RALPH B. GUY, JR., Circuit Judge.
Plaintiffs, ninety-one current and former special investigators (SIs) employed by Nationwide Mutual Insurance Company, appeal from the judgment entered against them with respect to their collective claims that Nationwide improperly classified SIs as administrative employees exempt from the overtime requirements of the Fair Labor Standards Act (FLSA) (29 U.S.C. §§ 207 and 213(a)(1)) and analogous provisions of New York and California law. Plaintiffs challenge the partial summary judgment entered in favor of Nationwide, Foster v. Nationwide Mut. Ins. Co., 695 F.Supp.2d 748 (S.D.Ohio 2010), as well as resolution of the remaining issues in favor of Nationwide following a seven-day bench trial, Foster v. Nationwide Mut. Ins. Co., No. 2:08-CV-020, 2012 WL 407442 (S.D.Ohio Jan. 5, 2012) (unpublished). Finding no error in the district court's careful and thorough analysis, we affirm.
Nationwide is an insurance company in the business of providing a wide range of insurance coverage, including vehicle,
About one percent of the roughly one million claims filed on Nationwide policies each year are identified by claims adjusters as presenting certain "indicators of fraud." Those claims are referred to the SIU and, if accepted, are assigned to an SI for investigation. SIs are well compensated with an average annual salary of $75,000; are generally experienced investigators with prior background in law enforcement or insurance claims; and, as the evidence established at trial, "spend the majority, if not an overwhelming majority, of their time carrying out investigations of suspicious claims." Id. at *19. Due to various state law licensing requirements for claims adjusters (CAs) and concerns about possible litigation, Nationwide precludes its SIs from actually adjusting such claims or making decisions whether to pay or deny the claims. Together the SI and CA develop a plan of action for the investigation, which the SI then conducts relatively free from direct supervision but subject to guidelines and strict auditing standards. The SIs' primary duty is conducting the investigations, but the parties disputed "the degree of autonomy, discretion, and judgment exercised by the SIs in carrying out the various tasks that comprise a given investigation and the level of significance that should be attributed to the various tasks." Id. at *3.
The FLSA requires overtime pay for each hour worked in excess of forty hours per week, but exempts "any employee employed in a bona fide executive, administrative, or professional capacity." 29 U.S.C. § 213(a)(1). Congress did not define these exemptions, but delegated authority to the Department of Labor (DOL) to issue regulations to define and delimit these terms. Id.; see Christopher v. SmithKline Beecham Corp., ___ U.S. ___, 132 S.Ct. 2156, 2162, 183 L.Ed.2d 153 (2012). The current regulations, reissued and streamlined with minor amendments in 2004, provide that the administrative exemption covers employees:
29 C.F.R. § 541.200(a). The exemption is to be narrowly construed against the employer, and the employer bears the burden of proving each element by a preponderance of the evidence. Renfro v. Indiana Mich. Power Co. (Renfro II), 497 F.3d 573, 575-7 (6th Cir.2007).
In deciding the motions for summary judgment, the district court addressed all three elements of the administrative exemption. The first element is unquestionably met in this case, and plaintiffs do not
After further discovery, plaintiffs waived their right to jury trial and the district court presided over a bench trial that included considerable focus on the work performed by Nationwide's SIs. Since the evidence admitted at trial — which included the testimony of more than fifteen witnesses and voluminous exhibits — is fully summarized by the district court, we do not repeat it here. Foster, 2012 WL 407442, at *4-18. Based on that evidence, the district court made the factual determination that "the primary duty of Nationwide's SIs is to conduct investigations into suspicious claims with the purpose or goal of resolving indicators of fraud present in those claims." Id. at *19. The SIs uniformly described the tasks of their investigations as including: "resolving the indicators of fraud, gathering information, taking statements, interviewing witnesses, making referrals to law enforcement and the [National Insurance Crime Bureau (NICB)], recommending the retention of outside vendors [such as accident reconstruction or fire origin experts], supervising outside vendors, and recommending and [sometimes] conducting [Examinations Under Oath (EUOs)]." Id. at *20.
Significantly, in determining the parameters of the SIs' primary duty, the district court expressly rejected plaintiffs' contention that the investigations involve merely gathering and reporting facts because that "formulation is too narrow as it leaves out the resolution of fraud indicators, which the Court concludes is supported by the evidence as being a component of the primary duty." Id. at *20. After analyzing the available authority addressing the third element, the district court found that "the SIs' primary duty includes the exercise of discretion and independent judgment with respect to matters of significance in at least two distinct ways." Id. at *25. The two ways are, first and most importantly, resolving the indicators of fraud and, second, deciding when to refer claims to law enforcement and the NICB. Id. at *25-28. Finally, the district court separately considered the claims brought under California law, set forth the relevant regulations, and concluded that Nationwide also met its burden of establishing the requirements of California's similar but not identical administrative employee exemption. Id. at *28-30. Judgment was entered in favor of Nationwide, and this appeal followed.
We review the district court's decision granting partial summary judgment de novo. Renfro II, 497 F.3d at 575; Schaefer v. Indiana Mich. Power Co., 358 F.3d 394, 399 (6th Cir.2004). After a bench trial, we review the district court's factual
At the outset, plaintiffs argue that the DOL's general regulations broadly provide that "investigators" do not qualify for the administrative employee exemption. In fact, the general regulations caution that a job title alone is not determinative of an employee's exempt or non-exempt status. See 29 C.F.R. § 541.2. Further, plaintiffs' reliance on the highlighted language from the following general regulation is misplaced:
29 C.F.R. § 541.3(b)(1) (emphasis added). We agree with the district court that, read in context, this limitation on the application of all three of the exemptions must be understood to pertain to law enforcement and public safety personnel and not to the SIs employed by Nationwide. As the district court explained, this conclusion is confirmed by the fact that the DOL's stated purpose for adopting this provision was to clarify that "police officers, fire fighters, paramedics, EMTs and other first responders are entitled to overtime pay." Foster, 695 F.Supp.2d at 757-58 (quoting 69 Fed. Reg. 22122-01, at 22129 (Apr. 23, 2004) (emphasis added)). With that, we turn to the regulations defining the second and third elements of the administrative exemption.
Plaintiffs contend that the district court erred as a matter of law in finding that the SIs' primary duty includes the performance of work "directly related" to Nationwide's "general business operations." 29 C.F.R. § 541.200(a)(2). The DOL regulations explain that this "refers to the type of work performed by the employee." 29 C.F.R. § 541.201(a). "To meet this requirement, an employee must perform work directly related to assisting with the running or servicing of the business, as distinguished, for example, from working on a manufacturing production line or selling a product in a retail or service establishment." Id. This is often referred to as the administrative-production dichotomy, under which production employees (whose job it is to generate the product or service the business offers to the public) will not qualify for the exemption. See Schaefer, 358 F.3d at 402. Not all work is classified as either production or administrative, as this dichotomy does not fit all cases. Id. at 402-03; see also Renfro v. Indiana Mich. Power Co. (Renfro I), 370 F.3d 512, 517 (6th Cir.2004) ("When employees engage in work that is `ancillary to an employer's [or the employer's customer's] principal production activity,'
Plaintiffs renew the argument that SIs are engaged in day-to-day production work because Nationwide's "business" is actually selling the promise of asset protection. However, the record supports the district court's rejection of that characterization and its determination that Nationwide is in the business of creating and marketing insurance policies to the public. See Cheatham v. Allstate Ins. Co., 465 F.3d 578, 585 (5th Cir.2006) (holding insurance company's business is to produce policies); Jastremski v. Safeco Ins. Cos., 243 F.Supp.2d 743, 753 (N.D.Ohio 2003) (same). Since the SIs do not write or sell insurance policies, the district court did not err in concluding that the SIs "cannot be fairly characterized as `production' employees." Foster, 695 F.Supp.2d at 756.
The question remains whether the SIs' primary duty to conduct investigations into suspicious claims is "directly related to assisting with the running or servicing of the business." 29 C.F.R. § 541.201(a); see Foster, 695 F.Supp.2d at 756. The regulations describe work directly related to management or business operations as including, but not limited to, "work in functional areas such as tax; finance; accounting; budgeting; auditing; insurance; quality control; purchasing; procurement; advertising; marketing; research; safety and health; personnel management; human resources; employee benefits; labor relations; public relations, government relations; computer network, internet and database administration; legal and regulatory compliance; and similar activities." 29 C.F.R. § 541.201(b). Although not specifically mentioned, an insurance company's investigation of suspicious claims is similar to some of these functional areas.
In fact, Nationwide argues that the SIs' work overlaps that of insurance claims adjusters, which are identified, by way of example, as satisfying both the second and third elements of the administrative exemption. Specifically:
29 C.F.R. § 541.203(a). This supports the conclusion that claims adjusting work performed for an insurance company is ancillary to an insurance company's primary production activity. See, e.g., Roe-Midgett v. CC Servs., Inc., 512 F.3d 865, 872 (7th Cir.2008) (holding claims adjusting work performed for client insurance companies was ancillary to the production of insurance by the employer's clients). Although Nationwide severed some of these activities from the investigative work of the SIs,
We agree with the district court's conclusion that just as claims adjusting is ancillary to Nationwide's general business operations, the SIs' investigative work that drives the claims adjusting decisions with respect to suspicious claims is also directly related to assisting with the servicing of Nationwide's business. See, e.g., Mullins v. Target Corp., No. 09-c-7573, 2011 WL 1399262, at *5 (N.D.Ill. April 13, 2011) (finding employee who investigates fraud and theft was assisting in servicing the employer's primary business). Despite plaintiffs' argument that this interpretation will cause the exemption to swallow the rule, the significance of the SIs' work to this servicing function belies that claim. The district court did not err in concluding that "investigative services performed in direct furtherance of claims adjusting efforts" satisfies the second element of the administrative exemption. Foster, 695 F.Supp.2d at 758.
Plaintiffs contend that the district court articulated the proper inquiry in denying summary judgment on this element, but then erred after trial by departing from its own rubric in determining that Nationwide had established that the SIs' "primary duty includes the exercise of discretion and independent judgment with respect to matters of significance." 29 C.F.R. § 541.200(a)(3). The regulations explain that "discretion and independent judgment involves the comparison and evaluation of possible courses of conduct, and acting or making a decision after the various possibilities have been considered," 29 C.F.R. § 541.202(a), and requires "more than the use of skill in applying well-established techniques, procedures or specific standards in manuals or other sources," 29 C.F.R. § 541.202(e). The term "`matters of significance' refers to the level of importance or consequence of the work performed." 29 C.F.R. § 541.202(a).
Nationwide argues that the SIs' investigative work is akin to that of claims adjuster duties that the DOL describes as generally meeting the duties requirements in 29 C.F.R. § 541.203(a). See Roe-Midgett, 512 F.3d at 874 (finding material damage appraisers administratively exempt). Plaintiffs, on the other hand, argue that the SIs' work is more like public inspectors and investigators who are not exempt "because their work involves the use of skills and technical abilities in gathering factual information, applying known standards or prescribed procedures, determining which procedure to follow, or determining whether prescribed standards or criteria are met." 29 C.F.R. § 541.203(j); see Opinion Letter from Dept. of Labor, Wage & Hour Div. (Aug. 19, 2005) 2005 WL 3308592 (employee conducting background investigations for security clearance purposes for employer's customer did not satisfy either of the duties requirements). Resolution of this question turns on the district court's factual findings concerning the work that comprises the SIs' primary duty to conduct investigations into those claims that present "indicators of fraud."
Plaintiffs continue to argue that by separating the claims adjusting decisions from the investigative duties and subjecting the SIs' work to guidelines and extensive quality control and auditing standards (i.e., Accelerated Claims Excellence (ACE), Quality Assurance (QA), and File Review Questions (FRQ)), Nationwide stripped the SIs of tasks that involved any exercise of discretion and independent judgment with respect to matters of significance. In determining "whether an
Foster, 695 F.Supp.2d at 761. Despite plaintiffs' assertion to the contrary, the district court expressly recognized that, as explained in the 2005 DOL Opinion Letter, the SIs' discretion with respect to the logistics of the investigation does not involve the level of discretion and judgment required to satisfy this requirement because it does not relate to "matters of significance." Id. However, the district court also found that there were genuine issues of material fact "whether Nationwide's Special Investigators make far weightier determinations — determinations that do relate to matters of significance and that cannot be arrived at by simply applying knowledge and skills to ACE guidelines." Id.
As discussed earlier, the district court made the factual determination that an SI's primary duty is not simply to gather and report facts but "to conduct investigations into suspicious claims with the purpose or goal of resolving indicators of fraud present in those claims." Foster, 2012 WL 407442, at *19. The district court also found that the task of resolving the indicators of fraud involves the exercise of discretion and independent judgment with respect to matters of significance. Id. at *25. The district court explained, in part, as follows:
Id. at *25-26. Plaintiffs do not contend that these factual findings are clearly erroneous, but instead argue that the SIs' primary duty does not include the exercise of discretion or independent judgment on matters of significance as a matter of law. However, as this court recently explained, courts cannot make that determination as a matter of law when there are material questions of fact concerning the work performed and whether it involved discretion and independent judgment. See Henry v. Quicken Loans, 698 F.3d 897, 901 (6th Cir.2012) (affirming jury verdict finding mortgage bankers administratively exempt).
Nor are we persuaded that the district court erred in distinguishing the SIs' duties from those of the background investigators that were the subject of the 2005 DOL Opinion Letter. Ordinarily, an agency interpretation of its own ambiguous regulations is entitled to Auer deference. See SmithKline, 132 S.Ct. at 2166 (discussing Auer v. Robbins, 519 U.S. 452, 461-62, 117 S.Ct. 905, 137 L.Ed.2d 79 (1997)). The investigators, employed by a company that contracted with an agency of the Department of Defense to conduct background investigations of individuals for purposes of government security clearance, were expected to interview witnesses and obtain record information regarding citizenship, education, employment, criminal convictions, medical history, financial history, and foreign travel and connections. Although any discrepancies or inconsistencies were to be "resolved," the DOL described the investigators' primary duty as gathering factual information and preparing a report that would allow the government agency to determine whether to employ the individual under investigation. The DOL opined that the investigators were "merely applying their knowledge in following prescribed procedures or determining which procedure to follow, or determining whether standards are met." 2005 WL 3308592. The district court did not err in finding that the SIs' investigations with the purpose of resolving the indicators of fraud and the legitimacy of the suspicious claims are unlike the narrower more formulaic background investigations into the facts and records that the DOL found did not involve the exercise of discretion and independent judgment with respect to matters of significance.
Finally, plaintiffs argue that the district court erred by not following two other district court decisions that found special investigators at other insurance companies did not meet the third element of the administrative exemption. See Fenton v. Farmers Ins. Exch., 663 F.Supp.2d 718, 725-27 (D.Minn.2009); Ahle v. Veracity Research Co., 738 F.Supp.2d 896, 905-08 (D.Minn.2010). Although neither decision is controlling, and both cases were decided on motions for summary judgment, the similarities to this case merit some discussion.
In Fenton, Farmers Insurance Exchange (FIE) employed special investigators to investigate claims "flagged" as exhibiting potential signs of fraud. Those investigations were conducted under the direction of a claims representative; were concluded with the submission of an exhaustive file and report; and were subjected to strict quality assurance review guidelines. Unlike this case, however, the evidence showed that FIE's special investigators were to provide all evidence, inculpatory
In Ahle, the employer, Veracity Research, was an investigative firm that employed investigators to conduct insurance claim investigations for its clients. The evidence established that the investigators had no control over the investigation itself, were expected to obtain all of the facts regardless of their impact, and expressed no subjective opinions or conclusions about their investigative observations. From this, the court concluded that, as in Fenton and Gusdonovich, the duties of the claims investigators did not involve a sufficient degree of discretion and independent judgment with respect to matters of significance. Ahle, 738 F.Supp.2d at 906. Indeed, the court in Ahle specifically distinguished Veracity's investigators from Nationwide's SIs precisely because there was a question of fact in this case whether the investigator's "`primary duty encompasses providing their opinions and conclusions regarding their investigative findings.'" Ahle, 738 F.Supp.2d at 907 (quoting Foster, 695 F.Supp.2d at 761).
Notwithstanding the superficial similarities to the investigators in Fenton and Ahle, the district court did not err in concluding based on its factual findings that the SIs' primary duty to conduct investigations with the goal of resolving the indicators of fraud includes the exercise of discretion and independent judgment with respect to matters of significance. The discretion and independent judgment exercised in determining and communicating (albeit informally) the legitimacy or illegitimacy of suspicious claims referred for investigation is a matter of significance to Nationwide. Foster, 2012 WL 407442, at *26." That being the case, we need not address the novel question of whether the discretion and independent judgment exercised in deciding whether to refer claims to law enforcement or the NICB would also be related to "matters of significance."
The district court's decisions discussed California's somewhat different requirements before concluding that Nationwide met its burden of proving the exemption under California law. See Foster, 695 F.Supp.2d at 763-64; Foster, 2012 WL 407442, at *28-30. Plaintiffs assert that California's administrative exemption to its overtime laws is more restrictive than the exemption under the FLSA, but do not explain how it is different, cite to any authority interpreting the differences, or develop the argument that a different result is required under California law. This argument is at best perfunctorily raised. See Renfro II, 497 F.3d at 576 ("`It is not sufficient for a party to mention a possible argument in the most skeletal way, leaving the court to put flesh on its bones.'") (citation omitted). Indeed, when charged with waiving the argument, plaintiffs' reply was that the facts and legal analysis argued in the context of the FLSA claims applied equally to the analysis of the exemption under California law. Any distinct