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WCIRB Geostudy Shows LA Basin Most Costly Area For Claims

The Workers’ Compensation Insurance Rating Bureau of California (WCIRB) released the WCIRB Geo Study 2024, which underscores regional differences in claim characteristics across California. A web-based interactive map allows you to quickly view key measures across regions.

The study’s key findings include the following:

– – Even after controlling for regional differences in wages and industry mix, indemnity claim frequency continues to be significantly higher than the statewide average in the LA Basin and significantly lower than the statewide average in Northern California. This relationship has been fairly consistent over time, although the magnitude of the difference has fluctuated.
– – The LA/Long Beach region has the highest claim frequency, more than 35% above the statewide average.
– – The Yuba City/Redding/Far North and Peninsula/Silicon Valley regions have the lowest claim frequency, more than20% below the statewide average.
– – Regional differences in indemnity claim severity are more muted than for claim frequency. The magnitude of the differences has been consistent over time, but the relative severities by region have fluctuated. The severity relativities shown are adjusted for classification mix.
– – The highest severity cost is in SLO/Santa Barbara, which is more than 10% above the statewide average.
– – The lowest severity costs are in the San Bernardino/West Riverside and Sacramento regions, around 6% below the statewide average.
– – After adjustment for industry mix, regions with lower indemnity frequency tend to have a higher share of large claims, and there is a significant amount of variation among regions.
– – Yuba City/Redding/Far North, Sonoma/Napa and Bay Area have shares of large claims that are above the statewide average.
– – San Bernardino/West Riverside, LA/Long Beach and San Gabriel Valley/Pasadena have shares of large claims that are below the statewide average.
– – There has been a slight increase in the statewide share of indemnity claims that include permanent disability from PY 2021 to PY 2022 at 18 months (RL 1), reversing the decreases since PY 2015
– – Southern California regions have higher shares of indemnity claims with permanent disability than Northern California regions. SLO/Santa Barbara, Tulare/Inyo and LA/Long Beach have the highest shares, with more than 28% of their indemnity claims having permanent disability.
– – Sacramento, Stockton/Modesto/Merced, Bay Area and Peninsula/Silicon Valley have the lowest shares, with less than 22% of their indemnity claims having permanent disability.
– – The share of indemnity claims that include permanent disability is more than 17% above the statewide average in LA/Long Beach and 15% below the statewide average in Ventura at 90 months.
– – Southern California regions were more likely to have an increase in the share of CT claims. San Bernardino/West Riverside and LA/Long Beach (16) have had the largest increases at more than 2%.
– – The statewide share of paid medical for medical-legal reports continued to increase and is at an all-time high for this regional study. The share increased in nearly all regions, but the magnitude varied by region.
– – Medical-legal reports account for a significantly greater share of paid medical in the LA Basin than in the rest of the state.
– – Santa Monica/San Fernando Valley, LA/Long Beach and San Gabriel Valley/Pasadena have the highest shares, more than 12%.
– – Yuba City/Redding/Far North has the lowest share, less than 6%.
– – The LA/Long Beach and Orange County regions had the highest share of litigated indemnity claims, at more than 12% above the statewide average.
– –  The Yuba City/Redding/Far North and Sonoma/Napa regions had the lowest shares of litigated indemnity claims, at more than 17% below the statewide average.

Safety National Announces Winners of the 2024 Safety First Grant Program

Safety National® is a specialty insurance and reinsurance provider with its corporate headquarters in St. Louis Missouri . It is a wholly-owned subsidiary of Tokio Marine Holdings, Inc., a Tokyo-based global insurer with a presence in over 40 countries.

Safety National just announced the winners of its annual Safety First Grant Program. Three policyholders will be awarded matching grants in order to develop the creative risk control ideas they submitted into formal safety programs.

“As a market leader and safety advocate, we are committed to identifying industry innovation that reduces the risk of employee injury and illness,” said Mark Wilhelm, Executive Chairman of Safety National. “Over the last 10 years, the Safety First Grant Program has funded 32 risk control projects, responding to the emerging needs of our clients while building a blueprint for safer workplaces.”

Winners of the 2024 program included:

– – First Place: Berry Global was awarded the $10,000 matching grant for the addition of radar technology capable of detecting human motion inside of an industrial robot cell. This innovation will prevent dangerous machine restarts, which can result in significant injury.
– – Second Place: Bigge Group was awarded the $5,000 matching grant toward the implementation of an enterprise-wide system used to monitor workplace temperature. These sensors can detect rising heat levels, mitigating heat-related illnesses.
– – Third Place: Lam Research was awarded the $2,500 matching grant to install ergonomic improvement equipment, including over 30 pneumatic and electric adjustable tables. This technology will eliminate problematic manual material handling tasks that lead to musculoskeletal disorders.

Nominees for the annual Safety First Grant Program must be an active Safety National policyholder with a risk-reducing solution that applies to the workers’ compensation line of coverage. The applied solutions must relate to an identifiable and quantifiable loss source and include an anticipated estimate of injury cost savings for the policyholder.

“Each year, our applicants submit increasingly impressive innovative and creative risk management ideas for this program, finding new ways to build a safer workplace for their employees,” said Matt McDonough, Assistant Vice President Risk Control of Safety National. “In celebrating these winning submissions, we hope other organizations are inspired to discover their next great risk-reducing solutions.”

Full details on the 2024 Safety First Grant Program winning solutions can be found on its website.

The 2025 grant application period will open in June 2025.

Late Arbitration Fee Penalties Not Applicable to Post Dispute Agreement

Stephnie Trujillo filed a complaint against her former employer J-M Manufacturing Company (JMM) and four former coworkers David Merritt, David Moore, David Christian, and Chuck Clark.alleging five causes of action: 1) unlawful sexual/gender discrimination; 2) unlawful sexual/gender harassment; 3) failure to prevent sexual/gender discrimination, harassment, and retaliation; 4) retaliation for opposing forbidden practices; and 5) injunctive relief.

On February 22, 2021, JMM reminded Trujillo that in 2012, she executed JMM’s arbitration agreement that required her to resolve any employment disputes by private arbitration. Based thereon, JMM asked Trujillo to submit to arbitration. A dispute arose regarding the applicability and validity of some of the terms of the pre-dispute arbitration agreement.

After weeks of negotiating, the parties entered into a stipulation for arbitration, later signed as an order by the trial court. Court proceedings were stayed and the parties initiated arbitration in May 2021.

JMM timely paid the arbitrator’s invoices for over a year. On October 18, 2022, the arbitrator contacted JMM and requested payment for the invoice with a due date of September 12, 2022. JMM immediately paid the invoice. Later that evening,

Trujillo gave notice of her intent to withdraw from arbitration due to JMM’s late payment. She filed a motion to withdraw from arbitration pursuant to Code of Civil Procedure2 section 1281.98, which the trial court granted.

The Court of Appeal reversed in the published case of Trujillo v. J-M Manufacturing Co., Inc. B331083 (December 2024).

On appeal, JMM and the four coworkers argue the trial court erred in ruling that section 1281.98 applied. Appellants contend the statute does not apply to them because: 1) they entered into a post-dispute stipulation to arbitrate with mutually agreed upon terms, whereas the statute governs mandatory pre-dispute arbitration agreements; and 2) they were not the “drafting party” as defined in section 1280, subdivision (e). The Court of Appeal agreed.

We decide, in the first instance, whether the parties’ entry into a post-, not pre-, dispute arbitration agreement affects the applicability of section 1281.98. We note that every single appellate opinion we reviewed above involved arbitration arising from a pre-dispute arbitration agreement. Not a single case considered or addressed a section 1281.98 issue arising from a post-dispute arbitration agreement.”

“We conclude the Legislature intended to limit section 1281.98’s applicability to arbitration arising from a pre-dispute agreement. We so conclude because the Legislature provided us with a clear answer by reading section 1281.98 alongside section 1280. Section 1281.98, subdivision (a)(1) refers to the failure to timely pay arbitration fees by ‘the drafting party,’ a term defined by section 1280, subdivision (e) as ‘the company or business that included a predispute arbitration provision in a contract with a consumer or employee.’ ”

Equitable Estopple Compels Arbitration With Non-Signatory Affiliated Employers

Nowhere Santa Monica and eight other Nowhere LLCs operate nine organic grocery stores and cafes known as Erewhon in the Los Angeles area. A tenth LLC, Nowhere Holdco, is their managing member.

Edgar Gonzalez worked for Nowhere Santa Monica at its Erewhon market for approximately five months. As a condition of employment, Gonzalez entered into an individual (i.e., non-class) arbitration agreement with Nowhere Santa Monica which provided that any dispute “between Nowhere Santa Monica, LLC DBA Erewhon-Santa Monica” and Gonzalez relating to his employment would be submitted to arbitration.

On May 25, 2022, Gonzalez filed suit against the ten Nowhere entities,defining them as “Defendants” those ten entities plus “any of their parent, subsidiary, or affiliated companies.” He alleged that he and the putative class members “were employees or former employees of Defendants covered by” the Labor Code and applicable Industrial Welfare Commission Wage Orders.

In ten causes of action Gonzalez alleged defendants violated the Labor Code by failing to pay minimum and overtime wages; provide meal or rest periods; provide timely wages and accurate wage statements; indemnify employees for expenses; or pay for vested vacation time on termination of employment. These violations, Gonzalez alleged, constituted unfair business practices.

The complaint, a 20-page block of unbroken, nondescript boilerplate, mentioned no employment agreement, described no work performed or control exerted over such work, and made no distinction between any of the ten defendants.

The ten Nowhere entities filed a joint motion to compel Gonzalez to arbitrate his claims on an individual, non-class basis and to dismiss his class allegations. In support of the motion, Tom Wong, Nowhere Holdco’s Chief Financial Officer, declared that each Erewhon market had its own management team that supervised its own employees. Wong declared that Gonzalez worked for Nowhere Santa Monica at the Erewhon market in Santa Monica from May 27, 2021 to October 15, 2021, and never worked at any other Erewhon market or was employed by any defendant other than Nowhere Santa Monica.

Gonzalez opposed the motion on the ground the non-Santa Monica Nowhere entities were not parties to the arbitration agreement.

The trial court found no evidence that Gonzalez was “attempting to enforce any benefit as to the [non-Santa Monica] Defendants while refusing to arbitrate with them,” and thus no evidence demonstrating that his “claims against the nonsignatory Defendants were ‘intimately founded in and intertwined with’ Plaintiff’s arbitrable claims against Nowhere Santa Monica.” The court therefore granted the motion to compel individual arbitration as to Nowhere Santa Monica but denied it as to the other Nowhere entities. Gonzalez thereafter dismissed his complaint against Nowhere Santa Monica.

The other Nowhere entities appeal. The Court of Appeal reversed in the published case of Gonzalez v. Nowhere Beverly Hills LLC -B328959 (December 2024).

It is undisputed that an arbitration agreement exists between Gonzalez and Nowhere Santa Monica. The non-Santa Monica entities admit they are nonsignatories to this agreement, but contend they may enforce it under principles of equitable estoppel because Gonzalez’s (and the class’s) claims against all Nowhere entities depend on and are intertwined with Nowhere Santa Monica’s obligations under the employment agreement with Gonzalez. The Court of Appeal agreed.

“Because arbitration is a matter of contract, the basic rule is that one must be a party to an arbitration agreement to be bound by it or invoke it – with limited exceptions.” One exception is the doctrine of equitable estoppel, which as a general matter precludes a party from asserting rights it otherwise would have had against another when its own conduct renders assertion of those rights inequitable.

In the arbitration context, “If a plaintiff relies on the terms of an agreement to assert his or her claims against a nonsignatory defendant, the plaintiff may be equitably estopped from repudiating the arbitration clause of that very agreement. In other words, a signatory to an agreement with an arbitration clause cannot . . . ‘on the one hand, seek to hold the non-signatory liable pursuant to duties imposed by the agreement, which contains an arbitration provision, but, on the other hand, deny arbitration’s applicability because the defendant is a non-signatory.”

Applying these principles, the Court of Appeal concluded that the trial court incorrectly denied the non-Santa Monica entities’ motion to compel arbitration because all of Gonzalez’s claims against them are intimately founded in and intertwined with the employment agreement with Nowhere Santa Monica, an agreement which contains an arbitration provision.

DWC Seeks Public Input on Update to SJDB/RTW Rules

The Division of Workers’ Compensation (DWC) has posted proposed changes to its Supplemental Job Displacement Benefits (SJDB) Rules and Forms on its online forum where members of the public may review and comment on the proposals.

The SJDB Rules have not been updated since 2013. The proposed updates will:

– – require additional itemization on vocational & return to work counselor (VRTWC) billings,
– – require that education programs offered to injured workers be provided by California public schools or by schools included on the EDD list of approved training providers and schools,
– – update the application process for the VRTWC list maintained by the Administrative Director,
– – limit payments from the Supplemental Job Displacement Benefits for vocational counseling to persons on the VRTWC list,
– – prohibit VRTCWs from holding financial interests in entities that receive proceeds from the SJDB voucher,
– – create a process for removal of VRTCWs from the VRTCW list, and
– – update the SJDB voucher form and instructions.

The proposed changes will update the California Code of Regulations, Title 8, Chapter 4.5, Division of Workers’ Compensation, Article 7.5, Supplemental Job Displacement Benefits, Sections, 10133.31, 10133.32, 10133.58, 10133.59, 10133.59.1, 10133.59.2.

These proposed changes will increase efficiencies in the SJDB voucher program, improve management of the VRTCW list, and provide safeguards against fraud within the system.

The forum can be found online on the DWC forums web page under “current forums.” Comments will be accepted on the forum until 5 p.m. on December 16, 2022.

Massive Increases in Payroll Taxes Needed to Fix “Broken” UI System

The California Legislative Analyst’s Office released a report Monday detailing the urgent need to fix the state’s “broken” unemployment insurance system, which currently faces significant financial challenges incurred during the pandemic, including an outstanding $20 billion loan from the federal government.

According to the Executive Summary the “State’s Unemployment Insurance (UI) Financing System Is Broken. The state’s UI program is supposed to be self-sufficient-that is, the system should collect enough funds to pay for benefits over time. This means, in some years, the system will collect more than necessary so that, during most economic downturns, there is enough money to pay for rising benefit costs. That system is broken: tax collections routinely fall short of covering benefit costs. (The state’s fiscal problems are unrelated to the widespread fraud that affected temporary federal UI programs during the pandemic.) Both our office and the administration expect these annual shortfalls to continue for the foreseeable future. Under our projections, deficits would average around $2 billion per year for the next five years. This outlook is unprecedented: although the state has, in the past, failed to build robust reserves during periods of economic growth, it has never before run persistent deficits during one of these periods.”

The state’s UI tax system requires a full redesign so that contributions: (1) cover benefit costs in most years and (2) build up a reserve that can be drawn down during recessions. The Report recommend four main areas of change:

– – We recommend the Legislature increase the taxable wage base from $7,000 to $46,800, tying the taxable wage base to the amount of UI benefits a worker can actually receive ($450 per week). Taxing this level of earnings means no taxes would be paid on wages that are not covered by UI. This taxable wage base level would place California among the ten states with taxable wages bases above $40,000 and all other Western states. While necessary, this step alone would not be sufficient to address the state’s solvency problems.
– – Following federal guidelines, we recommend the state adopt a simple, robust UI tax structure comprised of a standard tax rate and a reserve-building tax rate. The standard tax rate would cover typical UI benefit costs. The reserve-building rate would help the state build up a robust reserve that can be drawn down during recessions. Under current conditions, the standard tax rate would be 1.4 percent and the reserve-building rate would be 0.5 percent, for a total of 1.9 percent UI tax rate applied to our proposed $46,800 taxable wage base.
– – We recommend the Legislature transition to a new experience rating system that bases employers’ tax rates on increases or decreases in their employment, rather than an exact accounting of their former workers’ UI costs (as the current system operates). This approach would continue to reflect, indirectly, employers’ costs to the UI system because business that reduce employment tend to have higher UI usage. Thus, this alternative approach maintains the policy goals of experience rating but does not suffer from the main downsides of the current system.
– – The outstanding federal loan complicates the state’s efforts to fix its broken UI financing system: as long as the federal loan remains outstanding, even an improved tax system would probably not be able to build reserves ahead of the next recession. To address this, and in acknowledgment of the unique nature of the pandemic that caused the significant UI loan, we outline a shared approach to refinancing the federal loan. This would involve two equal parts: (1) a revenue bond paid back by employers and (2) new borrowing from the Pooled Money Investment Account paid back by the General Fund.

The Executive Summary concludes by saying “The scope and magnitude of our recommendations reflect the deep problems in the existing UI system. These include: (1) the staggeringly large and growing loan from the federal government and (2) the fact that the system is currently running a deficit even during an economic expansion. These are significant problems in isolation, let alone in combination. The significant changes proposed in this report are an honest reflection of these problems. However, whether or not the Legislature takes action, employers will soon pay more in UI taxes than they do today due to escalating charges under federal law. Making changes now will allow the Legislature to make strategic choices about how to repay the federal loan, while also replacing the UI financing system with one that is simpler, balanced, and flexible.”

DWC Announces Transition to CourtCall Video Platform for Hearings

The Division of Workers’ Compensation (DWC) announced it will be moving from the telephone conference lines used for status conferences, mandatory settlement conferences (MSCs), priority conferences, and lien conferences to the CourtCall video platform. All hearings currently heard via the conference lines will transition to the CourtCall video platform on March 1, 2025.

CourtCall developed the Remote Appearance Platform, creating an organized and voluntary way for attorneys to appear for routine matters in Civil, Family, Criminal, Probate, Bankruptcy, Workers’ Compensation and other cases from their offices, homes or other convenient locations. Designed with reliable and user-friendly technologies, Courts and remote participants experience seamless communication during cases, while benefiting from significant time and cost savings.

According to its website, CourtCall says it benefits judges and court staff in the following ways”

– – Reduces the cost of litigation
– – Less crowded courtrooms and increased security
– – More efficient case flow
– – Increases public access
– – Connects all relevant parties, regardless of their locations
– – “Privacy” and “Open Court” services available
– – More efficient courtroom logistics; eliminates work for busy Court Staff

Today, CourtCall says it remains the industry leader in providing supported Remote Legal Collaboration services throughout the United States, Canada and Worldwide. They maintain an updated list of the Courts they serve across the Nation.

Each judge will have a link to their virtual courtroom on the CourtCall video platform. In the coming months, these links will be posted on DWC’s website and included on hearing notices. Every courtroom will also have a call-in number if needed by the parties. Training videos will be available on the DWC website.

DWC believes that this technological upgrade will provide greater functionality for hearings and allow parties more flexibility during the conference process. There will be no charge to the parties for this service.

All trials, lien trials, and expedited hearings will continue to be set in person.

DWC will provide regular updates regarding the conversion timeline via its Newslines.

DIR Publishes Fiscal Year 2024/2025 Policy Assessment Notice

Labor Code Sections 62.5 and 62.6 authorize the Department of Industrial Relations to assess employers for the costs of the administration of the workers’ compensation, health and safety and labor standards enforcement programs. These assessments provide a stable funding source to the support operations of the courts, to ensure safe and healthy working conditions on the job, to ensure the enforcement of labor standards and requirements for workers’ compensation coverage.

Labor Code Sections 62.5 and 62.6 require allocation of the six assessment types between insured and self- insured employers in proportion to payroll for the most recent year available. Enclosed with a letter is an invoice for the share of the following total assessments, and a document showing the methodology used to compute the assessment amounts and the resulting determination of the respective assessment/surcharge factors. The factors are applied to the premium amount are allocated across the following six categories:

– – Workers’ Compensation Administration Revolving Fund Assessment (WCARF) – – $ 698,761,939
– – Subsequent Injuries Benefits Trust Fund Assessment (SIBTF) – – $ 848,000,000
– – Uninsured Employers Benefits Trust Fund Assessment (UEBTF) – – $ 53,088,800
– – Occupational Safety and Health Fund Assessment (OSHF) – – $ 189,509,130
– – Labor Enforcement and Compliance Fund Assessment (LECF) – – $ 181,983,628
– – Workers’ Compensation Fraud Account Assessment (FRAUD) – – $ 90,435,332

All workers’ compensation insurance policies issued with an inception date during the calendar year 2025 must be assessed to recover amounts advanced on behalf of policyholders. Assessable Premium is the premium the insured is charged after all rating adjustments (experience rating, schedule rating, premium discounts, expense constants, etc.) except for adjustments resulting from the application of deductible plans, retrospective rating or the return of policyholder dividends.

The assessment factors to be applied to the estimated annual assessable premium for 2025 policies are shown in the table on the notice. These are the same factors that were used to calculate the assessment.

The total assessment is calculated based on the direct workers’ compensation premiums reported to the Department of Insurance for Calendar Year 2023 by carriers. The first installment is due on or before January 1, 2025, with the balance due on or before April 1, 2025.

USC Keck Hospital Succeeds an Leads Nation at Nurse Manager Retention

Laudio and the American Organization for Nursing Leadership (AONL) announced the release of their second joint report, Trends and Innovations in Nurse Manager Retention. The report provides new data on nurse manager retention trends, along with the downstream impacts of manager turnover, and couples it with actionable insights directly from managers on high-priority improvements to promote satisfaction, retention, and growth.

The authors found the highest exit rates in the first few years of a nurse management role. In the first four years, between 10% and 12% of nurse managers step down and return to front-line work. In the first three, up to 12% leave the organization.

Building on the spring report, Quantifying Nurse Manager Impact, the new report provides fresh insights from the Laudio Insights dataset – spanning over 200,000 frontline team members – and AONL-led interviews with nurse managers. The analysis shows that nurse manager turnover is highest during the first four years of leadership, revealing a critical window for leader support and investment. Furthermore, nurse manager transitions have a quantifiable impact on RN retention – they were associated with a two to four percentage point average rise in RN turnover in the year that followed.

“Nurse managers are vital in maintaining the stability of frontline teams and ensuring optimal patient care,” said Robyn Begley, CEO of AONL and chief nursing officer, SVP of workforce at the American Hospital Association. “This report underscores the importance of prioritizing nurse manager well-being and engagement in health systems’ workforce strategies. It also provides practical guidance to implement meaningful changes to support these crucial leaders.”

The report also highlights top areas for health system executives to prioritize based on nurse manager interviews.The national average exit rate for nurse managers is 8.8%, according to the report. At hospitals in California, Ohio and Louisiana, leaders shared with Becker’s Hospital Reviewhow they have achieved turnover rates as low as 3%.

In California Keck Hospital of USC, which has an annual nurse manager turnover rate of 3%, has “mastered” the skill of engaging these leaders and ensuring job satisfaction, according to Chief Nursing Officer Ceonne Houston-Raasikh, DNP, RN.

The Los Angeles-based hospital hosts quarterly listening sessions for its 13 nurse managers to share their challenges and frustrations. Additionally, anonymous pulse surveys examine engagement levels.

One issue that Keck Hospital of USC recently addressed was the timeline for performance evaluations. They were originally due Dec. 31, but after managers expressed the “crunch time” coupled with scheduled end-of-year time off, leaders postponed the deadline to Jan. 31.

When Dr. Houston-Raasikh joined Keck, several nurse managers were fairly new to their roles. They were also relatively new to healthcare, as many had fewer than three years of experience.

Nurses a few years into their career have less lived experience with conflict than those with 10-plus years into leadership, and thus need more support when navigating tense situations, Deana Sievert, DNP, RN, chief nursing officer of Columbus-based UH/Ross Heart Hospita said.

Fresno Pharmacist to Serve 7 Years for Trafficking 450,000 Opiate Pills

U.S. Attorney Phillip A. Talbert announced that Ifeanyi Vincent Ntukogu, 49, of Fresno, was sentenced to seven years and three months in prison for illegally distributing oxycodone and hydrocodone.

Ntukogu was a pharmacist in Madera who dispensed more than 450,000 oxycodone and hydrocodone pills based on fraudulent prescriptions, all in exchange for cash.

“As a licensed pharmacist, Mr. Ntukogu was trusted to dispense medications safely, supporting positive health outcomes. He intentionally exploited his trusted role, dispensing hundreds of thousands of fraudulently prescribed oxycodone and hydrocodone pills, knowing his greed-fueled actions would put opioids in the hands of drug dealers and could cause grave harm to the public. Working closely with our state and federal law enforcement partners, we dismantled this operation and held those who chose profit over public safety accountable,” said Special Agent in Charge Sid Patel, who leads the FBI Sacramento field office.

“Ntukogo thought he could outsmart the system by rejecting red flag prescriptions all while conducting drug deals on the side for cash. His illicit scheme led to the distribution of nearly half a million highly addictive opioids in Tennessee, Texas and beyond; fueling the fire of prescription drug misuse and endangering American lives,” said DEA Special Agent in Charge Bob P. Beris. “This lengthy sentence underscores the serious consequences for medical practitioners who place profits above people. DEA will continue to work with our counterparts to investigate, arrest and prosecute individuals who abuse their positions and threaten public safety.”

According to court records, from December 2014 through November 2018, Ntukogu dispensed more than 450,000 oxycodone and hydrocodone pills based on fraudulent prescriptions delivered to him by his co-conspirators and co-defendants in the case, Kelo White and Donald Pierre. The prescriptions were from more than 10 different physicians whose signatures were forged.

Ntukogu reviewed each prescription and rejected the ones that he believed regulators may deem suspicious. For example, he rejected prescriptions that were supposedly written by certain doctors or that were written for individuals who were having prescriptions filled at other pharmacies because he believed those prescriptions may raise red flags.

Ntukogu dispensed the pills through his New Life Pharmacy in Madera. Upon doing so, he required cash payments from White and Pierre and increased the price that he charged over time. White and Pierre then illegally sold the pills in Tennessee, Texas, and elsewhere.

Ntukogu received hundreds of thousands of dollars for his participation in the scheme. His sentence was also enhanced because he used his special skills as a pharmacist to help commit the crime.

This case was the product of an investigation by the Federal Bureau of Investigation, the Drug Enforcement Administration, and the California Department of Health Care Services. Assistant U.S. Attorneys Antonio Pataca and Joseph Barton prosecuted the case.

The case was investigated under the DOJ’s Organized Crime Drug Enforcement Task Force (OCDETF). OCDETF identifies, disrupts, and dismantles the highest-level criminal organizations that threaten the United States using a prosecutor-led, intelligence-driven, multi-agency approach. For more information about OCDETF, please visit Justice.gov/OCDETF.

This case was also part of the DOJ’s Operation Synthetic Opioid Surge (SOS), which is a program designed to reduce the supply of deadly synthetic opioids in high impact areas as well as identifying wholesale distribution networks and international and domestic suppliers.

White is scheduled to be sentenced on Feb. 24, 2025. He faces a statutory maximum penalty of 20 years in prison and a $250,000 fine. The actual sentence, however, will be determined at the discretion of the court after consideration of any applicable statutory factors and the Federal Sentencing Guidelines, which take into account a number of variables.

Pierre, the remaining defendant in the case, was previously convicted and sentenced to nine years and four months in prison.

“This defendant displayed a blatant disregard for public safety and the law,” U.S. Attorney Talbert said. “It took the effort of agents, investigators, undercover officers, and medical professionals to bring an end to this illicit prescription-writing racket. The U.S. Attorney’s Office will continue our pursuit of those who fuel the opioid epidemic for their own personal benefit.”