NOT RECOMMENDED FOR FULL-TEXT PUBLICATION

File Name: 12a1275n.06

No. 11-6360

UNITED STATES COURT OF APPEALS

FOR THE SIXTH CIRCUIT

KATHLEEN LAWS,

Plaintiff - Appellant,

v.

HEALTHSOUTH NORTHERN KENTUCKY

REHABILITATION HOSPITAL LIMITED

PARTNERSHIP dba HEALTHSOUTH

KENTUCKY REHABILITATION HOSPITAL,

Defendant - Appellee.

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ON APPEAL FROM THE UNITED

STATES DISTRICT COURT FOR

THE EASTERN DISTRICT OF

KENTUCKY

BEFORE: CLAY and SUTTON, Circuit Judges; and RICE, District Judge.*

RICE, J., delivered the opinion of the court except for Part III.A.2. SUTTON, J., joined in all parts

except Part III.A.2 and delivered a separate opinion, in which CLAY, J., joined and which constitutes

the opinion of the court.

RICE, District Judge. Plaintiff-Appellant KathleenLaws(“Laws”) appealsfrom the district

court’s order granting summary judgment in favor of Defendant-Appellee HealthSouth Northern

KentuckyRehabilitation Hospital Limited Partnership (“HealthSouth”). Following her termination

from HealthSouth, Laws filed suit alleging violations of the Americans with Disabilities Act

(“ADA”), 42 U.S.C. § 12101 et seq., Age Discrimination in Employment Act (“ADEA”), 29 U.S.C.

§ 621 et seq., Family and Medical Leave Act of 1993 (“FMLA”), 29 U.S.C. § 2601 et seq., and § 510

The Honorable Walter H. Rice, United States District Judge for the Southern District of *

Ohio, sitting by designation.
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Laws v. Healthsouth Northern Kentucky

of the Employee Retirement Income Security Act (“ERISA”), 29 U.S.C. § 1140. She also brought

claims of age and disability discrimination under the KentuckyCivilRights Act (“KCRA”), Ky. Rev.

Stat. § 344.040(1)(a). 

I.

Kathleen Laws is a licensed practical nurse who was employed by HealthSouth from 1999

until her termination in October of 2008. Most recently, Laws reported to Lynn Edmondson, who

reported to Chief Nursing Officer Debra Fey.

In 2003 and again in 2004, Laws was counseled for poor attendance. In the spring of 2005,

her husband, who was covered by her health insurance, was diagnosed with cancer and began

radiation treatments. Around that same time, Laws developed an aneurysm behind her left eye and

underwent surgery. She took four months of FMLA leave. When she returned to work in October

of 2005, she had reduced vision in her left eye, and had decreased endurance. Early in 2006, she

missed several more days of work. Laws underwent a second eye surgery in May of 2006, and took

additional FMLA leave.

In March 2007, she took more intermittent FMLA leave to address additional complications

from the aneurysm. Some of these absences were improperly considered when she was disciplined

for excessive absenteeism in June 2007. After Laws complained, HealthSouth agreed that she

should not have been disciplined for the FMLA-approved absences. Nevertheless, that disciplinary

notice remained in her personnel file.

Her attendance continued to be listed on her annual performance evaluations as an area

needing improvement. Laws missed work five times between January and May 2008 and received

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another verbal counseling concerning her absences. In February 2008, Laws received a verbal

warning for insubordination, after she responded rudely to an inquiry from Brenda Gosney,

HealthSouth’s CEO, about certain chairs that Laws had moved to the nursing station, and then flatly

refused to meet with Gosney after work to discuss the incident. 

Early in September 2008, Laws took four days off for a cerebral angiogram. On September

16, 2008, the wife of one of her patients expressed concern that her husband, for whom she had

power of attorney, was too medicated to participate in therapy. Laws wrote a note in the patient’s

chart indicating that his Vicodin should be discontinued per his wife’s wishes. Because Laws wrote

this note in the “Physician’s Order” portion of the chart, rather than in the “Progress Notes” section,

the medication was discontinued without a doctor’s order. The patient, in tears, subsequently

complained of pain, prompting Fey to ask Edmondson to speak to Laws about the incident. Laws

admitted the error and promised that it would not happen again. This charting error was eventually

reported to the Kentucky Board of Nursing. 

On October 1, 2008, Gosney issued Laws a written warning for insubordination after Laws

referred to Gosney as “our fearless leader” in the presence of a patient and another employee. When

Gosney met with Fey that day to discuss this incident of insubordination, Fey informed Gosney of

the Vicodin incident that had occurred two weeks earlier. Fey then decided to suspend Laws for

three days, pending further investigation of that incident.

On that same date, Fey and Gosney met with Diane Goldschmidt, HealthSouth’s Human

Resources Director, to discuss further options. Goldschmidt wrote a memo to Regional Corporate

Human Resources Director Joseph Koehler, recommending that Laws be terminated. In addition to

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Laws v. Healthsouth Northern Kentucky

citing the Vicodin incident, Goldschmidt also noted that “Kathy has had other disciplinary issues in

the past including attendance and rudeness to the CEO.” In accordance with established policy,

Goldschmidt attached all of Laws’ previous disciplinary actions to the memo, including the June

2007 discipline for excessive absenteeism that was based, in part, on FMLA-protected absences. 

Koehler approved the recommendation to terminate Laws. He maintains that, although he reviewed

Laws’ entire disciplinary file, he based his decision solely on the Vicodin incident. Laws was

notified of the termination decision on October 3, 2008. She was 55 years old at the time.

Laws subsequently filed suit against HealthSouth, alleging disability and age discrimination

under federal and state law, and violations of the FMLA and ERISA. On November 1, 2011, the

district court issued a 70-page opinion, granting Defendant’s motion for summary judgment in its

entirety. The court held that Laws had not established a prima facie case of age discrimination,

disability discrimination, or retaliation or interference under ERISA. The court also granted

summary judgment on Laws’ FMLA interference and retaliation claims. With respect to the FMLA

retaliation claim, the court presumed that Laws had established a prima facie case, but found that she

had failed to produce sufficient evidence of pretext. Laws has appealed the district court’s order. 

II.

We review de novo a district court’s grant of summary judgment. Combs v. Int’l Ins. Co., 354

F.3d 568, 576 (6th Cir. 2004). Summary judgment is appropriate “if the movant shows 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). The relevant question is whether there are “disputes over facts that

might affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477

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U.S. 242, 248 (1986). In determining whether summary judgment is appropriate, all reasonable

inferences are drawn in favor of the non-moving party, and all evidence is construed in the light most

favorable to that party. Matsushita Elec. Indus. Co., Ltd. v. Zenith Radio Corp., 475 U.S. 574, 587

(1986). 

III.

A. FMLA Retaliation Claim 

The FMLA prohibits employers from interfering with, restraining, or denying the exercise

of rights under the Act. 29 U.S.C. § 2615(a)(1). It also prohibits employers from discharging or 1

otherwise discriminating against an employee for “opposing anypractice made unlawful by” the act. 

29 U.S.C. § 2615(a)(2). “Absent direct evidence of unlawful conduct, FMLA-retaliation claims are

evaluated according to the tripartite burden-shifting framework announced in McDonnell Douglas

Corp. v. Green, 411 U.S. 792, 93 S.Ct. 1817, 36 L.Ed.2d 668 (1973).” Bryson v. Regis Corp., 498

F.3d 561, 570 (6th Cir. 2007). 

1. Direct Evidence

Laws argued that she had direct evidence that HealthSouth had retaliated against her for using

FMLA leave. She points to the memorandum Goldschmidt sent to Koehler, which not only cited

the Vicodin incident, but also referred to past discipline for “attendance” issues and rudeness to the

CEO. Attached to that memorandum were copies of all past disciplinary actions taken against her,

Although Laws included an FMLA “interference” claim in her Complaint, the district court 1

granted summary judgment in HealthSouth’s favor on that claim, and Laws has not appealed that

determination.

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Laws v. Healthsouth Northern Kentucky

including the discipline imposed in June of 2007 for excessive absenteeism, discipline which was

based, in part, on FMLA-approved absences. 

The district court properly rejected Laws’ claim that this constituted direct evidence of

retaliation. Direct evidence is evidence “which, if believed, requires the conclusion that unlawful

[retaliation] was at least a motivating factor in the employer’s actions.” Jacklyn v. Schering-Plough

Healthcare Products Sales Corp., 176 F.3d 921, 926 (6th Cir. 1999) (emphasis added). No

inferences are required; the illegal animus is “explicitlyexpressed.” Amini v. Oberlin Coll., 440 F.3d

350, 359 (6th Cir. 2006). 

Here, there is no express statement anywhere in the record of a desire to terminate Laws

because she had used FMLA leave or because she had complained that FMLA-approved absences

were wrongly considered in June 2007 when she was disciplined for excessive absenteeism. A jury

may be able to infer from Goldschmidt’s memo that these matters played a part in the termination

decision, but no such inference is required. 

2. Circumstantial Evidence

Because Laws has no direct evidence that she was terminated in connection with her use of

FMLA leave, she is subject to the traditional McDonnell Douglas burden-shifting analysis. Bryson,

498 F.3d at 570. Under that analysis, a plaintiff must first establish a prima facie case of FMLA

retaliation by showing that she engaged in protected activity, she suffered an adverse employment

action, and there was a causal connection between the two. Id. (citing Skrjanc v. Great Lakes Power

Serv. Co., 272 F.3d 309, 314 (6th Cir. 2001)). If the plaintiff satisfies this burden, the defendant

must offer evidence of a legitimate, non-retaliatory reason for the adverse employment action. Id. 

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The burden then shifts back to the plaintiff to prove, by a preponderance of the evidence, that the

proffered reason is pretextual. Id. 

The plaintiff may prove pretext by showing either that: (1) the proffered reason had no basis

in fact; (2) the proffered reason did not actually motivate the adverse employment action; or (3) the

proffered reason was insufficient to motivate the adverse employment action. See Peters v. Lincoln

Elec. Co., 285 F.3d 456, 471-72 (6th Cir. 2002) (citing Manzer v. Diamond Shamrock Chems. Co.,

29 F.3d 1078, 1084 (6th Cir. 1994)) . Regardless of which path is taken, the plaintiff must produce

“sufficient evidence from which the jury could reasonably reject [the defendants’] explanation and

infer that the defendants intentionally discriminated against him.” Braithwaite v. Timken Co., 258

F.3d 488, 493 (6th Cir. 2001) (internal quotations omitted). In appropriate cases, a jurymay be able

to “infer the ultimate fact of discrimination from the falsity of the employer’s explanation.” Reeves

v. Sanderson Plumbing Prods., 530 U.S. 133, 147 (2000). 

Here, the district court presumed that Laws had established a prima facie case of FMLA

retaliation, and found that HealthSouth had offered evidence of legitimate, non-retaliatory reasons

for terminating her, i.e., the Vicodin incident and the two incidents of insubordination. The district

court found, however, that Laws had failed to present sufficient evidence from which a reasonable

jury could find that the proffered reasons did not actually motivate the termination, i.e., that the

sheer weight of the circumstantial evidence made it more likely than not that the proffered reason

for her termination was pretextual. Manzer, 29 F.3d at 1084. 

Laws had argued that the multiple, conflicting versions of who was involved in the

termination decision, along with the shifting reasons given for her termination, supported a finding

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Laws v. Healthsouth Northern Kentucky

of pretext. She noted numerous discrepancies concerning: whether Gosney knew of the Vicodin

incident before October 1, 2008; when Fey began her investigation of the Vicodin incident; who was

responsible for recommending termination; whether the recommendation was based on Laws’

“fearless leader” comment, the Vicodin incident, the chair incident, attendance issues, or a

combination thereof; and whether Koehler considered attendance issues in making his decision.

The district court discounted these discrepancies, concluding that the significant facts were

not in dispute, and that the stated justification for the termination had not shifted over the course of

the litigation. Koehler, the ultimate decisionmaker, has consistently maintained that the Vicodin

incident was the sole basis for his decision. The court found that Laws’ “gut feeling” that this was

pretextual was not enough to create a genuine dispute of fact.

Laws challenges this finding on appeal. She maintains that she has presented sufficient

evidence from which a reasonable jury could find in her favor on this claim. Construing the

evidence in her favor and giving her the benefit of all reasonable inferences, her FMLA retaliation

claim should have survived summary judgment. 

Based on the evidence presented, a reasonable jury could reject the reason given by Koehler

for Laws’ termination. Laws argues that if her charting error in connection with the Vicodin incident

posed such a serious risk to patient safety, Fey would not have waited two weeks to discipline her. 

When the incident happened, Feymerely asked Edmondson to talk to Laws about the notation error. 

Fey took no disciplinary action at all. Not until Gosney approached Fey about the “fearless leader”

comment did Fey decide to suspend Laws, pending an investigation of the Vicodin incident. Under

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Laws v. Healthsouth Northern Kentucky

these circumstances, a jury could find that the Vicodin incident did not actually motivate her

termination.

A reasonable jury could also find that Laws was terminated, at least in part, because of her

use of FMLA leave. In granting summary judgment, the district court relied heavily on Koehler’s

statement that his decision was based solely on the Vicodin incident. Koehler admitted, however,

that, before making his decision, he reviewed Laws’ entire disciplinary history. This included the

June 2007 discipline for excessive absenteeism. Although HealthSouth agreed that Laws had been

improperly disciplined for FMLA-approved absences, the disciplinary notice nevertheless remained

in her personnel file, which was sent to Koehler. When asked, in an interrogatory, to describe the

reasons for terminating Laws, HealthSouth responded that the “conclusions and events leading to

Plaintiff’s termination are well-documented in her personnel file.” This leaves open the possibility

that attendance was a factor. 

Moreover, Fey testified that she, Gosney, and Goldschmidt discussed Laws’ attendance

problems before theymade their recommendation to terminate her. The recommendation refers not

only to the Vicodin incident, but also to the two instances of insubordination and past attendance

issues. Finally, despite Koehler’s statement that his decision was based solely on the Vicodin

incident, HealthSouth, in its motion for summary judgment, argued that the two instances of

insubordination also played a part in the termination decision. HealthSouth, however, did not argue

that past attendance issues factored into the decision, even though they were also included in

Goldschmidt’s memo.

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These shifting explanations and justifications given for Laws’ termination are probative, and

are sufficient to create a genuine dispute of fact as to whether the proffered reason was pretextual. 

See DeLoach v. Island Dental Co., Inc., No. 1:04-cv-207, 2005 WL 3533145, at *7 (S.D. Ohio Dec.

22, 2005); see also Dennis v. Columbia Colleton Med. Ctr., Inc., 290 F.3d 639, 647 (4th Cir. 2002);

EEOC v. Sears Roebuck & Co., 243 F.3d 846, 852-53 (4th Cir. 2001). Under the circumstances

presented here, a reasonable jury could find that, despite Koehler’s statement to the contrary, Laws’

use of FMLA leave played a factor in the termination decision. The district court therefore erred 2

in granting summary judgment in favor of HealthSouth on Laws’ FMLA retaliation claim.

B. Discrimination

1. Age Discrimination

Laws brought claims of age discrimination under the Age Discrimination in Employment Act 

and the KentuckyCivil Rights Act. In orderto establish a prima facie case under either statute, Laws

must show that: (1) she was over 40 years old; (2) she suffered an adverse employment action; (3)

she was qualified for the position she held; and (4) she was either replaced by a person outside the

protected class or treated differently than similarly-situated individuals. Policastro v. Northwest

Airlines, Inc., 297 F.3d 535, 538-39 (6th Cir. 2002). 

Laws also argues that the timing of the termination decision supports a finding of pretext. 2

She was terminated just a few weeks after taking four days off for her cerebral angiogram. It appears

to be undisputed, however, that Laws took accumulated paid time off and sick leave to cover that

absence, rather than submitting a request for FMLA leave. Because this was not an FMLA-approved

absence, it appears to be largely irrelevant to Laws’ FMLA retaliation claim. 

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The district court held that Laws had not established a prima facie case of age discrimination,

because she failed to present sufficient evidence that she was either “replaced” by a younger

employee or was disciplined more harshly than similarly-situated younger employees. The court

rejected Laws’ claim that three younger employees, who had also made charting errors but were not

terminated, were “similarly situated” to Laws.

Citing Mitchell v. Toledo Hospital, 964 F.2d 577, 582-83 (6th Cir. 1992), the district court

stated that there are stringent requirements for proving that other employees are “similarly-situated

in all respects.” In Mitchell, we held that those other employees “must have dealt with the same

supervisor, have been subject to the same standards and have engaged in the same conduct without

such differentiating or mitigating circumstances that would distinguish their conduct or the

employer’s treatment of them for it.” Id. at 583. The district court found that, even assuming that

Laws and the three younger employees had the same supervisor, they had not engaged in the same

conduct. Two of the younger employees had failed to properly document vital signs of patients. The

third had made a note that a patient had received medication when, in fact, the medication was still

in the drawer. 

On appeal, Laws argues that the district court applied an overlyrigid standard of comparison. 

In Ercegovich v. Goodyear Tire & Rubber Co., 154 F.3d 344 (6th Cir. 1998), we explained that the

plaintiff does not always need to demonstrate an “exact correlation” in order to be “similarly

situated.” Rather, “the plaintiff and the employee with whom the plaintiff seeks to compare himself

or herself must be similar in ‘all of the relevant aspects.’” Id. at 352 (quoting Pierce v.

Commonwealth Life Ins. Co., 40 F.3d 796, 802 (6th Cir. 1994)). Laws maintains that, under this

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more lenient standard, a reasonable jury could find that she and the three younger employees were

similarly situated in all relevant aspects.

We disagree. In Ercegovich, we noted that the factors set forth in Mitchell “generally are all

relevant considerations in cases alleging differential disciplinaryaction,” but may not be relevant “in

cases arising under different circumstances.” This is why an individualized inquiry is required. Id. 

Laws’ situation is akin to Mitchell in that both plaintiffs alleged that they were disciplined more

harshly than fellow employees for the same or similar conduct. We therefore find that the district

court did not err in its analysis. It properly concluded that the three younger employees were not

“similarly situated” to Laws. As the court noted, Laws’ charting error was the only one that resulted

in pain medication being discontinued without a doctor’s order, and the only one that caused a

patient to suffer unnecessary pain. According to Fey, this was the most serious charting error that

she had ever seen, and it was the only incident she ever had to report to the Kentucky Board of

Nursing. In these respects, Laws’ charting error is clearly distinguishable from the charting errors

made by the younger employees. We therefore affirm the district court’s finding that Laws failed

to establish a prima facie case of age discrimination. 

2. Disability Discrimination

Laws also brought claims of disability discrimination under the Americans with Disabilities

Act and the KentuckyCivil Rights Act. To establish a prima facie case of disability discrimination,

Laws must show that: (1) she is disabled; (2) she is otherwise qualified for the position, with or

without reasonable accommodation; (3) she suffered an adverse employment action; (4)HealthSouth

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knew or had reason to know of her disability; and (5) she was replaced. See Hedrick v. W. Reserve

Care Sys., 355 F.3d 444, 453 (6th Cir. 2004). 

Only the first element is in dispute. The district court found that Laws had failed to show that

either her poor sight in her left eye or her reduced endurance levels rendered her “disabled” as that

term was defined prior to January 1, 2009, when the amendments to the ADA became effective. 

“Disability” is defined as “(A) a physical or mental impairment that substantially limits one or more

of the major life activities of such individual; (B) a record of such an impairment; or (C) being

regarded as having such an impairment.” 42 U.S.C. § 12102(2) (2008). 

“Substantiallylimits” means “[s]ignificantlyrestricted as to the condition,manner or duration

under which an individual can perform a particular major life activity as compared to the condition,

manner, or duration under which the average person in the general population can perform that same

major life activity.” 29 C.F.R. § 1630.2(j)(1)(ii) (2008). Factors to be considered include the nature,

severity, duration, and permanence of the impairment. Id. at § 1630.2 (j)(2) (2008). Federal

regulations provide that, with respect to the major life activity of “working,” the term “substantially

limits means significantly restricted in the ability to perform either a class of jobs or a broad range

of jobs in various classes as compared to the average person having comparable training, skills, and

abilities.” Id. at § 1630.2(j)(3)(i) (2008). 

Although Laws did not specifically identify which “major life activities” were impacted by

her alleged disability, the district court assumed that Laws maintained that she was substantially

limited in the major life activities of “seeing” and “working.” See id. at § 1630.2(i) (2008). Citing

Bryson v. Regis Corp., 498 F.3d 561, 576 (6th Cir. 2007), the district court found that Laws had

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failed to show that her eyesight or endurance level barred her “from working all jobs within the

[nursing] field” or prevented her “from holding a large number of jobs in other categories of

employment.” The court concluded that she had failed to create a genuine issue of material fact

concerning whether she was “disabled” or whether HealthSouth regarded her as disabled. 

On appeal, Laws argues that the district court erred in its reasoning. We agree. The question

of whether Laws was “significantly restricted in the ability to perform either a class of jobs or a

broad range of jobs in various classes” is relevant only to the major life activity of “working.” See

29 C.F.R. § 1630.2(j)(3)(i) (2008). The district court’s finding, therefore, does nothing to address

Laws’ alternate claim that she was also substantially limited in the major life activity of “seeing.”

With respect to the major life activity of “seeing,” Laws need only prove that she is

significantly restricted as to the condition, manner or duration under which she can perform that

particular activity as compared to the average person in the general population. Id. at

§1630.2(j)(1)(ii) (2008). It is undisputed that, as a result of the aneurysm, Laws has permanently lost

normal vision in her left eye. Her left eyelid droops and she can no longer see any details out of that

eye. She can see only dark, foggy shapes. Laws Aff. ¶ 8. 

In Albertson’s, Inc. v. Kirkingburg, 527 U.S. 555, 567 (1999), the Supreme Court held that

“people with monocular vision ‘ordinarily’ will meet the Act’s definition of disability,” but must

prove that “the extent of the limitation in terms of their own experience, as in loss of depth

perception and visual field, is substantial.” Technically, Laws does not have monocular vision. She

can still partially see out of her left eye. Nevertheless, in our view, she has presented sufficient

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evidence to create a genuine issue of material fact concerning whethershe is significantly restricted

as to the condition or manner in which she can perform the major life activity of “seeing.” 

Although the district court erred in finding to the contrary, we nevertheless affirm the court’s

decision to grant summary judgment in favor of HealthSouth on this claim. See Angel v. Kentucky,

314 F.3d 262, 264 (6th Cir. 2002) (“[W]e are free to affirm the judgment on any basis supported by

the record.”). Since Laws established a prima facie case of disability discrimination, the burden

shifts to HealthSouth to articulate a legitimate, non-discriminatory reason for Laws’ termination. 

As noted earlier, HealthSouth has offered evidence that Laws was terminated because of the Vicodin

incident. Laws must then prove, by a preponderance of the evidence, that the proffered reason is

pretextual. 

Although we previously found that Laws submitted sufficient evidence of pretext to survive

summary judgment on her FMLA retaliation claim, she has failed to satisfy her burden in connection

with her disability discrimination claim. The FMLA retaliation claim was supported by some

evidence that Laws’ past attendance problems, including discipline encompassing her use of FMLAapproved leave, may have been considered in the decision to terminate her. In contrast, no

comparable evidence exists to support a finding that Laws was terminated because she is

significantlyrestricted in her ability to perform the major life activity of seeing. There is no evidence

that Goldschmidt, Gosney, and Fey discussed Laws’ visual impairment before they recommended

her termination. Moreover, Goldschmidt’s memo to Koehler says nothing of that impairment, and

there is no evidence that Koehler knew that Laws was visuallyimpaired. Underthese circumstances,

no reasonable jury could find that the sheer weight of circumstantial evidence makes it more likely

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than not that HealthSouth’s proffered reason for Laws’ termination was a coverup for disability

discrimination.

Therefore, although we conclude that the district court erred in finding that Laws failed to

establish a prima facie case of disability discrimination, we nevertheless conclude that summary

judgment was appropriately granted because Laws has failed to create a genuine issue of material

fact concerning pretext.

C. ERISA

As the district court noted, ERISA prohibits employers from retaliating against participants

in an employee benefit plan for exercising rights to which they are entitled under the plan. It also

prohibits employers from discharging or discriminating against plan participants for the purpose of

interfering with the attainment of any right to which the participants may become entitled under the

plan. 29 U.S.C. § 1140. 

The district court noted that although Laws’ Complaint alleged both “retaliation” and

“interference” claims, Laws had briefed only the interference claim. The district court nevertheless

found that Laws had failed to establish a prima facie case under either theory. Laws has not appealed

the court’s decision with respect to the ERISA retaliation claim. 

As for the interference claim, the district court noted that, in order to establish a prima facie

case, Laws must show that: (1) she lost the opportunity to accrue new benefits; and (2) HealthSouth

had the specific intent of avoiding ERISA liability when it terminated her. Majewski v. Automatic

Data Processing, Inc., 274 F.3d 1106, 1113 (6th Cir. 2001). In other words, there must be some

evidence of a causal connection. Smith v. Ameritech, 129 F.3d 857, 865 (6th Cir. 1997). The court

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found that Laws presented no evidence that HealthSouth had terminated her with the specific intent

of avoiding the future payment of health insurance premiums for her or her husband. 

On appeal, Laws argues that the district court erred in holding that she had failed to

demonstrate the causal connection required to establish a prima facie case. She maintains that she

was terminated shortly after incurring extraordinary medical expenses, and argues that it could be

inferred that the decision-makers, who worked in the health care field, would have known that the

medical bills incurred by her and her husband were substantial. 

The district court did not err in concluding that Laws failed to establish a prima facie case

of ERISA interference. Even if the decision-makers could have speculated that the medical bills

were substantial, there is simply no evidence to support a finding that HealthSouth terminated her

with the specific intent of avoiding liability for the future medical bills of her or her husband. As

the district court noted, two or three years had passed between the time the bulk of the medical bills

were incurred and the date Laws was terminated; temporal proximity to support a causal connection

is therefore lacking. More importantly, because it is undisputed that HealthSouth paid the same flat

monthly premium rate for health insurance for each of its employees, it had no financial incentive

to terminate her. Based on the evidence presented, no reasonable jury could find that HealthSouth

terminated her with the specific intent of avoiding future liability for the health care costs of Laws

or her husband. We therefore affirm the district court’s decision with respect to the ERISA

interference claim.

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IV.

For the reasons set forth above, we AFFIRM the decision of the district court granting

summary judgment in favor of HealthSouth on Laws’ claims of age and disability discrimination,

ERISA violations, and FMLA interference. The majority also AFFIRMS the district court’s

decision granting summary judgment in favor of HealthSouth on Laws’ FMLA retaliation claim. 

I, however, believe that genuine disputes of material fact preclude summary judgment on that claim. 

I would therefore reverse and remand for further proceedings on the FMLA retaliation claim.

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SUTTON, J., concurring, joined by CLAY, J. We join all of Judge Rice’s opinion except

for Part III.A.2. We affirm the district court’s denial of all of Laws’ claims, including her FMLA

retaliation claim.

Laws has not presented any direct evidence to support her FMLA retaliation claim, so the

familiar McDonnell Douglas framework applies. Under this standard, Laws bears the burden of

establishing a prima facie case of discrimination. Cline v. BWXT Y-12, LLC, 521 F.3d 507, 509 (6th

Cir. 2008). If she succeeds in doing so, the burden shifts to the hospital to produce a legitimate,

nondiscriminatory explanation for its decision. Id. At that point, Laws must introduce evidence that

would allow a reasonable jury to conclude that the hospital’s explanation is pretextual. Id.

Even if we assume that Laws has made out a prima facie case, she has no cognizable claim

of pretext. The hospital has put forward two solid justifications for firing Laws. First, Laws

received two warnings for insubordination in 2008, based on inappropriate interactions with her

superiors. Second, and most egregiously, Laws wrote on a patient’s chart, in the Physician’s Orders

section, that the patient’s Vicodin should be discontinued. Laws lacked any authorization to make

such a notation and caused the patient to suffer intense pain as a result of her misconduct.

Firing Laws for the latter offense alone is eminently reasonable. Patient safety is a hospital’s

paramount concern, and Laws’ actions recklessly caused severe harm to one of her patients. Indeed,

Laws’ behavior was serious enough to warrant a report to the Kentucky Board of Nursing, a

consequence that underscores the gravity of what she did. And this intentional misconduct was on

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No. 11-6360

Laws v. Healthsouth Northern Kentucky

top of Laws’ additional repeated and public insubordinate behavior toward her supervisor. The

hospital had ample reason to fire her.

Laws offers several pieces of evidence that she argues might be sufficient for a jury to infer

that she was fired because of her FMLA absences. But all of the evidence Laws claims should get

her to a jury is highly speculative, and none of it helps overcome the seriousness of her infraction. 

Even the most generous of juries could not reasonably conclude that the hospital’s justification for

firing Laws was a pretext for discrimination. The potential implications of Laws’ actions for patient

safety are simply too great. A hospital, in the normal course of business, must be able to fire an

insubordinate nurse after she threatens patients’ safety by taking medical decisions into her own

hands.

For these reasons, we affirm the district court in full.

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