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Category: Daily News

Survivors of Deceased Firefighter Pilots Litigate Death Benefits

The Sacramento Bee reports that for nearly a dozen years, top officials at the California Department of Forestry and Fire Protection knowingly withheld death benefits from the families of 14 contracted firefighter pilots killed in the line of duty.

Since 2002, the claim that seeks more than $4 million plus interest for the survivors.filed this month alleges, “high level executives of Cal Fire, including the current director of Cal Fire, the current deputy director of Cal Fire (and their predecessors) … engaged in a pattern of deceit and deception specifically designed to hide the existence of (the benefit) from the survivors and dissuade them from seeking any such death benefit from Cal Fire.”

Cal Fire spokeswoman Janet Upton said in an email to the Sacramento Bee that the department has not yet formally received the claim, but “has been working on benefits” for survivors of Geoffrey Hunt, a contracted pilot killed last October. The department also has “been reviewing records to ensure that past Cal Fire contracted pilots have also received them,” Upton said.

If Cal Fire declines to pay the benefits, the claim is a likely precursor to a court battle over the interpretation of a state law. The statute requires Cal Fire to pay a one-time death benefit if a contracted pilot flying a firefighting aircraft “dies while performing the duties specified in the contract.” Cal Fire and other agencies, including the U.S. Forest Service, contract for firefighter pilots through private companies. The survivors say U.S. Forest Service contracts are covered by the law because the pilots perform firefighting duties for the state.

Paul Goyette, the attorney representing the families, said during an interview at his Gold River offices that the department “has never followed the law, not once,” leaving some grieving families to struggle financially after their primary breadwinner perished.

Federal public-employee death benefits exclude contractors, including pilots who fly firefighting aircraft, Goyette said, and the contracted companies carry workers’ compensation insurance only as required by law. Upton said Cal Fire is “working with federal authorities” to get rid of the exclusion and ensure “federally contracted pilots receive federal benefits.”

In the absence of a federal death benefit, state law requires Cal Fire to make a lump-sum payment to pilots’ survivors “commensurate with the death benefit payable to a mid-career firefighter employed by the department.” Alternatively, it can pay an amount equal to what the federal program would have paid at the time of the pilot’s death had he or she been eligible.

The federal benefit, which is adjusted annually, was $262,100 in 2003 when two pilots named in the claim, John Attardo and Carl Dobeare, died fighting the East Highlands fire in San Bernardino County. The current federal lump-sum benefit is $339,310.

The complaint alleges that even as Cal Fire brass attended services for the fallen and consoled grief-stricken family members, they misled survivors and hid the state’s legal obligation to pay benefits.

Symposium Scheduled on Medical and Provider Fraud

On Thursday August 27 the San Bernardino District Attorney’s Office in association with the Employers’ Fraud Task Force and Floyd, Skeren and Kelly is presenting an educational symposium on Medical and Provider Fraud in the Workers’ Compensation System. Learn from law enforcement officials and workers’ compensation professionals, who’s gaming the system and what you can do about it. Here is the agenda for the day.

8:00 a.m. – Registration/Continental Breakfast/Networking
9:00 a.m. – Welcome and Introductions: David Simon, Lead Deputy DA, SBDA’s Office, Workers’ Compensation Fraud Unit
9:15 a.m. – Why do Some Doctors Cheat and Become Crooks: David C. Hall, Ph.D., QME Clinical Psychologist
9:50 a.m. – Medical Fraud and Abuse: Trends and Solutions: Laura Clifford, Executive Director, Employers’ Fraud Task Force
10:45 a.m. – Compounding Pharmacy Fraud: Suzanne Honor-Vangerov, Managing Attorney, Floyd, Skeren and Kelly; Tony Park, Attorney, California Pharmacy Law
11:45 a.m. – Suspected Fraudulent Claims Best Practices: David Simon, Lead Deputy DA, SBDA’s Office; Laureen Pedroza, Bureau Chief, Ca. Dept. of Ins. Fraud Division
1:15 p.m. – Current Trends with Liens: Suzanne Honor-Vangerov, Managing Attorney- Lien Unit, Floyd, Skeren and Kelly
1:50 p.m. – Up coding: Gary Auer, SIU Director, Anthem Blue Cross
2:30 p.m. – Chiropractor Rules, Regulations, Enforcement, Complaints: Robert Puleo, Executive Officer, State of California Board of Chiropractic Examiners and Maria Martinez, Special Investigator
3:25 p.m. – Ethics: Terry Smith Managing Partner, Floyd, Skeren and Kelly,Troy Slaten, Managing Partner and Robert Dudley, Attorney, Floyd, Skeren and Kelly

The symposium will take place at the Ontario Police Department, 2500 S. Archibald Ave, in Ontario, CA. The $55 registration fee includes continental breakfast and all materials. Register using the online form, or you can pay by mailing a check by printing and filling out this registration form (PDF). For additional information contact Laura Clifford lauraclifford@sbcglobal.net.

Former Santa Monica Pain Physician to Serve 3 Years

The Los Angeles County District Attorney’s Office announced that a former Santa Monica physician pleaded no contest this month to obtaining a controlled substance by fraud.

Dr. Daniel Shin, 50, returns to court on Nov. 4 for sentencing before Los Angeles County Superior Court Judge Charlaine Olmedo. Under the terms of a negotiated plea, he will be sentenced to three years in county jail.

Shin, who has since lost his license to practice medicine, operated a pain management clinic on the second floor of a squarish medical office building that dominates the corner at Wilshire Boulevard and Harvard Avenue in Santa Monica. Prosecutors said Shin along with his office manager, Thomas Mark Oseransky, 50, and a colleague, Dyno Travato West, 39, orchestrated a complex scheme to write and fill prescriptions for oxycodone. He faced 27 counts stemming from what Los Angeles County District Attorney’s Office spokeswoman Jane Robison called “an elaborate scheme” to fill fake prescriptions for oxycodone using his office manager Thomas Mark Oseransky and employee Dyno Travato West as stand-ins for patients.

West earlier pleaded no contest to conspiracy and multiple counts of obtaining a controlled substance by fraud and was sentenced to 32 months in state prison. Oseransky returns to Department 105 on Sept. 17 for a pretrial hearing.

California Medical Board records show that in 2009 Shin was placed on probation by the board for two years after admitting to violating the state Business and Professions Code for failing to disclose a misdemeanor conviction. Shin was disciplined again in 2012 for failing to complete a clinical training program. He was placed on five years probation. In March 2014, was Shin ordered by Sacramento County Superior Court Judge Robert Longoria to “cease and desist from the practice of medicine,” according to medical board records.

Federal Court Invalidates Unapproved Large Deductible Comp Policies

A recent court decision may have the potential to change the practice of side “deductible” agreements in workers’ compensation policies in California, a practice that some say often goes on under the regulatory radar.

The Insurance Journal reports that Zurich American Insurance Co. and American Zurich Insurance Co. had such a side agreement with Los Angeles, Calif.-based Country Villa Service Corp. Sometimes also called “deductible agreements,” or “program agreements,” they can retroactively alter an existing policy. The agreement between Zurich and Country Villa altered the deductible structure, among other things, in the policy. However, Zurich did not file it with the Workers’ Compensation Insurance Rating Bureau as required by Insurance Code 11658.

A dispute arose after the insured was sued by Zurich for breach of contract, and Country Villa challenged the policy under a case known as Zurich American Insurance Company v. Country Villa Service Corp. It went to the U.S. District Court for Central California, which ruled in favor of Country Villa on July 9 by granting the company partial summary judgment. With respect to the Incurred Deductible Agreement attached to the policy, the key finding was “The IDAs are illegal, void, and unenforceable in their entirety” since it violated Insurance Code 11658 that requires policies to be reviewed by the WCIRB and approved by the CDI.

The Zurich v. Country Villa decision is not a final determination, and is subject to years of additional litigation, but it may force insurers to file any side agreements with regulators before a policy is issued. Zurich was forced into a settlement in 2013 with the California Department of Insurance over a similar side agreement conflict. CDI eventually agreed to drop its prosecution over the “non-filing of Deductible Agreements” with the WCIRB and CDI, a settlement agreement shows. In that settlement Zurich admitted no liability or wrongdoing, but agreed to make the filings and agreed not to enter into or amend a deductible agreement with a California employer unless it has been submitted to the WCIRB and CDI for review.

The court in Zurich v. Country Villa cited that settlement, as well as a case in New York, Monarch Consulting, Inc. v. Nat’l Union Fire Ins. Co. of Pittsburg, in which the New York Supreme Court Appellate Division ruled in 2014 that arbitration clauses in side agreements with an insurance carrier were unenforceable. That case is now headed for New York’s highest appellate court.

Court of Appeal Rules Unskilled Temp is Special Employee

Jose Franco was employed by tempSERVE, a temporary staffing agency. In July 2009, Franco was assigned to work for West Coast as a general laborer assisting Melgoza, a West Coast forklift driver to help load and unload trailers with pipe.

Every day when Franco reported to work at West Coast, he would locate Melgoza. Melgoza would then give Franco their lineup for the day. Franco spent the work day with Melgoza, receiving instructions from Melgoza regarding their tasks. He was never instructed or supervised by anyone from tempSERVE. Although West Coast could not fire Franco, West Coast could remove him from the job at any time. West Coast provided the hammer and table saw Franco used to do his job. However, Franco and tempSERVE provided Franco’s safety equipment, i.e., hard hat, gloves, eye protection and steel toed boots.

On September 28, 2009, a pipe struck Franco injuring his foot and knee. His medical bills and disability payments were paid by workers’ compensation insurance. Franco also filed a civil complaint for negligence against West Coast and Melgoza. West Coast and Melgoza moved for summary judgment on the ground that West Coast was Franco’s special employer and therefore Franco is statutorily barred from bringing an action against West Coast and Melgoza for personal injuries. The trial court agreed and granted the motion. The Court of Appeal affirmed in the unpublished case of Franco v West Coast Pipe Inspection.

In determining whether a special employment relationship exists, the primary consideration is whether the special employer has ‘[t]he right to control and direct the activities of the alleged employee or the manner and method in which the work is performed, whether exercised or not..”

Franco interprets his own testimony on West Coast’s supervision over him as not demonstrating the type of detailed control and direction necessary to find an employment relationship. However, contrary to Franco’s position, he provided unskilled labor and this labor was directly supervised by Melgoza. Thus, West Coast had the power to direct and control Franco.

Generic Drugmakers Under International Criminal Scrutiny

Allergan Plc’s Actavis unit got a subpoena from the U.S. Justice Department seeking information on the marketing and prices of its generic drugs, becoming the biggest company yet to draw scrutiny in the government’s widening antitrust probe of the industry. The June 25 subpoena also sought information about communications with competitors regarding the products. While the company didn’t supply further information and didn’t specify the competitors, rivals including Lannett Co., Endo International Plc, Par Pharmaceutical Holdings Inc. and Impax Laboratories Inc. have made similar disclosures in the past several months.

Lannett also reported earlier this year that the U.S. is conducting a criminal antitrust investigation into the generic-drug industry. The company and its senior vice president of sales and marketing were served with grand jury subpoenas.

Generic-drug prices have drawn attention in Washington after sharp increases for some medications in the past few years. Some 10 percent of generic drugs doubled in price between July 2013 and June 2014, and half of all generic drugs rose in price, according to an analysis earlier this year of Centers for Medicare and Medicaid data. One pharmacy benefits manager reported that consumers and insurers paid an average of $13.14 per prescription for the 50 most popular generics in 2010. Four years later, the average was up to $62.10–an increase of 373%.

Allergan is the fourth-biggest maker of generic drugs in the world, measured by sales. The drugmaker agreed last week to sell its generics business to the largest company in the industry, Teva Pharmaceutical Industries Ltd., for $40.5 billion.

Price gouging probes are not limited to the US. Last year, UK government officials lambasted Pfizer’s proposed takeover of AstraZeneca, and it has drawn criticism for its hard line on generic Lyrica use.The U.K.’s Competition and Markets Authority (CMA) said Pfizer and partner Flynn Pharma abused their hold on the market by charging “excessive and unfair” prices for phenytoin sodium capsules, raising costs by as much as 2,600%,

For more than a year, the Justice Department (DOJ) has been pursuing a criminal investigation into the possibility of pricing collusion among makers of generics, and now a report says the probe may also be looking into whether trade associations were used as a conduit to trade drug-pricing information. No specific associations were named. The Generic Drug Association (GPhA), the largest trade group for generics producers, had no specific comment on the report.

Meanwhile, lawmakers have introduced identical bills in the House and Senate that would require generic drug makers to pay additional rebates to state Medicaid programs for any medicine that increases in price faster than the inflation rate. Under current law, brand-name drug makers are required to pay an additional rebate to Medicaid, but generic drug makers are not required to do so. The Congressional Budget Office has concluded that this proposal would save the Medicaid program $500 million over the next ten years.

Labor Commissioner Targets Wage Theft and Comp Violations

California Labor Commissioner Julie A. Su issued more than $2.2 million in citations to the owners of three residential care facilities in San Diego County for what was characterized as “egregious wage theft violations.” The investigation revealed that nine caregivers were forced to work 24-hour shifts, six to seven days a week, for $1.25 to $1.80 per hour.

The citations were issued to Fairhill Castle LLC and its owners, Lamberto “June” and Jesusan Deleon of Spring Valley for minimum wage, overtime, meal period and workers’ compensation violations from September 2013 to August 2014. They must pay $1,332,129 for underpaid wages and premiums, $716,846 for liquidated damages and $171,305 in civil penalties.

Investigators discovered that the Deleons employed two people, typically a husband-wife team, at each of their facilities located on Fairhill Drive, Prather Place and San Diego Street in Spring Valley. They were charged to provide round-the-clock care for elderly residents who suffered from advanced stage dementia or Alzheimer’s, many of them bedridden or receiving hospice care. The caregivers worked 24-hour shifts, six to seven days a week, but were only paid between $900 and $1,300 each month in cash.

The investigation also found that the Deleons had neither reported wages to the proper state, federal and local agencies, nor did they have a history of workers’ compensation coverage during their eight years’ operating the facilities. Although the business entity is typically cited for labor law violations, in this case, Mr. Deleon, the LLC Managing Member, was also cited as an individual because he caused the violations through his daily control of the facilities’ operations.

Before the conclusion of the appeals hearing in this case earlier this year, the Deleons closed the residential care facilities under the Fairhill Castle business name. The Fairhill Drive location was subsequently reopened under a new name, Jade House, with their eldest daughter, Emmercelle M. DeLeon, named as the owner and sole proprietor.

“This is a classic example of the steps scofflaw employers will take to avoid paying exploited workers for wages owed,” said Labor Commissioner Julie Su. “That is why we are holding individuals who engage in wage theft responsible, so they cannot hide behind a corporate shell and will have a difficult time avoiding liability to workers.”

Among its wide-ranging enforcement responsibilities, the Labor Commissioner’s Office inspects workplaces for wage and hour violations, adjudicates wage claims, enforces prevailing wage rates and apprenticeship standards in public works projects, investigates retaliation complaints, issues licenses and registrations for businesses and educates the public on labor laws.

The Wage Theft is a Crime public awareness campaign, launched last year by DIR and its Labor Commissioner’s Office, has helped inform workers of their rights. The campaign includes multilingual print and outdoor advertising as well as radio commercials on ethnic stations in English, Spanish, Chinese, Vietnamese, Hmong and Tagalog.

Statewide Fraud Prosecution Funding Increased by 10%

The California Department of Insurance announced it has awarded $34.9 million in grants to 37 district attorney offices representing 42 counties in California to combat workers’ compensation insurance fraud. The award is an increase over the $31.8 million awarded statewide last year. The grants, funded through employer assessments, support law enforcement efforts in investigating and prosecuting workers’ compensation insurance fraud.

The three highest awards this year were in Southern California with Los Angeles receiving $6,458,643, San Diego $4,990,459 and Orange County at $3,966,000. At the low end of the list, Sonoma was awarded $66,800, San Luis Obispo $54,419 and Siskiyou $52,992.

The grants are performance based. California District Attorneys apply for workers’ compensation insurance fraud grant funds. The Commissioner’s grant review panel reviews the applications and makes funding recommendations to the Commissioner, based on multiple criteria including past performance, the county’s problem statement and their program strategy for the upcoming year. The panel sends a recommendation to the Insurance Commissioner, who either accepts or amends the panel’s recommendation. Upon completion, the Commissioner’s recommendation is submitted to the Fraud Assessment Commission for their advice and consent, and then the grants are awarded.

The Fraud Assessment Commission (FAC) is charged with allocating funding to fraud prosecutors statewide. The governor appoints members to the FAC who serve four year terms or until the governor appoints a replacement. The FAC meets 3-4 times per year (typically January, June and September). Meetings are generally held in Sacramento. The last meeting was June 17.

Presently, the commission is composed of seven members, consisting of two representatives of organized labor, two representatives of self-insured employers, one representative of insured employers, one representative of workers’ compensation insurers, and the President of the State Compensation Insurance Fund, or his or her designee. The Governor recently reappointed Joel Sherman, the Director of Safety, Workers’ Compensation and Regulatory Compliance for Grimmway Farms to the FAC where he has served since 2010.

The California Department of Insurance is required by law to report workers’ compensation fraud convictions to its website. These postings provide some feedback on the effectiveness of fraud prosecution efforts.

Monterey Tree Trimmer Convicted of Comp Fraud

The Salinas Californian reports that a Marina man has pleaded no contest to workers’ compensation insurance fraud and tax evasion in Monterey County Superior Court. Felipe DeJesus Olvera, 45, pleaded no contest to two felony counts of making a material misrepresentation in order to obtain a lower workers’ compensation insurance premium and one misdemeanor count of willfully failing to file payroll tax returns with intent to evade tax.

Sentencing is scheduled for Sept. 15 in front of Judge Julie R. Culver. Olvera faces a maximum sentence of six years in county jail for the felonies and up to one year for the misdemeanor, but he will initially be placed on probation.

On Oct. 16, the Monterey County District Attorney’s Office and the California Department of Insurance conducted an uninsured employer compliance sweep in Monterey County. While preparing for the sweep, the Employment Development Department screened targeted businesses to be inspected so it could be verified if they were registered as an employer, according to the district attorney’s office. Businesses were also checked for active workers’ compensation insurance policies.

Olvera was doing business as La Sirenita Tree Service at the time of this sweep. While the tree service business had a current workers’ compensation insurance policy with the State Compensation Insurance Fund, records showed that no employees and no payroll was reported to the State Fund.

A worksite inspection was conducted on the business where the defendant and two of his employees were working trimming trees on Monterey County property. Video of the employees working was taken, and the employees were interviewed along with Olvera, who admitted owning the business, according to the DA’s office.

The investigation also revealed that Olvera had contracted with multiple government agencies while continuing not to report his employees or wages to the State Compensation Insurance Fund.

Monterey County District Attorney Investigator George Costa investigated the case with assistance from California Department of Insurance detectives, Employment Development Department detectives and State Compensation Insurance Fund Investigator Denise Villapudua.

WCIRB Says California Has Most Prolonged Treatment in Nation

The WCIRB released the California Medical Payment Development Up to 30 Years Post-Injury report examining California’s longer than average medical payout pattern. This WCIRB study analyzed data from approximately one million claims ($4.4 billion in medical payments) sorted into seven cohorts based on dates of injury and current medical treatment.

WCIRB researchers found that California has the most prolonged workers’ compensation treatment pattern in the country, and as claims mature, patterns of treatment evolve as prescriptions for narcotics and psychoactive drugs, treatment of chronic medical problems of aging that are unrelated to the acute injury, and complications caused by post-injury medical treatment all become more prevalent. Other observations from the report include:

1) 17% of the claims studied lasted three years or more, accounting for $1.5 billion (35%) of total medical payments.
2) The total share of prescription narcotics, especially Oxycontin, grew as claims developed over time. Additionally, shares of prescribed psychoactive drugs, such as sedative hypnotics, stimulants and anti-depressants increased with the age of the claim.
3) The share of payments for acute injuries (fractures, wounds, dislocations, sprains and strains) declined as claims aged. Conversely, the share of medical payments for chronic medical conditions, such as cardiac, respiratory and digestive problems increased as claims age.
4) Complications from medical care – a medical condition not likely associated with the initial injury – gradually increased with the age of the claim.
5) California does not have more hazardous employment, older workers, more severe injuries or worse medical conditions than other states. However, in California, medical treatment continues and claims remain open for a longer period than in other states.

Researchers also compared 20 to 30 year old California claims with a similar national cohort and found that all late-term claims have similar medical treatment patterns; however, nationally, a much greater share of injuries are resolved within three years of the date of injury. California is unique in that it allows a greater proportion of prolonged treatment and enables acute conditions to become chronic medical problems.

The complete report is available in the Research and Analysis section of the WCIRB website.