statement for a single workweek from his subsequent job as a truck driver. However, that job lasted for 9 months. Without any other pay statement or annual tax return, it is impossible to discern whether or not the cited week’s pay is reflective of Evans’s overall driver earnings over time. In sum, more is needed for the Court and State Farm to know how much Evans is owed.

 

Evans’s reliance on Douglas and Swartout is misplaced. Douglas stands for the proposition that a caregiver’s testimony may establish that he or she expected payment (i.e., services were incurred) for attendant care under the No-Fault Act. Douglas, 492 Mich. at 269-72. It has no application here, where a claimant has offered only his own testimony to support a claim for replacement services. Swartout said there was a question of fact of work-loss benefits owed where the plaintiff supported her claim with affidavits from her school and employer detailing her graduation date, planned employment, and pay rate. Swartout, 156 Mich. App. at 352-55. Evans was not jobless at the time of the accident and has offered no such proofs to support his claim.

 

 

  1. CONCLUSION

As reasoned above, State Farm is not entitled to dismissal of Evans’s claim for no-fault benefits. Evans is not entitled to summary judgment. The record is incomplete. A status conference will be scheduled to chart the future course of the case.

 

SO ORDERED.

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