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CourtListener opinion 10396361
Citation: domestic relations order · Date unknown · US
- Extracted case name
- OPINION & ORDER v. HILLSBORO MEDICAL CENTER
- Extracted reporter citation
- domestic relations order
- Docket / number
- 28. Frozen Plan in any of those years. Accordingly
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Machine-draft public headnote: CourtListener opinion 10396361 is included in the LexyCorpus QDRO sample set as a public CourtListener opinion with relevance to pension / defined benefit issues. The current annotation is conservative: it identifies source provenance, relevance signals, and evidence quotes for attorney/agent retrieval. It is not a Willie-approved legal headnote yet.
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Draft retrieval summary: this opinion has QDRO relevance score 5/5, retirement-division score 5/5, and family-law score 5/5. Use the quoted text and full opinion below before relying on the case.
Category: pension / defined benefit issues
Evidence quotes
retirement benefits“ica Retirement Advisor's Motion for Entry of Judgment. BACKGROUND Plaintiff Maritta Erickson began working as a registered nurse with Defendant Hillsboro Medical Center ("HMC")1 on October 20, 1986. Plaintiff was a participant in the Tuality Healthcare Retirement Plan (the "Frozen Plan")2 from November 1, 1987, through August 31, 2012, at which time the Frozen Plan was amended to freeze participation and benefit accruals. Plaintiff was a participant in the Tuality Healthcare Cash Balance Pension Plan (the "Cash Balance Plan") from September 1, 2012, through May 31, 2020. Plaintiff retired from HMC on June 15, 2020.”
pension“ality Healthcare Retirement Plan (the "Frozen Plan")2 from November 1, 1987, through August 31, 2012, at which time the Frozen Plan was amended to freeze participation and benefit accruals. Plaintiff was a participant in the Tuality Healthcare Cash Balance Pension Plan (the "Cash Balance Plan") from September 1, 2012, through May 31, 2020. Plaintiff retired from HMC on June 15, 2020. On June 24, 2020, Plaintiff wrote to HMC and Defendant Transamerica Retirement Advisors ("TRA") asserting that HMC erred in the calculation of her retirement benefits under the Frozen Plan. Specifically, Plaintiff asserted HMC faile”
ERISA“HMC was Tuality Medical Center at the time Plaintiff was hired until November 2019. 2 It is undisputed that HMC is the plan sponsor and administrator of the Frozen Plan and a fiduciary under the provisions of the Employment Retirement Income Security Act ("ERISA"). sent a second letter to HMC and TRA noting she had received employer-matched benefits from her 403(b) retirement account3 in 1996, 1997, 2000, 2001, therefore, she believed she also met the Frozen Plan 1,000-hour threshold to be credited with a year of benefit service in each of those years. Plaintiff attached some of her paystubs and asserted they s”
domestic relations order“the plans, or administration of the plans, nor does it provide TRA with authority to manage the plans or to administer the plans' assets. Rather, Section II reflects TRA agreed to assume fiduciary responsibility for things such as reviewing and evaluating domestic relations orders, preparing benefit election forms, reviewing benefit election forms for accuracy, conducting "weekly death audits for retirees," and notifying "terminated vested participants." Tr. 1227-28. The provision of the PSA that Plaintiff relies on for her assertion that TRA had relevant fiduciary duties is contained in the portion of the PSA addressing "float”
Source and provenance
- Source type
- courtlistener_qdro_opinion_full_text
- Permissions posture
- public
- Generated status
- machine draft public v0
- Review status
- gold label pending
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- US
- Deterministic extraction
- reporter: domestic relations order · docket: 28. Frozen Plan in any of those years. Accordingly
- Generated at
- May 14, 2026
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Clean opinion text
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF OREGON
MARITTA ERICKSON, No. 3:22-cv-01208-HZ
Plaintiff, OPINION & ORDER
v.
HILLSBORO MEDICAL CENTER and
TRANSAMERICA RETIREMENT
ADVISORS, LLC,
Defendants.
Megan E. Glor
John C. Shaw
Megan E. Glor, Attorney at Law PC
707 N.E. Knott Street
Suite 101
Portland, OR 97212
Attorneys for Plaintiff
Brian T. Kiolbasa
Lane Powell, PC
601 S.W. Second Avenue
Suite 2100
Portland, OR 97204-3158
Attorneys for Defendant Hillsboro Medical Center
Stanton R. Gallegos
Markowitz Herbold PC
1455 S.W. Broadway
Suite 1900
Portland, OR 97201
Attorneys for Defendant Transamerica Retirement Advisors, LLC
HERNÁNDEZ, District Judge:
This matter is before the Court on Defendant Hillsboro Medical Center's Motion for
Entry of Judgment Under Rule 52, ECF 30; Plaintiff's Motion for Summary Judgment, ECF 31;
and Defendant Transamerica Retirement Advisor's Motion for Entry of Judgment Under Rule
52, ECF 34. For the reasons that follow the Court grants in part and denies in part Hillsboro
Medical Center's Motion for Entry of Judgment, grants in part and denies in part Plaintiff's
Motion for Summary Judgment, and grants Transamerica Retirement Advisor's Motion for Entry
of Judgment.
BACKGROUND
Plaintiff Maritta Erickson began working as a registered nurse with Defendant Hillsboro
Medical Center ("HMC")1 on October 20, 1986. Plaintiff was a participant in the Tuality
Healthcare Retirement Plan (the "Frozen Plan")2 from November 1, 1987, through August 31,
2012, at which time the Frozen Plan was amended to freeze participation and benefit accruals.
Plaintiff was a participant in the Tuality Healthcare Cash Balance Pension Plan (the "Cash
Balance Plan") from September 1, 2012, through May 31, 2020. Plaintiff retired from HMC on
June 15, 2020.
On June 24, 2020, Plaintiff wrote to HMC and Defendant Transamerica Retirement
Advisors ("TRA") asserting that HMC erred in the calculation of her retirement benefits under
the Frozen Plan. Specifically, Plaintiff asserted HMC failed to properly credit her with a "year of
benefit service" for each of four years: 1996, 1997, 2000, and 2001. On June 26, 2020, Plaintiff
1 HMC was Tuality Medical Center at the time Plaintiff was hired until November 2019.
2 It is undisputed that HMC is the plan sponsor and administrator of the Frozen Plan and a
fiduciary under the provisions of the Employment Retirement Income Security Act ("ERISA").
sent a second letter to HMC and TRA noting she had received employer-matched benefits from
her 403(b) retirement account3 in 1996, 1997, 2000, 2001, therefore, she believed she also met
the Frozen Plan 1,000-hour threshold to be credited with a year of benefit service in each of
those years. Plaintiff attached some of her paystubs and asserted they suggested that Defendants
failed to include Plaintiff's "low census"4 hours when calculating Plaintiff's hours of service for
the years in question.
On September 24, 2020, HMC advised Plaintiff that it had "treat[ed] [her] inquiry as a
formal claim for benefits" pursuant to ERISA and had reviewed the Frozen Plan documents,
Plaintiff's pay records, and Plaintiff's 403(b) contribution records. Tr. 266.5 HMC noted
Plaintiff's 403(b) records indicated she did not receive employer-matched benefits in 1996, 1997,
2000, or 2001 because she did not have 1,000 hours of service in those years. In addition, records
in HMC's "HR information system" either matched the paystubs Plaintiff provided or "exceeded
the number of low census hours on [Plaintiff's] paystubs," but "in no instance did the paystubs
[Plaintiff] provided reflect low census hours that [HMC's] records did not," therefore, HMC
could not establish that Plaintiff's low census hours were incorrect. Tr. 267. Finally, HMC's
records reflected Plaintiff had 959.71 hours of service in 1996, 937.92 hours of service in 1997,
934.25 hours of service in 2000, and 749.50 hours of service in 2001. Tr. 266. Plaintiff,
therefore, did not have 1,000 hours of service entitling her to a year of benefit service under the
3 The 403(b) plan required participants to have 1,000 hours of service per benefit year in order to
receive employer-matched benefits.
4 Low census occurs when a hospital has more nurses scheduled for work than are needed due to
low numbers of patients.
5 Citations to "Tr." refer to the page(s) indicated in the administrative record, filed herein as
Docket No. 28.
Frozen Plan in any of those years. Accordingly, HMC denied Plaintiff's claim for retirement
benefits for years 1996, 1997, 2000, and 2001.
Plaintiff requested copies of the documents related to her 403(b) contributions; copies of
the policies and procedures relating to "how [HMC] counted vacation, sick, standby and low
census toward the accumulation of the hours necessary to meet both employee match and
pension accumulations of the 1000 hours"; "a breakdown of all of [her] hours by pay period from
1986 to 2020"; and an independent review of the denial. Tr. 273-74. On December 24, 2020,
HMC provided Plaintiff with the requested documents and advised Plaintiff that it had begun the
requested independent review.
On January 28, 2021, the HMC Fiduciary Committee conducted an independent review
of the denial of Plaintiff's claim. On February 5, 2021, HMC advised Plaintiff that the fiduciary
committee concluded HMC's denial was appropriate. Specifically, HMC's conclusion that
Plaintiff did not have 1,000 hours of service in 1996, 1997, 2000, or 2001 and, therefore, was not
entitled to a year of benefit service for any of those years was correct. Tr. 437-38. HMC advised
Plaintiff that the independent review decision was "final and binding" and that Plaintiff had the
right to bring "legal action under ERISA Section 502(a)." Tr. 438.
On April 9, 2021, TRA advised Plaintiff that during an audit of its benefit calculation
system it discovered that the monthly amount of retirement benefits that Plaintiff had been
receiving under the Frozen Plan had "been overstated [by $258.09 per month]6 since the
commencement of [her] benefits on July 1, 2020." Tr. 167. TRA explained: "The portion of your
Normal Retirement Benefit derived from your employment through December 31, 1987 was
incorrectly applied as an annual value instead of a monthly value, causing your overall benefit to
6 Plaintiff had received $1,636.26 per month; the corrected amount was $1,378.17 per month.
be overstated." Tr. 167. TRA advised HMC of the overpayment and was directed "to adjust
[Plaintiff's] monthly benefit payments," but Plaintiff would not be required to return the
overpaid amounts to the Frozen Plan. Id.
On April 26, 2021, Plaintiff wrote HMC disputing TRA's calculations. HMC treated
Plaintiff's letter as a formal claim for benefits. On May 20, 2021, HMC denied Plaintiff's claim
explaining:
Under section 6.2(C) of the Plan, the pre-1988 benefit is equal to: "For
each year . . . of Benefit Service . . . before January 1, 1988, 1 percent of
the Participant's Monthly Earnings during each Plan Year."
According to our records . . . your annual pre-1988 benefit was $249.57,
which equates to $20.80 per month. The full annual benefit of $249.57
was mistakenly applied as a monthly benefit by [TRA], resulting in an
overpayment of benefits.
Tr. 180. HMC also noted that § 8.4 of the Frozen Plan stated, "In the event a Participant or
Beneficiary receives an overpayment from the Plan, the Plan Administrator shall make
reasonable efforts to recover the overpayment . . . includ[ing], but . . . not limited to, [repayment
or] reducing future Plan benefits payable to the Participant or Beneficiary." Id. HMC did not
request that Plaintiff repay the overpayments, but instead reduced Plaintiff's future monthly
benefit payment to the corrected amount.
On August 9, 2021, Plaintiff appealed the pre-1988 plan benefits claim to HMC. Tr. 184-
85. On October 8, 2021, the HMC fiduciary committee denied Plaintiff's appeal. The fiduciary
committee noted that Article IV of the Frozen Plan set out the benefit formulas, TRA's internal
audit revealed that Plaintiff had been overpaid due to a calculation error in applying the Frozen
Plan formula, and the Frozen Plan provided authority for HMC to reduce Plaintiff's pre-1988
benefits in order to remedy the overpayment. Tr. 244-46. HMC advised Plaintiff that the
independent review decision was "final and binding"; that Plaintiff had the right to bring "legal
action under ERISA Section 502(a)"; and that "any further review, judicial or otherwise, . . .
shall be based on the record before [HMC] and limited to whether . . . [HMC] acted arbitrarily or
capriciously in the exercise of its discretion. In no event shall any such further review . . . be on a
de novo basis." Tr. 246.
On August 16, 2022, Plaintiff filed an action in this Court against HMC and TRA
asserting claims for payment of benefits, enforcement of the terms of the Frozen Plan, and
clarification of future benefit rights pursuant to ERISA, 29 U.S.C. §§ 1132(a)(1)(B) and
1132(a)(3).
On May 26, 2023, HMC and TRA filed Motions for Entry of Judgment Under Rule 52
and Plaintiff filed a Motion for Summary Judgment, The Court took the matter under advisement
on June 23, 2023.
STANDARDS
I. Proper Procedural Mechanism
The parties agree the standard of review in this matter is abuse of discretion rather than
de novo. The parties, however, disagree as to the proper procedural mechanism to bring the
dispute before the Court. As noted, Defendants filed Motions for Entry of Judgment pursuant to
Federal Rule of Civil Procedure 52. Plaintiff filed a Motion for Summary Judgment under
Federal Rule of Civil Procedure 56.
Whether the Court proceeds under Rule 52 or 56 "depends on what standard of review
the court applies." Rabbat v. Standard Ins. Co., 894 F. Supp. 2d 1311, 1311 (D. Or. 2012). The
Ninth Circuit has held that "in an ERISA benefits case, [when] the court's review is for abuse of
discretion, summary judgment is a proper ‘conduit to bring the legal question before the district
court.'" Id. (quoting Bendixen v. Standard Ins. Co., 185 F.3d 939, 942 (9th Cir. 1999), overruled
on other grounds by Abatie v. Alta Health & Life Ins. Co., 458 F.3d 955, 965 (9th Cir. 2006)
(When "the decision to grant or deny benefits is reviewed for abuse of discretion, a motion for
summary judgment is merely the conduit to bring the legal question before the district court and
the usual tests of summary judgment, such as whether a genuine dispute of material fact exists,
do not apply.")). See also Harlick v. Blue Shield of Ca., 686 F.3d 699, 706 (9th Cir. 2012)("In
the ERISA context, a motion for summary judgment is merely the conduit to bring the legal
question before the district court and the usual tests of summary judgment, such as whether a
genuine dispute of material fact exists, do not apply.")(quotation omitted)).
As noted, the parties agree that the appropriate standard of review is abuse of discretion.
The Court, therefore, proceeds under Rule 56 as applied in the ERISA context in which "the
usual tests of summary judgment, such as whether a genuine dispute of material fact exists, do
not apply." Harlick, 686 F.3d at 706.
II. Level of Review
The abuse-of-discretion standard is "deferential" and "a plan administrator's decision
‘will not be disturbed if reasonable.'" Stephan v. Unum Life Ins. Co. of Am., 697 F.3d 917, 929
(9th Cir. 2012)(quoting Conkright v. Frommert, 559 U.S. 506, 512 (2010)). "The standard
requires deference to the administrator's benefits decision unless it is ‘(1) illogical, (2)
implausible, or (3) without support in inferences that may be drawn from the facts in the
record.'" Id. (quoting Salomaa v. Honda Long Term Disability Plan, 642 F.3d 666, 676 (9th Cir.
2011)(internal quotation marks omitted)). "Under the abuse of discretion standard, an
administrator's denial of benefits must be upheld ‘if it is based upon a reasonable interpretation
of the plan's terms and if it was made in good faith.'" Moyle v. Liberty Mut. Ret. Ben. Plan, 823
F.3d 948, 957–58 (9th Cir. 2016), as amended on denial of reh'g and reh'g en banc (Aug. 18,
2016)(quoting McDaniel v. Chevron Corp., 203 F.3d 1099, 1113 (9th Cir. 2000)). "The analysis
is not based on ‘whose interpretation of the plan documents is most persuasive, but whether the
[administrator's] interpretation is unreasonable.'" Moyle, 823 F.3d at 958 (quoting Canseco v.
Constr. Laborers Pension Tr., 93 F.3d 600, 606 (9th Cir. 1996)(internal quotation marks
omitted)). "The court must look to the plain language of the [Retirement Plan] to determine
whether the [administrator's] interpretation of that plan is ‘arbitrary and capricious." Moyle, 823
F.3d at 958 (quotation omitted).
The Ninth Circuit, however, has also noted "the degree of skepticism with which [the
court] regard[s] a plan administrator's decision when determining whether the administrator
abused its discretion varies based upon the extent to which the decision appears to have been
affected by a conflict of interest." Stephan, 697 F.3d at 929. Although the existence of a conflict
of interest does "not alter[] the standard of review itself," it "is a factor to be considered in
determining whether a plan administrator has abused its discretion." Id. (citing Metro. Life Ins.
Co. v. Glenn, 554 U.S. 105, 108 (2008)). "The weight of this factor depends upon the likelihood
that the conflict impacted the administrator's decisionmaking." Stephan¸ 697 F.3d at 929. For
example, the "level of skepticism with which a court views a conflicted administrator's decision
may be low if a structural conflict of interest is unaccompanied . . . by any evidence of malice, of
self-dealing, or of a parsimonious claims-granting history." Abatie, 458 F.3d at 968–69. On the
other hand, a "court may weigh a conflict more heavily if, for example, the administrator
provides inconsistent reasons for denial, fails adequately to investigate a claim or ask the
plaintiff for necessary evidence, fails to credit a claimant's reliable evidence, or has repeatedly
denied benefits to deserving participants by interpreting plan terms incorrectly or by making
decisions against the weight of evidence in the record." Id. (citations omitted).
HMC's "dual role as plan administrator, authorized to determine the amount of benefits
owed, and [as] insurer, responsible for paying such benefits, creates a structural conflict of
interest." Stephan, 697 F.3d at 929. HMC, however, consistently provided the same reasons for
denial of Plaintiff's benefits claims, obtained and reviewed the evidence necessary to evaluate
Plaintiff's claims, and considered Plaintiff's evidence including employer contributions to her
403(b) plan and pay stubs provided by Plaintiff. In addition, there is not any evidence in the
record that HMC repeatedly denied benefits to plan participants or acted with malice. The Court,
therefore, gives little weight to HMC's structural conflict of interest.
DISCUSSION
Plaintiff asserts HMC violated its duties under ERISA when it arbitrarily failed to credit
Plaintiff with years of benefit service for 1996, 2000, and 20017; arbitrarily computed Plaintiff's
average monthly compensation under the Frozen Plan; and arbitrarily computed Plaintiff's pre-
1988 monthly accrued benefit under the Frozen Plan. HMC contends its records of Plaintiff's
hours of service for 1996, 2000, and 2001 are accurate and, therefore, Plaintiff was not arbitrarily
denied benefits for those years under the plan and Plaintiff failed to exhaust her administrative
remedies as to her average monthly compensation claim and her pre-1988 monthly accrued
benefit claim.8
TRA incorporates all of HMC's arguments against Plaintiff's claims and additionally
asserts it is entitled to entry of judgment in its favor because it is not a proper defendant under
ERISA.
7 Although Plaintiff alleged in her Complaint that HMC failed to properly credit her with a
benefit year of service in 1997, Plaintiff withdrew that claim in her Response to Defendants'
Motions.
8 Plaintiff refers to this as her monthly accrued benefit part C claim.
I. TRA
As noted, TRA asserts it is entitled to judgment in its favor because it is not a proper
defendant in this matter under ERISA.
"[P]roper defendants under § 1132(a)(1)(B) for improper denial of benefits at least
include ERISA plans, formally designated plan administrators, insurers or other entities
responsible for payment of benefits, and de facto plan administrators that improperly deny or
cause improper denial of benefits." Spinedex Physical Therapy USA Inc. v. United Healthcare of
Az., Inc., 770 F.3d 1282, 1297 (9th Cir. 2014). "Suits under § 1132(a)(1)(B) to recover benefits
may be brought ‘against the plan as an entity and against the fiduciary of the plan.'" Id. (quoting
Hall v. Lhaco, Inc., 140 F.3d 1190, 1194 (8th Cir. 1998)(emphasis omitted)). In the ERISA
context a fiduciary is "any entity that ‘exercises any discretionary authority or discretionary
control respecting management of such plan or exercises any authority or control respecting
management or disposition of its assets . . . [or] has any discretionary authority or discretionary
responsibility in the administration of such plan.'" Spinedex, 770 F.3d at 1298 (quoting ERISA,
29 U.S.C. § 1002(21)(A)).
TRA asserts it is merely the recordkeeper of HMC's plans. TRA did not fund the plans
and was not responsible for denying Plaintiff's claims for benefits and, therefore, according to
TRA, it is not a proper ERISA defendant. Plaintiff, relying on the Pension Services Agreement
("PSA") between TRA and HMC, asserts TRA has fiduciary duties "for retiree payment
administration services in identifying and correcting in a timely manner transaction processing
errors," and, therefore, it is a proper defendant under ERISA. Pl. Resp., ECF 37, at 15. TRA
points out, however, that the PSA sets out limited fiduciary duties for TRA. Specifically, the
PSA provides TRS "agrees to assume fiduciary responsibility only for the proper execution of
the specific and agreed-upon administrative procedures for the outsourcing services as outlined
in this Section II. TRS does not assume fiduciary responsibility for services that are not
described in . . . Section II." Tr. 1127, ECF 29. Section II of the PSA does not indicate TRA
agreed to assume fiduciary responsibility for payment of benefits, management of the plans, or
administration of the plans, nor does it provide TRA with authority to manage the plans or to
administer the plans' assets. Rather, Section II reflects TRA agreed to assume fiduciary
responsibility for things such as reviewing and evaluating domestic relations orders, preparing
benefit election forms, reviewing benefit election forms for accuracy, conducting "weekly death
audits for retirees," and notifying "terminated vested participants." Tr. 1227-28. The provision of
the PSA that Plaintiff relies on for her assertion that TRA had relevant fiduciary duties is
contained in the portion of the PSA addressing "float income and error correction policy" and is
outside of Section II. As such, pursuant to the unambiguous terms of the PSA, TRA did not
assume any fiduciary duties or responsibilities in that provision.
The Court, therefore, concludes on this record that Plaintiff has not established that TRA
is a proper defendant. Accordingly, the Court grants TRA's Motion for Entry of Judgment and
denies Plaintiff's Motion for Summary Judgment as to the issue of TRA's liability.
II. Years of Benefit Service
In calculating Plaintiff's frozen retirement plan benefit amount HMC credited Plaintiff
with 21 years of benefit service. HMC did not credit Plaintiff with a year of benefit service for
years 1996, 2000, and 2001 based on HMC's conclusion that Plaintiff did not have 1,000 hours
of service in those years. Plaintiff alleges HMC's conclusion that Plaintiff did not have 1,000
hours of service in those years was arbitrary and, therefore, HMC's failure to credit Plaintiff with
a year of benefit services for years 1996, 2000, and 2001, was also arbitrary.
The Frozen Plan provides a plan participant "shall receive one year of Benefit Service for
each Plan Year . . . in which the Participant has 1,000 or more Hours of Service" through
December 31, 2012. Tr. 31. The Frozen Plan defines hour of service in pertinent part as:
Each hour for which an Employee is directly or indirectly paid or entitled
to payment by an Employer for performance of duties during a Plan Year
. . . and each hour during a Plan Year for which an Employee is directly or
indirectly paid or entitled to payment on account of a period of time
during which no duties are performed . . . because of vacation, holiday,
illness, incapacity (including disability), layoff, jury duty, military duty, or
leave of absence.
Tr. 22. The Frozen Plan does not specifically address low census, but states:
[A]n Employee shall also receive Hours of Service credit for mandatory
days off without pay. . . . [F]or each mandatory day off, the Employee
shall be credited with Hours of Service in an amount equal to the Hours of
Service the Employee would have earned for that day under his or her
regularly scheduled hours had he or she not had a mandatory day off.
Tr. 23.
The Summary Plan Description ("SPD") states participants "receive Hours of Service for
time off without pay due to low census. . . . [F]or each mandatory day off, you will be credited
with the Hours of Service you would have received for that day had you not had a mandatory day
off." Tr. 123.
As noted, HMC's records reflected Plaintiff had 959.71 hours of service in 1996, 934.25
hours of service in 2000, and 749.50 hours of service in 2001. Tr. 266. HMC, therefore,
concluded Plaintiff was not entitled to a year of benefit service for those years.
Plaintiff asserts that although HMC's records of Plaintiff's hours of service in the
relevant years include credits for low census hours, see, e.g., Tr. 325, 327, 329, Plaintiff had
additional low census hours that HMC did not include in the calculation of her hours of service.
To support her assertion Plaintiff testifies in her Declaration that she "frequently volunteered to
return home without pay (‘low census' hours) and not work [her] regular scheduled hours if the
Hospital patient census was low and the Hospital had scheduled more nurses than were needed
for patient care." Erickson Decl., ECF 33, at ¶ 4. Plaintiff explains that she
volunteered for "low census" hours initially for 2 reasons: 1) it allowed the
Hospital to reduce the number of nurses scheduled to work when the
patient census was low and the hospital was overstaffed, without having to
impose a \mandatory day off' on one of my fellow nurses who needed the