Begole v. North Mississippi Medical Center, Inc. et al

Filing 24

MEMORANDUM OPINION re 23 Order on Motion to Dismiss and Compel Arbitration. Signed by District Judge Sharion Aycock on 3/23/2018. (adm)

IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF MISSISSIPPI
ABERDEEN DIVISION
DR. MARY BEGOLE

PLAINTIFF

V.

CIVIL ACTION NO.: 1:17-cv-33-SA-DAS

NORTH MISSISSIPPI MEDICAL CENTER, INC.,
NORTH MISSISSIPPI HEALTH SERVICES, INC.,
TUPELO EMERGENCY CARE ASSOCIATES, LLC,
and DR. JOSEPH JOHNSEY

DEFENDANTS

MEMORANDUM OPINION
This matter is before the Court on Defendants’ Motion to Dismiss and Compel
Arbitration [14], wherein Defendants argue that Plaintiff is bound under certain Employment
Agreements mandating arbitration.
Facts and Procedural History
Plaintiff, Dr. Begole, signed an Employment agreement to provide emergency physician
services for North Mississippi Medical Center’s (NMMC) Emergency Department on June 10,
2014. The Employment Agreement contained an arbitration clause with the following pertinent
language:
Arbitration. Employer and Employee agree that all disputes between them
arising out of or relating to this Agreement are to be resolved by arbitration as
provided in this section. This Agreement to arbitrate shall survive the termination
of this Agreement.
NMMC later terminated all employment agreements with its Emergency Department physicians
in 2015, deciding instead to operate under an independent contractor model. At this point, all
emergency physicians were offered independent contractor agreements.
Plaintiff signed the Independent Contractor Agreement (IC Agreement) on February 12,
2015. The IC agreement contained the following language within its arbitration clause:

Arbitration. Disputes arising under this Agreement which are not resolved by
agreement of the Parties shall, upon written request of either Party, be submitted
to arbitration pursuant to the rules of the American Health Lawyers Association.
Plaintiff brings claims in this Court under the Age Discrimination in Employment Act
(ADEA), Title VII of the Civil Rights Act of 1964, as amended (Title VII), and state law claims.
Defendant moved to compel arbitration pursuant to the Employment Agreement and the IC
Agreement under the Federal Arbitration Act (FAA). Plaintiff disputes the validity of both
agreements.
Standard
Under the FAA, courts conduct a two-prong arbitration inquiry, determining “first,
whether the parties intended to arbitrate the dispute, and second, if they did intend to arbitrate,
‘whether legal constraints external to the parties’ agreement foreclosed the arbitration of those
claims.’” Qualcomm Inc. v. Am. Wireless License Group, 980 So. 2d 261, 268 (Miss. 2007)
(quoting East Ford, Inc. v. Taylor, 826 So. 2d 709, 713 (Miss. 2002)). “The first prong is twofold in that the court considers whether there is a valid arbitration agreement and then whether
the parties’ dispute is within the scope of the arbitration agreement.” Greater Canton Ford
Mercury, Inc. v. Ables, 948 So. 2d 417, 421 (Miss. 2007) (citing East Ford, 826 So. 2d at 713).
Under the second prong, “[t]he FAA mandates that arbitration agreements shall be valid,
irrevocable, and enforceable, save upon such grounds as exist at law or in equity for the
revocation of any contract.” Ables, 948 So. 2d at 423 (quoting Terminix Int’l, Inc. v. Rice, 904
So. 2d 1051, 1055 (Miss. 2004)1.
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Under the FAA, “[s]tate law[ ]’ . . . is applicable to determine which contracts are binding under § 2 and
enforceable under § 3 ‘if that law arose to govern issues concerning the validity, revocability, and enforceability of
contracts generally.’” Crawford Prof’l Drugs, Inc. v. CVS Caremark Corp., 748 F.3d 249, 257 (5th Cir. 2014)
(citing Arthur Andersen LLP v. Carlisle, 566 U.S. 624, 630–31, 129 S. Ct. 1896, 173 L. Ed. 2d 832 (2009).
Accordingly, the Court applies state law here.

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There is no dispute that Plaintiff executed the arbitration agreement, thus the question
before the Court is whether Plaintiff’s claims are within the scope of an enforceable arbitration
clause. “[A]s with any other contract, the parties’ intentions control, but those intentions are
generously construed as to issues of arbitrability.” Mitsubishi Motors Corp. v. Soler Chrysler–
Plymouth, Inc., 473 U.S. 614, 626, 105 S. Ct. 3346, 87 L. Ed. 2d 444 (1985). Though the FAA
creates “substantive federal law regarding the enforceability of arbitration agreements,” it does
not “alter background principles of state contract law regarding the scope of agreements
(including the question of who is bound by them).” Crawford, 748 F.3d at 257.
Analysis and Discussion
Following the conversion of her employment contract into an independent contract and
her eventual termination, Plaintiff brings the following claims: (1) gender discrimination under
Title VII, (2) retaliation under Title VII, (3) age discrimination under the ADEA, (4) retaliation
under the ADEA, (5) wrongful termination, (6) intentional interference with contract, (7)
intentional interference with business relations, and (8) fraud. She posits different reasons why
some of these claims should be excluded from arbitration, and the Court addresses each in turn.
Regarding Plaintiff’s Title VII and ADEA claims, Plaintiff alleges that Defendant
Johnsey engaged in multiple instances of harassment and gender and age discrimination, and that
the behavior was tolerated by NMMC. However, Plaintiff fails to respond to Defendants’
argument that such claims arise under the Plaintiff’s employment contracts and are subject to
arbitration. As statutory discrimination claims are generally subject to arbitration in the Fifth
Circuit, and Plaintiff has provided no compelling reason or explanation why her Title VII and
ADEA allegations are outside of her employment contracts, the Court will focus on Plaintiff’s
other claims. See Garrett v. Circuit City Stores, Inc., 449 F.3d 672, 674 (5th Cir. 2006) (citing

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Gilmer v. Interstate/Johnson Lane Corp., 500 U.S. 20, 35, 111 S. Ct. 1647, 114 L. Ed. 2d. 26
(1991) (ADEA); Alford v. Dean Witter Reynolds, Inc., 939 F.2d 229, 230 (5th Cir. 1991) (Title
VII).
A. Wrongful termination
Plaintiff claims that NMMC converted her into an independent contractor and then
terminated her in retaliation for engaging in protected activity. For example, she claims that she
was terminated in retaliation for reporting violations of federal drug regulations to the Drug
Enforcement Agency, and because she reported to senior management that Defendant Johnsey
had violated Health Insurance Portability and Accountability Act (HIPAA). Plaintiff claims that
the retaliatory termination results in tortious conduct prohibited under McArn v. Allied BruceTerminix Co., 626 So. 2d 603, 607 (Miss. 1993). Without providing authority for the premise,
Plaintiff states that “[b]ecause [her] fifth cause of action is a tort claim, by definition, it does not
‘arise under’ the Agreements and therefore is not subject to arbitration.” Conversely, Defendants
move the Court to consider not the legal cause of action asserted, but rather the factual
allegations in the complaint when determining whether Plaintiff’s claims “arise under” the
Employment Agreement or IC Agreement.
In determining whether a party’s dispute is within the scope of an arbitration agreement,
courts examine whether the arbitration language is broad or narrow. If arbitration language is
“broad,” then arbitration is “not limited to claims that literally ‘arise under the contract.’”
Pennzoil Exploration and Production Co. v. Ramco Energy Ltd., 139 F.3d 1061, 1067 (5th Cir.
1998)). In that case, an arbitration clause “embraces all disputes between the parties having a
significant relationship to the contract regardless of the label attached to the dispute.” Ramco,
139 F.3d at 1067); Doe v. Hallmark Partners, LP, 227 So. 3d 1052, 1056–57 (Miss. 2017), reh’g

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denied (Aug. 10, 2017). On the other hand, narrow arbitration language requires arbitration of
disputes that directly “arise out of” a contract. “If the clause is ‘narrow,’ arbitration should not be
compelled unless the court determines that the dispute falls within the clause.” Sedco, Inc. v.
Petroleos Mexicanos Mexican Nat’l Oil Co. (Pemex), 767 F.2d 1140, 1145 n. 10 (5th Cir. 1985)
(quoting Prudential Lines, Inc. v. Exxon Corp., 704 F.2d 59, 65 (2d Cir.1983)).
In the instant case, there are two relevant provisions containing differing levels of
restriction. In her Employee Agreement, Plaintiff agreed to arbitrate “all disputes between them
arising out of or relating to this Agreement.” Therefore, the initial language was broad.
However, Plaintiff’s Employment Agreement was terminated in 2015, when the IC agreement
was initiated. The IC Agreement’s language is not quite as broad. The IC Agreement’s language
applies to claims “arising out of this Agreement” without including the “related to” type
language. See Sealey v. Johanson, 175 F. Supp. 3d 681, 685 (S.D. Miss. 2016). Plaintiff is
correct in arguing that narrow provisions such as this generally do not cover all “collateral
issues,” Niolet v. Rice, 20 So. 3d 31, 33 (Miss. Ct. App. 2009).
However, Plaintiff’s IC Agreement contained provisions governing the obligations to each
party, including the obligation to “comply in all respects with Federal and State laws.”
Therefore, even in reading the arbitration clause narrowly, Plaintiff’s claims arise from duties
imposed by her IC Agreement. Therefore, Plaintiff’s McArn claim is subject to arbitration.
B. Intentional Interference with Contract, Interference With Business Relations, Fraud
In addition to those actions encompassed by Plaintiff’s ADEA and Title VII claims,
Plaintiff alleges that Defendant Johnsey interfered with her ability to perform her duties under
her Employment Contract, that he interfered with her contract to provide emergency physician
services by scheduling insufficient physician coverage (as defined in the Employment Contract),

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and that he refused to provide complete copies of the IC Contract in a timely manner. Thus,
Plaintiff argues that her claims for intentional interference with contract, intentional interference
with business relations, and fraud are directed towards Defendant Johnsey, individually. As he
was not a signatory to the Agreement, she argues such claims are not subject to arbitration. In
opposition, Defendants argue that Plaintiff is equitably estopped from avoiding arbitration.
“When the signatory to the contract containing an arbitration clause raises allegations of
substantially interdependent and concerted misconduct by both the nonsignatory and one or more
of the signatories to the contract,” a nonsignatory may compel a signatory to arbitrate. B.C.
Rogers Poultry v. Wedgeworth, 911 So. 2d 483 (Miss. 2005). (quoting Grigson v. Creative
Artists Agency L.L.C, 210 F.3d 524, 527). The Mississippi Supreme Court has further required
that the interdependent-and-concerted misconduct occurred between a nonsignatory defendant
and a signatory defendant with which a “close legal relationship” existed in order to compel
arbitration. See Wedgeworth, 911 So. 2d at 492 (“A non-signatory should have standing to
compel arbitration where the non-signatory has a close legal relationship, such as, alter ego,
parent/subsidiary, or agency relationship, with a signatory to the agreement”) (citing
Terminix, 904 So. 2d 1051; see also Washington Mut. Fin. Group, LLC v. Bailey, 364 F.3d 260,
267 (5th Cir. 2004) (“A nonsignatory party may be bound to an arbitration agreement if so
dictated by the ordinary principles of contract and agency”)).
Plaintiff’s claims clearly allege interdependent and concerted misconduct against all
Defendants. Additionally, Plaintiff has accused NMMC of authorizing only Defendant Johnsey
to negotiate the proposed contracts, effectively admitting that Defendant Johnsey acted in an
agency capacity. McFarland v. Entergy Miss., Inc., 919 So. 2d 894, 902 (Miss. 2005) (“An
express agent is one who is ‘in fact authorized by the principal to act on their behalf.’”) (citation

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omitted); Lemon Drop Properties, LLC v. Pass Marianne, LLC, 73 So. 3d 1131, 1135 (Miss.
2011). Thus, Defendant Johnsey, as NMMC’s agent, has the right to compel arbitration based on
the agreement between Plaintiff and NMMC because he acted as NMMC’s agent, and because
Plaintiff’s claims relate to Defendant Johnsey’s behavior as an agent of NMMC. Lemon Drop
Properties, 73 So. 3d at 1135 (collecting cases and citing Garcia v. Huerta, 340 S.W.3d 864, 869
(Tex. App. 2011) (“[t]he scope of an arbitration agreement may be extended to claims against
agents of the principal when all the agents’ allegedly wrongful acts relate to their behavior as
agents of the principal signatory company, and those acts were within the scope of the claims
covered by the arbitration provisions for which the principal would be liable”)). Therefore,
Plaintiff’s claims against Defendant Johnsey in his individual capacity should be arbitrated along
with her other claims
C. Defenses to the Contracts
“[I]n order to determine whether legal constraints exist which would preclude arbitration,
‘courts generally . . . should apply ordinary state-law principles that govern the formation of
contracts.’” E. Ford, Inc. v. Taylor, 826 So. 2d 709, 713–14 (Miss. 2002) (citing Bank One, N.A.
v. Coates, 125 F. Supp. 2d 819, 827 (S.D. Miss. 2001) (quoting Webb v. Investacorp, Inc., 89
F.3d 252, 257 (5th Cir. 1996)). The courts have recognized “two types of unconscionability,
procedural and substantive.” Pridgen v. Green Tree Fin. Servicing Corp., 88 F. Supp. 2d 655,
657 (S.D. Miss. 2000) (quoting York v. Georgia-Pac. Corp., 585 F. Supp. 1265, 1278 (N.D.
Miss. 1984)). Procedural unconscionability may be proved by showing “a lack of knowledge,
lack of voluntariness, inconspicuous print, the use of complex legalistic language, disparity in
sophistication or bargaining power of the parties and/or a lack of opportunity to study the
contract and inquire about the contract terms.” Id. On the other hand, substantive

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unconscionability may be proven by showing the terms of the arbitration agreement to be
oppressive. Id.
Plaintiff argues that Defendants informed her that if she wished to continue working in
the Emergency Department, she would have to sign the IC Agreement, rather than continue on as
a standard employee, thus she argues that she was fraudulently induced to sign the IC
Agreement. She was also financially desperate to obtain a contract in order to ensure an income
stream, and NMMC forced her to negotiate with Defendant Johnsey in order to solidify this
contract, resulting in what she claims was an unfair bargain.
Though Dr. Begole was told that she would convert to an independent contractor as of
February 1, 2015, she did not receive the IC agreement until February 12, 2015. Between
February 1 and February 12, Plaintiff received several partial agreements, and she grew worried
about whether she and the other staff members had medical malpractice insurance coverage,
considering the lack of contract. Dr. Begole also claims that due to Dr. Johnsey’s erratic and
hostile behavior, she and other doctors within the facility were under significant distress. She
complains that she was working in the emergency department when she finally received the full
contract, and could not review the document because of time constraints and general distress
regarding the necessity of malpractice insurance. Thus, Plaintiff asserts procedural
unconscionability.
Where a contract which contains an arbitration agreement is attacked as being
procedurally unconscionable, the attack
is an attack on the formation of the contract generally, not an attack on the
arbitration clause itself. Because [the plaintiff’s] claim relates to the entire
agreement, rather than just the arbitration clause, the FAA requires that her claims
be heard by an arbitrator.

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Rojas v. TK Communications, Inc., 87 F.3d 745, 751 n.3 (5th Cir. 1996); Russell v. Performance
Toyota, Inc., 826 So. 2d 719, 725–26 (Miss. 2002). Furthermore, though Plaintiff complains that
she had limited time to review the IC agreement, she does not accuse Defendants of rushing her
or giving her unreasonable deadlines within which to sign. This Court will not invalidate an
arbitration provision merely because an aggrieved party failed to thoroughly read and examine
the contract. MS Credit Ctr., Inc. v. Horton, 926 So. 2d 167, 177 (Miss. 2006). Additionally, to
the extent that Plaintiff’s fraud claims reach NMMC’s inducement of the Employment
Agreement, her claim is properly decided in arbitration. Miller v. Pub. Storage Mgmt., Inc., 121
F.3d 215, 219 (5th Cir. 1997) (citing R.M. Perez & Assocs., Inc. v. Welch, 960 F.2d 534, 538 (5th
Cir. 1992).
Finally, Plaintiff argues that her original Employment Agreement is substantively
unconscionable because it required her to waive her right to punitive damages.
Substantive unconscionability is proven by oppressive contract terms such that “there is a onesided agreement whereby one party is deprived of all the benefits of the agreement or left
without a remedy for another party’s nonperformance or breach . . . .” Covenant Health &
Rehab. of Picayune, LP v. Estate of Moulds ex rel. Braddock, 14 So. 3d 695, 699–700 (Miss.
2009); see also Bank of Indiana, Nat’l Ass’n v. Holyfield, 476 F. Supp. 104, 109 S.D. Miss.
(1979).
While in certain circumstances, limiting a Plaintiff’s statutory damages may be deemed
unconscionable, thus is not the case here. Courts that have held such clauses unconscionable are
distinguishable. For example, in Moulds, the case upon which Plaintiff relies, the Court found
that, in light of the “multitude” or “plethora” of provisions that had been found unconscionable,
the contract was unconscionable as a whole. However, Plaintiff has been unable to show any

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such other substantively unconscionable terms in the IC Agreement, the contract relevant to her
claims. Furthermore, Plaintiff’s Employment Agreement was nullified upon her agreement to
become an independent contractor. Thus, the punitive damages waiver was no longer in effect
when she was terminated. Accordingly, as Plaintiff’s original Employment Agreement was
terminated, it is no longer relevant to the Court’s inquiry, and even if it were, it does not preclude
arbitration.
Conclusion
Having considered and rejected Plaintiff’s defenses to arbitration, the Court finds the
parties have a valid agreement to arbitrate which covers the claims sought to be asserted by the
Plaintiff. The Court further finds there are no external legal constraints that foreclose
arbitration. Accordingly, Defendant’s Motion to Compel Arbitration is GRANTED.
SO ORDERED this the 23rd day of March, 2018.
/s/ Sharion Aycock
UNITED STATES DISTRICT JUDGE

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