Connect with us

Business

How a worker who suffered a microfracture of his foot ended up with a $58-million payout

Published

on

How a worker who suffered a microfracture of his foot ended up with a $58-million payout

For eight years, Lancaster resident Pablo Scipione and his attorneys pushed for compensation the 46-year-old independent contractor said he was owed due to a workplace accident in early 2016.

In that accident, he slipped, fell and suffered a microfracture to his foot, according to his lawsuit, but that was only the start of his troubles.

Scipione sued the company he was providing services for — Osaka, Japan-based transportation and manufacturing company Kinkisharyo — for negligence shortly after the workplace fall, his lawyers said. But he eventually developed a debilitating medical condition due to the injury, according to court documents, leading the skilled tradesman to quit his job. He asked his legal representation to seek a settlement of $3 million in July 2022 to pay mounting medical bills.

The offer was rejected by Kinkisharyo’s defense team, according to Scipione’s attorneys.

Advertisement

That decision backfired for Kinkisharyo on Tuesday when a Los Angeles County Superior Court jury awarded Scipione $58.35 million in compensatory and punitive damages.

Calls to Kinkisharyo’s legal team, Los Angeles-based Husch Blackwell, were not returned.

Khail Parris is a partner at Lancaster-based Parris Law Firm, and was lead attorney along with Alexander Wheeler for the plaintiff.

Parris said $54.15 million was awarded in compensatory damages for past lost earnings, future lost earnings, future medical expenses and past and future pain and suffering. The jury also awarded $4.2 million in punitive damages.

Parris said he was a little surprised by the payout since juries can be “unpredictable.”

Advertisement

“I’m happy the jury heard my client,” he said in a phone interview Wednesday. “The defendant took a very aggressive stance on this case and dragged it out for eight years. The jury felt like enough was enough.”

Scipione was employed by railroad contractor Altech Services at the time of the accident, according to court documents. His duties included supervising teams of electrical technicians also employed by Altech, documents say, and his specialty was electrical troubleshooting.

Scipione was dispatched to Kinkisharyo’s Palmdale train yard around 2 a.m. on Feb. 2, 2016, for repair work, according to the lawsuit. He was instructed that it needed to be done within three hours.

Unbeknownst to Scipione, the train he was going to work on was wet after undergoing a recent water tightness test, according to testimony from a Kinkisharyo senior safety manager. That person said the train did not dry for the minimum of two days before Scipione went to work on it.

The Kinkisharyo employee also conceded that there were other safety issues in Scipione’s workspace, including poor lighting.

Advertisement

Scipione climbed to the top of the rail car and slipped and fell atop the vehicle, causing the microfracture to his left foot, according to court documents. Though Scipione went home after the accident, he came back to work the next day.

Nearly three months after the injury, Scipione was diagnosed with complex regional pain syndrome, court documents say. The Mayo Clinic describes the syndrome as “a form of chronic pain” that usually affects an arm or a leg and typically develops after an injury. The Mayo Clinic added that “the pain is out of proportion to the severity of the initial injury.”

“The defendants fought us at every corner for eight years to help my client receive proper compensation and medical care,” Parris said. “Things didn’t turn until their safety manager conceded that the factory had been unsafe.”

Part of Scipione’s struggle was finding care through workers compensation insurance. Letters were presented in court that showed denials of care as the process of determining if Scipione was an actual employee of Kinkisharyo or Altech dragged out.

“The jurors were 12 little guys and saw a fellow little guy going up against a big corporation,” Parris said. “They stood up for one of their own.”

Advertisement
Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Business

Smart & Final workers strike amid accusations of retaliation

Published

on

Smart & Final workers strike amid accusations of retaliation

Hundreds of employees at two Smart & Final warehouses went on strike last week amid accusations the retail chain’s parent company retaliated against them for unionizing and is planning mass layoffs.

About 600 workers at the facilities in the City of Commerce and Riverside walked off the job Thursday.

The work stoppage comes after a year of increasing tensions between the workers and Grupo Chedraui, the Mexican company that owns Smart & Final.

At a meeting with employees in May last year, a Smart & Final executive announced that the company planned to close five Southern California distribution centers. The executive told employees at the warehouses they would be terminated and have to reapply for their jobs for lower pay when a new 1.4-million-square-foot facility in Rancho Cucamonga opened, according to several workers who attended the meeting.

The announcement came shortly after workers at the City of Commerce facility had voted to unionize and days before a union election was scheduled to be held at the Riverside distribution center, leading to claims by employees and union officials that the move was in retaliation for the unionization push.

Advertisement

Teamsters Local 630, which represents the workers, has filed more than 30 unfair labor practice charges with the National Labor Relations Board, alleging the company is interfering with workers’ right to organize, among other claims.

Chedraui denies that its actions were retaliatory, saying the planned warehouse closures are part of a plan to integrate “five outdated and capacity-strained facilities that are spread across 2,000 square miles.”

“The Teamsters’ claims are simply not true,” the company said in an emailed statement. “Our new facility will employ nearly 1000 people, creating hundreds more American jobs than exist today. This will substantially reduce our carbon footprint and enable us to continue providing affordable food to communities in California that need it the most.”

Chedraui said the strike, which began Thursday, hasn’t caused any major disruptions in its operation of distribution centers.

Grupo Chedraui acquired Smart & Final in 2021 for $620 million through its American subsidiary, Chedraui USA. Along with Smart & Final it operates two other chains in the U.S., El Super and Fiesta Mart, making it the fourth-largest grocery retailer in California, according to company news releases. It also operates stores in Arizona, Texas, New Mexico and Nevada.

Advertisement

Many of the Smart & Final warehouse workers have been with the company for more than 20 or 30 years and make about $32 per hour, union organizers and workers said in interviews. At job fairs for prospective hires at the new distribution center, Chedraui is advertising pay at $20 an hour, the organizers and employees claim.

“Things are very uncertain for us,” said Daniel Delgado, who has worked for more than 19 years at Smart & Final’s distribution center in Riverside. With the strike, “we are trying to send the company a message — a message that we are tired of being looked at as a faceless number.”

“We know this company has made billions of dollars off our backs,” he said.

Chedraui USA had $7.5 billion in domestic sales in 2022, a 137% increase over its 2021 revenue, according to an analysis of the nation’s top 100 retailers by the National Retail Federation.

In April, state Assemblymember Chris Holden (D-Pasadena) wrote to Chedraui , warning that the company’s plan to force warehouse workers to reapply for jobs appeared to violate a law he authored last year. The measure, Assembly Bill 647, aims to protect jobs of grocery employees, including warehouse workers, in the event of mergers or reorganizations of companies.

Advertisement

And Daniel Yu, assistant chief of the California Labor Commissioner’s Office, sent a letter in May to Chedraui, urging the company to suspend its plans to relocate its facility and delay hiring in order for his office to collect evidence to determine whether the company’s actions violate labor law.

The decision to strike this month came after a three-week work stoppage last year and other protests by employees. Maurice Thomas was among hundreds of workers who rallied outside a Smart & Final in Burbank in August. He joined the company about three years ago, leaving his job at a Frito-Lay plant in Texas to take care of his parents in California.

“It’s been real, real tough,” Thomas said. “The company has no interest in bargaining with us, they are delaying until either we give up or they move to this new facility without us. But we are not going down without a fight,” he said.

Advertisement
Continue Reading

Business

Column: This huge insurer got caught flouting a law protecting contraceptive access, but its fine is a joke

Published

on

Column: This huge insurer got caught flouting a law protecting contraceptive access, but its fine is a joke

There’s good news and bad news about a legal settlement that New York state just reached with the giant health insurer UnitedHealth over its denial of contraception coverage for a member, which violated state law.

The good news is that UnitedHealth got caught and has been ordered to reimburse the member — and all others in her situation — for the out-of-pocket costs they incurred.

The bad news is that in addition to the reimbursement order, New York Atty. Gen. Letitia James imposed a penalty of only $1 million on the company.

The ability to access birth control and the legal right to it are being threatened by extremists. The threat goes against the will and the desires of the American public, which overwhelmingly supports birth control and overwhelmingly use it.

— Gretchen Borchelt, National Women’s Law Center

Advertisement

For UnitedHealth, that’s the equivalent of about one-hundredth of a penny based on its annual revenue. In other words, if someone dropped a packet worth of $1 million on the street in front of the company’s chairman, he might not even bend over to pick them up for fear of creasing his trousers.

A couple more bits of bad news: Not only is UnitedHealth a “repeat offender” in breaching contraception access laws (in the words of Gretchen Borchelt of the National Womens Law Center), but it’s also not the only health insurer engaging in sophistry and pretexts to deny members access to birth control in violation of state and federal laws.

The center has documented cases in which Blue Cross and Blue Shield affiliates, the pharmacy benefit manager CVS Caremark, and others have charged customers illegal out-of-pocket payments or imposed prior authorization rules before approving reimbursements for contraceptives.

Vermont regulators last year reported that they discovered 14,000 instances affecting 9,000 residents who were illegally charged for contraceptives that the law required to be dispensed without costs. The state’s three largest health insurers — Blue Cross Blue Shield, MVP Healthcare and Cigna — illicitly shifted $1.5 million in costs for contraceptives, tubal ligations and vasectomies to consumers over the prior two years. The health plans were ordered to reimburse their members.

Advertisement

In 2022, the House Committee on Oversight and Reform found widespread violations by health plans and pharmacy benefit managers of the Affordable Care Act’s mandates that the full range of FDA-approved birth control be offered to all customers. The committee cited the NWLC’s findings, and specifically queried five of the largest insurers (including UnitedHealth) and four of the largest PBMs to determine whether they were complying with the law.

But that was when the committee was under a Democratic Party majority. Since it came under GOP control last year, it’s been preoccupied with chasing the Hunter Biden case and harassing scientists and government officials as part of a fruitless effort to prove that the COVID-19 pandemic originated in a Chinese lab. So women’s healthcare rights have fallen off its radar screen.

Protecting access to contraceptives is more important today than it has been since 1965, when the Supreme Court guaranteed married couples’ access to contraceptives on privacy grounds in Griswold vs. Connecticut; that decision was augmented in 1972 in Eisenstadt vs. Baird, which extended access rights to single women, and of course by Roe vs. Wade, which brought privacy protections to the right to abortion in 1973.

The Supreme Court overturned Roe vs. Wade two years ago Monday, fomenting sheer chaos and pain and suffering for women in the states that have jumped in to quash abortion rights since that moment.

Politicians and judges in anti-abortion states have been talking about extending the Supreme Court’s abortion ruling to contraception. Supreme Court Justice Clarence Thomas, in a concurring opinion to the Dobbs decision overturning Roe vs. Wade, listed Griswold among the precedents he thinks should be “reconsidered.”

Advertisement

A popular claim is that contraceptives fall into a ban on the mailing of those products enacted as part of the Comstock Act in 1873.

Past practice and legal tradition relegated the act, which Congress passed at the behest of Anthony Comstock, one of the outstanding bluenoses of American history, to the scrap heap long ago. Most rational legal experts, including those at the Department of Justice, interpret it today as banning the shipment of materials destined for illegal use; since contraceptives are legal nationwide and only 14 states have total abortion bans, it’s maybe hard to make the illegality claim stick.

Nevertheless, the Comstock Act was cited in the ruling by federal Judge Matthew Kacsmarykoutlawing mifepristone for medical abortions and by U.S. 5th Circuit Court of Appeals Judge James C. Ho in his partial dissent from an appellate decision placing some of Kacsmaryk’s ruling on hold; both judges are certified anti-abortion fanatics. The Supreme Court threw out their restrictions on the drug, protecting access nationwide for the present, on June 12.

As recently as June 5, Senate Republicans blocked a Democratic effort to install a right to contraception in federal law. The Democratic measure won 51 votes — a majority, but not enough to forestall a filibuster threat, which would have required 60 votes.

The UnitedHealth case illustrates how contraceptive rights can fall victim to the complexities of America’s fragmented healthcare system, though that’s not an excuse for the company’s legal violation.

Advertisement

In response to the settlement, UnitedHealth told me by email that it aims for all its members to have “timely access to a variety of high-value and affordable FDA-approved contraceptives when they need them.” It says it provides “access to more than 150 FDA-approved contraceptive options with $0 cost-share.”

Under New York law, that may not be enough. The state requires health plans to provide access to all contraceptive options approved by the Food and Drug Administration without cost-sharing. That goes further than the Affordable Care Act, which requires health plans to provide access to at least one treatment in each of several contraceptive categories “without copays, restrictions, or delays.” California’s Contraceptive Equity Act requires health plans to cover certain birth control methods without copays; voters enshrined rights to abortion and contraceptives in the state Constitution via Proposition 1 of 2022, which passed by a decisive 2-1 majority.

UnitedHealth ran afoul of New York’s law when it denied coverage to a member whose doctor had prescribed Slynd, a progestin-only oral contraceptive. The product is aimed at patients for whom the more conventional estrogen-based birth control is medically unsuitable. The patient filed a complaint with state regulators last year.

UnitedHealth refused to cover the product because of “safety concerns,” according to the state’s settlement. It insisted on prior authorization and step therapy (in which patients are required to try cheaper treatments first) before approving coverage, and continued to deny the patient coverage even after an appeal and queries by the state attorney general and other regulators. The insurer says it has dropped these requirements for Slynd.

The settlement requires UnitedHealth to identify and reimburse all members who were denied contraceptive coverage without copays or restrictions at any time since June 1, 2020, plus 12% annual interest.

Advertisement

How James and UnitedHealth came to the $1-million penalty isn’t clear — the contraceptive access law itself doesn’t carry a penalty clause, but other potentially relevant state laws do. The attorney general’s office noted that the penalty was imposed after only a single complaint, suggesting that it took the matter seriously.

What is clear, however, is that if the penalty is meant to be a disincentive to deliberately flouting the law or doing so through inaction or inattention, it’s laughable. UnitedHealth collected $371.6 billion in revenue last year — that’s more than $1 billion a day. Of that sum, nearly $291 billion came from insurance premiums. The firm reported more than $29 billion in pretax profits last year.

Imposing unnecessary, burdensome or illegal restrictions on contraceptive access is one way that health insurers or other healthcare providers make themselves complicit in the conservative project to narrow women’s reproductive health options.

It should be remembered, for example, that the drugstore chain Walgreens announced last year that it wouldn’t distribute or ship mifepristone in at least 21 red states, including at least four where abortions remain legal. The company was unnerved by a saber-rattling letter it received from the attorneys general of those states warning vaguely of “consequences” for shipping mifepristone, a drug used to induce abortions. The letter cited the Comstock Act.

Walgreens said in March that it would start distributing the product to physicians, but not directly to patients and not in states where abortion is banned.

Advertisement

“The ability to access birth control and the legal right to it are being threatened by extremists,” Borchelt says. “The threat goes against the will and the desires of the American public, which overwhelmingly supports birth control and overwhelmingly use it.”

Surveys by the NWLC — and patient complaints filed via its CoverHer hotline — document that restrictions on coverage for legal birth control have been endemic. Some plans have refused to cover products such as the vaginal contraceptive ring or contraceptive patch, arguing that other “hormonal” contraceptives were covered and therefore patients didn’t need access to the ring or patch, which are obviously discrete methods. That was an argument used by UnitedHealth.

Other health plans have covered only certain IUDs, or covered only generic contraceptives even when patients had difficulty tolerating any but brand name products. Women who underwent tubal ligations were told that their insurers would cover only the direct cost of the procedure, but not anesthesia, medications or facility charges. Some have been denied coverage for innovative but FDA-approved birth control methods, such as a hormone-free gel.

Patients denied coverage are often forced to undertake lengthy appeals and continue their efforts through repeated denials.

Whether because it is the nation’s largest health insurer or it has continued to place barriers in the way of members seeking coverage to which they’re entitled by law, UnitedHealth is “one of the insurance companies we hear about most often through our CoverHer hotline as being problematic,” Borchelt says. “They have been on notice that it has been violating the law in numerous ways; while the New York attorney general has done incredible work that will make a real difference for consumers not just in New York, but it shouldn’t have come to this.”

Advertisement
Continue Reading

Business

Fisker issues recall over more Ocean SUV software problems

Published

on

Fisker issues recall over more Ocean SUV software problems

Fisker Inc. issued a voluntary recall notice Wednesday for 11,201 Oceans, the only vehicle in the lineup of the troubled Southern California electric vehicle maker.

The voluntary safety recall stems from a software glitch that may cause the premium sport utility vehicle to lose power and covers Oceans sold in North America and Europe.

The company also issued a voluntary “non-compliance recall” for 7,145 Oceans sold in the U.S. and Canada. The vehicles do not meet standards for their gauges and displays.

The recall notices apply to cars that have not received over-the-air software updates to Fisker’s 2.1 operating system. Fisker expects the updates to be completed by June 30.

The notices are the latest reports of problems involving the vehicle.

Advertisement

The National Highway Traffic Safety Administration previously opened four investigations into the Ocean, including one triggered by owner complaints that the SUV’s automatic emergency braking system randomly triggered.

Other probes are examining reports that a door on the Ocean will not open and about a loss of performance. The company has said it is working with the regulator.

Founded in 2016 by noted car designer Henrik Fisker, the electric vehicle startup has been in financial trouble since March when it failed to receive more than $100 million in financing and reach an alliance with a major manufacturer.

Since then, the company has stopped production, laid off workers and slashed the Ocean’s prices. It also closed its Manhattan Beach headquarters, moving to offices in Orange County. Last month, Fisker secured a $3.5-million short-term loan in a bid to stave off bankruptcy.

The company only produced about 10,200 Oceans last year, with the base model starting at $38,999. It cut prices 15% in March and there are reports it is offering certain models to its remaining employees for $20,000, not counting certain fees.

Advertisement

The Real Deal reported this week that Fisker has put his Hollywood Hills mansion up for sale with a list price of $35 million. Fisker stock has collapsed and is now trading at pennies.

Continue Reading

Trending