Spielman v. Blue Cross & Blue Shield of Kansas, Inc. , 33 F. App'x 439 ( 2002 )

F I L E D
United States Court of Appeals
Tenth Circuit
UNITED STATES COURT OF APPEALS
APR 9 2002
TENTH CIRCUIT
PATRICK FISHER
Clerk
MARILYNN J. SPIELMAN,
Plaintiff - Appellant, No. 00-3394
v. (D.C. No. 99-CV-4184-RDR)
BLUE CROSS AND BLUE SHIELD (D. Kansas)
OF KANSAS, INC.,
Defendant - Appellee.
ORDER AND JUDGMENT *
Before HENRY , HOLLOWAY, and LUCERO , Circuit Judges.
Marilynn Spielman, who suffers from scleroderma (a rheumatic disease)
and esophageal dysmotility as a related condition, was terminated from her job as
a nurse consultant at Blue Cross and Blue Shield of Kansas, Inc. (“Blue Cross”)
shortly after returning from leave. She filed this action against Blue Cross
alleging violations of the Americans with Disabilities Act (“ADA”), 42 U.S.C. §§
*
This order and judgment is not binding precedent, except under the
doctrines of law of the case, res judicata, and collateral estoppel. The court
generally disfavors the citation of orders and judgments; nevertheless, an order
and judgment may be cited under the terms and conditions of 10th Cir. R. 36.3.
12101-12213. Ms. Spielman contended that Blue Cross failed to reasonably
accommodate her disability by refusing to allow her to work from home and
subsequently discharging her. The district court granted summary judgment to
Blue Cross after reasoning that Ms. Spielman’s poor work performance
constituted a legitimate, nondiscriminatory reason for Blue Cross’s decision not to
accommodate her request to work at home and for her subsequent termination.
Ms. Spielman now challenges that ruling. We have jurisdiction under 28 U.S.C. §
1291. For the reasons set forth below, we affirm.
I. BACKGROUND
The following facts are undisputed. Ms. Spielman began working for Blue
Cross on August 1, 1996 as a part-time employee. When hired, Ms. Spielman had
scleroderma and esophageal dysmotility as a related condition.
In November 1996, Ms Spielman became a full-time nurse consultant. In
that capacity, she performed compliance review activities in accordance with
standards set under Blue Cross’s contract with a state agency, the Kansas Social
and Rehabilitative Services (“SRS”). Under Blue Cross’s contract with SRS, Ms.
Spielman’s unit was to perform one hundred consumer reviews and approximately
fifty provider reviews per quarter. Ms. Spielman, one of several individuals in
her unit, shared a balanced caseload with her unit members.
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Ms. Spielman’s immediate supervisor was Becky Stauffer, and Mary
Kennedy was her “in-line” supervisor. In April 1997, Ms. Stauffer met with Ms.
Spielman to discuss Ms. Spielman’s comparatively low case closure rates. At the
time, Ms. Spielman had the lowest percentage of cases closed in comparison with
her unit colleagues. In May 1997, she had the highest percentage of cases over
six months old: Ms Spielman had seven such cases. There were four other
analysts with cases over six months old, but each analyst had only one such case.
Blue Cross administered Ms. Spielman’s first proficiency review on June 1,
1997. The review indicated that Ms. Spielman met the job’s requirements. The
review also contained several suggestions of areas to improve, including,
“[t]imeliness of completing consumer and provider reviews” and “[i]mprov[ing]
knowledge of the consumer review process.” Aplt’s App. at 59. Under the
section titled “Actions to be taken toward achieving goals,” the review stated:
“Develop time management skills. Consider class on time management.” Id.Finally, under the section regarding goals for the next six months was the
following: “Improve percentage of provider reviews that are closed in 6 months
and consumer reviews that are closed in one month.” Id. Ms. Spielman, along
with three other team members, received a three percent proficiency raise, which
was the lowest percentage received.
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Over the next few months, Ms. Stauffer and Ms. Kennedy continued
discussions and followed up with correspondence concerning Ms. Spielman’s
completion of her assignments and her time management skills. On September
10, 1997, Ms. Stauffer requested that Ms. Spielman meet with Ms. Kennedy on
September 16, 1997 to discuss Ms. Spielman’s performance. Prior to the meeting,
Ms. Stauffer compared Ms. Spielman’s completion rate with other members of the
team and determined that Ms. Spielman had continued to achieve the lowest
performance level in the unit.
At the meeting, Ms. Spielman acknowledged her poor case closure rates.
She indicated that she had spent significant time helping a co-worker to the
detriment of her own work. Ms. Stauffer and Ms. Kennedy told Ms. Spielman she
should be concentrating on her own work, not that of another employee. Ms.
Spielman indicated she was confident she soon would be able to complete her
assignments.
In conjunction with the meeting, Ms. Stauffer and Ms. Kennedy drafted a
performance improvement plan to provide guidelines for Ms. Spielman. The plan
noted that Ms. Spielman “had 6 provider cases which were opened more than 6
months ago and has 3 more that will be open more than 6 months by the end of
the month.” Aple’s Supp. App. at 152. On several occasions, Ms. Spielman’s
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supervisors asked Ms. Spielman to review the plan and to provide them with
feedback.
The day after the meeting, Ms. Spielman requested “intermittent” leave as a
result of her scleroderma from October 1, 1997 through October 1, 1998. Id. at
153. She explained that the purpose of the leave was for “physician
appointments, diagnostic testing, etc.” Id. Ms. Kennedy signed the form on
September 24, 1997. Id. .
On October 6, 1997, Blue Cross notified Ms. Spielman that she was eligible
for leave under the Family and Medical Leave Act (FMLA), 42 U.S.C. §§ 2601-
2654, and that such leave would be counted against her annual FMLA leave
entitlement. Ms. Spielman first spoke with Ms. Stauffer about her application for
FMLA leave in early October 1997. When Ms. Spielman first applied for FMLA
leave, she was unaware that she was going to be hospitalized. Ms. Spielman took
continuous leave from November 20, 1997 to January 19, 1998. During this
period, Ms. Spielman was also working on her cases at home.
In December 1997, Ms. Stauffer sought to have the case files that Ms.
Spielman had taken home returned to work so that activity on them could resume.
Some problems occurred in getting this accomplished, but the files were
ultimately returned in early January 1998.
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Ms. Spielman was released to return to work on January 19, 1998. On that
date, Ms. Spielman’s supervisors advised her that the case files needed to remain
at work. Ms. Spielman requested to be allowed to do some of her work at home.
Ms. Stauffer and Ms. Kennedy denied the request. They explained that Ms.
Spielman did not meet the guidelines established under Blue Cross’s “Working@
Home Policy” because she had six provider cases that were beyond the six-month
completion deadline. Of these six cases, all were overdue as of November 1,
1997, three weeks before Ms. Spielman took her two months of FMLA leave.
On February 25, 1998, pursuant to the ADA, Ms. Spielman made a formal
request for an accommodation to work at home. At the time, Ms. Spielman was
on intravenous feeding twelve hours a day, from approximately 6:00 p.m. to 6:00
a.m. On March 2, 1998, Blue Cross denied Ms. Spielman’s request. The
response recommended that “[a]t the expiration of FMLA, [Ms. Spielman] be
given an additional two weeks to seek another position not as an ADA required
accommodation, but as an alternative to immediate termination due to her
inability to perform the current position.” Aplt’s App. at 73. Ms. Spielman did
not apply for any other position.
Ms. Spielman’s last day of work was April 3, 1998. Ms. Spielman had not
completed all of her work on the cases assigned to her at this time, and therefore,
these cases were assigned to other staff. In June 1998, after Ms. Spielman’s
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employment with Blue Cross was terminated, Ms. Spielman filed for long-term
disability benefits. In the prognosis section of Ms. Spielman’s disability
application, Ms. Spielman’s physician stated that he did not think Ms. Spielman
would be able to work. Ms. Spielman has continuously remained on disability
benefits because her doctor has not released her to work.
II. DISCUSSION
On appeal, Ms. Spielman challenges the district court’s grant of summary
judgment to Blue Cross on both her failure to accommodate and her wrongful
termination claims. As to her failure to accommodate claim, she maintains that a
reasonable factfinder could conclude that Blue Cross’s reasons for not allowing
her to work from home were pretextual and that the denial of her request
constituted unlawful discrimination on the basis of her disability. She also
contends that a reasonable factfinder could conclude that Blue Cross terminated
her because of her disability.
“We review a district court's grant of summary judgment de novo, applying
the same legal standard used by the district court.” Hollins v. Delta Airlines , 238
F.3d 1255, 1257 (10th Cir. 2001). Summary judgment is proper if the moving
party shows “there is no genuine issue as to any material fact and that the moving
party is entitled to a judgment as a matter of law.” Fed. R. Civ. P. 56(c). “When
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applying this standard, we view the evidence and draw reasonable inferences
therefrom in the light most favorable to the nonmoving party.” Scull v. New
Mexico , 236 F.3d 588, 595 (10th Cir. 2000) (quotation omitted).
A. Failure to Accommodate Claim
The ADA defines discrimination to include “not making reasonable
accommodations to the known physical or mental limitations of an otherwise
qualified individual with a disability who is an applicant or employee, unless such
covered entity can demonstrate that the accommodation would impose an undue
hardship on the operation of the business of such covered entity.” 42 U.S.C. §
12112(b)(5)(A). The statute thus establishes a cause of action for disabled
employees whose employers fail to reasonably accommodate them. See, e.g.,
Templeton v. Neodata Servs., Inc., 162 F.3d 617 (10th Cir. 1998) (assessing
employee’s claim that employer failed to reasonably accommodate her).
“However, an employer is not required to always provide the employee with the
best possible accommodations or in the specific manner the employee requested.”
Selenke v. Medical Imaging of Colo., 248 F.3d 1249, 1261 (10th Cir. 2001)
(citing 29 C.F.R. § 1630.2(p)(1)). An employer retains “broad discretion in
determining which alternative accommodation should be provided.” Id. (citing 29
C.F.R. § 1630.9).
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In order to establish a prima facie case of failure to accommodate under the
ADA, a plaintiff must prove “(1) that he was an individual who had a disability
within the meaning of the statute; (2) that the [employer] had notice of his
disability; (3) that with reasonable accommodation he could perform the essential
functions of the position . . . .; and (4) that the [employer] refused to make such
accommodations.” Rhoads v. F.D.I.C., 257 F.3d 373, 387 n.11 (4th Cir. 2001);
see also Selenke, 248 F.3d at 1261-63 (discussing failure to accommodate claim). 1
In this case, Ms. Spielman contends that she was disabled under the ADA,
and that Blue Cross’s allowing her to work at home would have constituted a
reasonable accommodation under the ADA. She observes that she requested this
accommodation twice—when she returned to work on January 19, 1998 and when
she filled out a form requesting this accommodation on February 25, 1998.
According to Ms. Spielman, there are genuine factual questions as to
whether allowing her to work at home constituted a reasonable accommodation.
1
An employer need not make a reasonable accommodation that would
cause “an undue hardship.” Den Hartog v. Wasatch Academy, 129 F.3d 1076,
1087 (10th Cir. 1997) (quoting 42 U.S.C. § 12112(b)(5)(A)). “The employer . . .
bears the burden of persuasion on whether a proposed accommodation would
impose an undue hardship.” Smith v. Ameritech, 129 F.3d 857, 866 (6th Cir.
1997). “Undue hardship” means “an action requiring significant difficulty or
expense” when considered in light of various factors. 42 U.S.C. § 12111(10)(A).
The factors to be considered in determining whether an accommodation would
cause an employer undue hardship are, among others: the nature and cost of the
accommodation; the number of persons employed by the company; the financial
resources of the company; and the impact of the accommodation upon the
operation of the company. See 42 U.S.C. § 12111(10)(B).
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She points to her own testimony that Blue Cross’s Working@Home policy did not
become effective until she and another team member approved it in February
1998. “Thus, the jury could reasonably find that the policy was not in effect on
January 19, 1998, when [she] informally requested to work at home.” Aplt’s Br.
at 18. Additionally, Ms. Spielman contends that Blue Cross had allowed her to
work at home prior to January 19, 1998. She adds that she disputed Blue Cross’s
contention that she had failed to return work files from her home.
In response, Blue Cross does not contest the district court’s finding that
Ms. Spielman is disabled under the ADA. However, Blue Cross does argue that it
was not required by the ADA to grant Ms. Spielman’s requests to work at home.
Courts have taken contrasting approaches to the question at issue
here—whether working at home may constitute a reasonable accommodation
under the ADA. The Seventh Circuit has written:
Most jobs in organizations public or private involve
team work under supervision rather than solitary
unsupervised work, and team work under supervision
generally cannot be performed at home without a
substantial reduction in the quality of the employee’s
performance. This will no doubt change as
communications technology advances, but is the
situation today. Generally, therefore, an employer is not
required to accommodate a disability by allowing the
disabled worker to work, by himself, without
supervision, at home. . . . No doubt to this as to any
generalization about so complex and varied an activity
as employment there are exceptions, but it would take a
very extraordinary case for the employee to be able to
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create a triable issue of the employer’s failure to allow
the employee to work at home.
Vande Zande v. Wisconsin Dept. of Admin., 44 F.3d 538, 544-45 (7th Cir. 1995);
see also Kvoriak v. Maine, 259 F.3d 48, 54-58 (1st Cir. 2001) (affirming the
grant of summary judgment to an employer on a failure to accommodate claim on
the grounds that the essential function of the position of a claims adjudicator
could not be performed at home). In contrast, the Ninth Circuit has stated that
“[w]orking at home is a reasonable accommodation when the essential functions
of the position can be performed at home and a work-at-home arrangement would
not cause undue hardship for the employer.” Humphrey v. Memorial Hosps.
Assoc., 239 F.3d 1128, 1136 (9th Cir. 2001) (citing EEOC Enforcement
Guidance: Reasonable Accommodation and Undue Hardship Under the Americans
with Disabilities Act, FEP (BNA) 405:7601, at 7626 (March 1, 1999)); see also
Langon v. Department of Health and Human Servs., 959 F.2d 1053, 1060-61
(D.C. Cir.1992) (holding that an employer must consider requested
accommodation of working at home). This circuit has not yet addressed this
issue.
In this case, we need not resolve the question of whether, as a general rule,
at-home work may constitute a reasonable accommodation under the ADA. Blue
Cross introduced evidence establishing that it had promulgated a policy regarding
working at home and Ms. Spielman did not meet the criteria for working at home
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under this policy (an 80% performance rate for open cases). Moreover, as further
discussed below in relation to Ms. Spielman’s wrongful termination claim, Blue
Cross’s evidence establishes that, there were substantial difficulties with Ms.
Spielman’s work performance over an extended period of time. In light of these
difficulties, even assuming that working at home may constitute a reasonable
accommodation under the ADA, a reasonable factfinder could not have concluded
that allowing Ms. Spielman to work at home constituted a reasonable
accommodation in these circumstances. Cf. Kvoriak, 259 F.3d at 54-58 (rejecting
a reasonable accommodation claim based upon the particular facts of the case).
Accordingly, we conclude that the district court properly granted summary
judgment on Ms. Spielman’s failure to accommodate claim.
B. Wrongful Termination Claim
Ms. Spielman also contends that a genuine issue of material fact exists as to
her wrongful termination claim based on 42 U.S.C. § 12112(a). The facts
underlying this contention are closely related to her failure to accommodate claim.
“To establish a prima facie case of discrimination under the ADA, a
plaintiff must demonstrate (1) that [she] is disabled within the meaning of the
ADA; (2) that [she] is qualified–with or without reasonable accommodation; and
(3) that [she] was discriminated against because of [her] disability.” Tate v.
Farmland Indus., 268 F.3d 989, 992 (10th Cir. 2001) (quotation marks and
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citations omitted). In order to establish the third element, the plaintiff must
“present some affirmative evidence that disability was a determining factor in the
employer’s decision.” Morgan v. Hilti, 108 F.3d 1319, 1323 (10th Cir. 1997). A
plaintiff may demonstrate pretext by showing “such weaknesses, implausibilities,
inconsistencies, incoherencies, or contradictions in the employer's proffered
legitimate reasons for its action that a reasonable factfinder could rationally find
them unworthy of credence.” Bullington v. United Air Lines, Inc.,186 F.3d 1301,
1317 (10th Cir. 1999).
Here, Blue Cross has offered such a legitimate, nondiscriminatory reason
for Ms. Spielman’s discharge. It contends that her poor work performance
justified the action. In response, Ms. Spielman asserts that the jury might simply
not believe that she was performing poorly when Blue Cross decided to terminate
her employment. She points to her June 1, 1997 proficiency review, where she
was deemed to be “meeting job requirements.” Aplt’s App. at 58-60. She further
points out that on June 1, 1997, she had seven cases over six months old, while in
January 1998, that number had been reduced to six.
Ms. Spielman also questions the timing and sequence of events leading up
to her termination. Ms. Spielman contends that since the time she voiced a
complaint about Ms. Stauffer to Blue Cross’s EEO coordinator, Ms. Hill, in
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August 1997, Ms. Stauffer was biased when evaluating Ms. Spielman’s work
performance.
Finally, Ms. Spielman questions the timing of her discharge in relation to
her request for an accommodation to work at home. Ms. Kennedy’s decision to
discharge Ms. Spielman was made, at the latest, by Blue Cross’s ADA committee
on February 25, 1998, just over a month after she requested to work from home.
Ms. Spielman maintains a jury could infer a discriminatory animus from the close
proximity of the two events.
Blue Cross counters that Ms. Spielman’s characterization of her June 1,
1997 performance review is inflated and taken out of context. Although she was
deemed to be “meeting” her job requirements, that evaluation was but one amidst
several criticisms. The report noted she needed to improve both the timeliness of
the completion of reviews and her knowledge of the process. Other suggestions
were offered, including specific performance goals and enrollment in time
management classes. In addition, Blue Cross points to documentation of other
performance issues predating the proficiency review.
We are persuaded by Blue Cross’s arguments. As to the suggestion that the
sequence of events leading up to her discharge is questionable, Ms. Spielman can
provide no support of her suggestion that Ms. Stauffer evaluated Ms. Spielman
negatively. The January 18, 1998 decision to reject her request to work at home
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is supported by the terms of the policy. Finally, the ADA Committee’s
determination to deny Ms. Spielman’s request to work from home and its decision
to discharge Ms. Spielman were based upon her “serious performance issues.”
Aple’s Supp. App. at 72-73.
We agree with the district court that the record contains no evidence from
which a reasonable factfinder could conclude that defendant’s stated reasons for
terminating plaintiff's employment were pretextual. See Selenke, 248 F.3d at
1261. Ms. Spielman’s poor work performance was well-documented. Ms.
Spielman was unable to overcome any of the shortcomings pointed out during her
proficiency evaluations. The record indicates these problems predated any
discussion with the EEO Coordinator in August 1997. Ms Spielman cannot
demonstrate that Blue Cross discriminated against her when it decided to
terminate her in March 1998.
III. CONCLUSION
For the reasons set forth above, we AFFIRM the district court’s grant of
summary judgment to Blue Cross on all of Ms. Spielman’s claims.
Entered for the Court,
Robert H. Henry
Circuit Judge
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