6-29-2011; The Wal-Mart v. Dukes class action ruling is good news for large employers in general; employees may have a much harder burden to certify a large class under the Federal Rules

Confirming a longstanding practice of the Federal Courts to limit class action suits and subject class certification to a greater investigation than the state courts, the ruling earlier this week in Wal-Mart v. Dukes reasserts the difficulty of certifying a class when there is no coherent commonality at issue. It’s a bit of a mixed bag for retail giant Wal-Mart – although they are no longer facing the largest class action suit in U.S. history, they are now facing potentially thousands of lesser similar claims by groups or individuals.

 

For corporate risk and employment practices managers across the U.S., all of this comes down to documentation, documentation and more documentation. We are confident any judgment coming from a class action this big might have been a business-busting billion-dollar verdict. It is crucial to be able to show your company doesn’t have a broad policy of ignoring complaints of discrimination.

 

A unanimous Supreme Court held a class of over one and a half million plaintiffs (current and former female employees of Wal-Mart) was improperly certified. It was a split decision however, in regard to how the Court got to that point. The majority decision is what we feel will control the future case law and it hinged on the “commonality” of the claims. What does that mean in laymen’s terms? In order to be certified as a “class” under the federal rules, a set of plaintiffs must do more than ask broad questions and make broad and generalized allegations. There must be some defining features of the plaintiff’s claim in common – that point to a common set of facts surrounding each instance of alleged discrimination.

 

Justice Scalia, writing for the Court, commented on how the courts must perform a “rigorous analysis” of the claim, requiring exploration of the claims. At times, this “will entail some overlap with the merits of the plaintiff’s underlying claim. That cannot be helped.” In the matter at bar, Plaintiffs did not allege any express corporate policy against the advancement of women, and there was no uniform policy leading to a gender bias. Their allegations were based on the claim their local managers’ discretion over pay and promotions was exercised disproportionately in favor of men, leading to an unlawful disparate impact on female employees. They alleged this occurred in all Wal-Mart stores and alleged a “corporate culture” of a bias toward female employee advancement, if only on a subconscious level.

The Court held “the mere claim by employees of the same company that they have suffered a Title VII injury, or even a disparate-impact Title VII injury, gives no cause to believe that all their claims can productively be litigated at once.”  The Court further held Plaintiffs’ “claims must depend upon a common contention—for example, the assertion of discriminatory bias on the part of the same supervisor.”  Most significant to the holding, the Court ruled “[t]hat common contention . . . must be of such a nature that it is capable of class wide resolution—which means that determination of its truth or falsity will resolve an issue that is central to the validity of each one of the claims in one stroke.”

The Court pointed out the most significant question in a Title VII inquiry is “the reason for a particular employment decision,” and noted Plaintiffs were trying to sue for millions of employment decisions, all at once. The holding was essentially stating without some glue holding together the alleged reasons for those decisions, it would be impossible to say examination of all the class members’ claims would produce a common answer to the crucial discrimination question.

This points directly to the discretionary aspect of the managers’ decisions. Justice Scalia dismissed the anecdotal evidence filed by Plaintiffs, stating “Wal-Mart’s ‘policy’ of allowing discretion by local supervisors over employment matters” was “just the opposite of a uniform employment practice that would provide the commonality needed for a class action; it is a policy against having uniform employment practices.”  Scalia also relied on the fact that Wal-Mart has a written policy of non-discrimination.

Ultimately, this ruling makes it more difficult to certify a broad class. There will have to be a certain policy or practice to point to at a centralized structure in order to bind together a class of Plaintiffs. Now, Wal-Mart may still be facing multiple smaller suits arising from local facilities, but those individual claims will be far easier to investigate.

 

This article was written by Arik D. Hetue, J. D. who can be reached at ahetue@keefe-law.com. Feel free to post comments on our blog at: http://keefe-law.com/kcablog.html

6-29-2011; Will County Clerk of the Circuit Court 14 West Jefferson Street Joliet, IL 60432

Editor’s comment: Stop your belly-aching, everyone. These WC reforms are not “lipstick on a pig,” as one northern Illinois risk manager told us. Good or bad, Governor Quinn is flying all over the state to herald the fact he signed the 2011 Amendments to the Illinois Workers’ Compensation Act. If you want our materials on the reforms, send a reply. In our view, the Illinois Workers’ Compensation system is taking a distinct turn for the better right now and only time will tell who is right. In our view, it is an historic day in which Illinois businesses may save hundreds of millions of dollars when and if they follow and take full advantage of the new laws. If you don’t take advantage of your new advantage, we assure you that your competitors are certain to do so and gain an edge. It is also our focus these WC reforms are being implemented without dramatically cutting benefits for injured Illinois workers. Here are some thoughts.

 

First and foremost, if you have Illinois operations, you have to get on the phone to your insurance broker right now and get a WC PPO in place. If they don’t know what it is or how to do this, tell them you are going to start looking for a broker who does. We have about fifty brokers who are all over this concept and if you send us a reply, we are happy to provide details and contact information. WC PPO’s can be found online right now at the following links.

 

·         HFN – As we told the hundreds of rapt listeners at our webinars, HFN guru and CEO David E. Kolb is one of the most knowledgeable folks in our state on the topic of IL WC PPO’s. Feel free to contact him directly as a one-stop shop for all your IL WC PPO needs.

·         Blue Cross and Blue Shield of Illinois - Blue Cross Blue Shield of Illinois provides the largest PPO and HMO network in Illinois.

·         United HealthCare United HealthCare may be the most progressive insurance company in the industry. UHC offers a single national PPO and HMO network.

·         Aetna Aetna is the nation's third largest health insurer.

·         Humana "Humana/ChoiceCare Network PPO" is the most popular choice for small businesses in Illinois and Indiana.   

·         Private Health Care Systems (PHCS) PHCS is one of the USA's largest national PPO networks, with an outstanding presence throughout Illinois and Indiana.

·         First Health First Health is an independent national network with a major presence in both Illinois and Indiana.

·         HealthLink HealthLink is an independent network with an extensive provider presence throughout downstate Illinois.

·         PPOM A large independent PPO network service the Midwest in Michigan, Ohio, Indiana and parts of Kentucky, Wisconsin and Illinois.

·         MultiPlan PPO Network MultiPlan PPO is a national network including excellent provider coverage in many Illinois and Indiana areas.

 

If you get a WC PPO in place, you have a strong potential for “controlling” work-related medical costs and lost time at the outset of any workers’ compensation claim. It may also be possible to use AMA Guidelines to smoothly move files to closure. If you don’t offer a WC PPO, you won’t get these advantages. If you have any concerns about how these Amendments will work, send a reply.

 

Second, anyone for historical irony??—A “Stunned” Blago gets hit with 17 counts and the next day, Governor Quinn flies around the State and signs the bill to reform what Blago did to the IL WC system. In our view, some day someone may figure out it is a “stunningly” bad idea to commit crimes while in public office in this state. Blagojevich is the fourth Illinois Governor of recent vintage to face “retirement” in custody. We will have to wait and see if Blago gets his goofy Elvis hairdo cut back to avoid head lice in the hoosegow. We have to also admit we are amazed to hear he claims to be stunned that his less-than-brilliant defense approach of regaling the jury with his Little League baseball exploits and calling Chicago Mayor Rahm Emanuel and Jesse Jackson, Jr. as witnesses to somehow “defend” him was rejected by the jury of twelve peers.

 

If you aren’t sure, way back in 2002, Blago was locked in a three-way primary fight and made a secret deal which gave control of the good ole “Industrial Commission” to the Plaintiff bar of Madison County, IL. Shortly thereafter, the name of the Industrial Commission was quietly changed to “Workers’ Compensation Commission,” the funding was switched so Illinois business has to pay the entire cost, the budget was tripled and some claimant attorneys were appointed as Arbitrators. Our WC system moved from the middle of the pack in costs to the top of the pack for the major industrialized states. It is our hope the reforms are going to bring us smoothly back to the middle.

 

Third, let’s try to make sense of “causation” in this state and our WC system. With deepest respect, we disagree with the gurus at the Illinois State Chamber and Attorney General Lisa Madigan who were both recently quoted as lamenting the fact causation wasn’t addressed in the legislative reforms. We want everyone to know it is our view “causation” can’t be changed legislatively. Whatever you change, the Commission and reviewing courts can “steam around” the legislation to find everything is somehow related. We point out the need for legislative change won’t “correct” the existing Act—they are trying to add something to legislation that has been in place for about a century. We aren’t saying the current “causation” concepts are a good idea and we do agree our State’s WC system needs a sustainable causation standard. What is going on in the WC arena at the Menard Correctional Center is “legal” but crushingly stupid. It is not possible for our state to have facilities where more than half of the workers have pending WC claims which cost $100K or more per claim. This is a what we characterize as a “poster-child” or model for needed WC reform, as it relates to causation. Remember, the easiest way to stop what is happening at Menard CC is for the Arbitrators assigned to start issuing zeroes and the Commission to affirm them.

 

Another “poster-child” for reform on the causation side are the rulings in Vogel and ABF Freight v. IWCC. In both rulings, it might be possible for someone to break a finger at work and, prior to full recovery, then have their arm amputated in a non-work-related event. Both rulings potentially hold the hapless but infuriated employer would be fully responsible for the non-work-related amputation. While such a situation won’t happen often due to the moderately unusual dual accident, we don’t consider that WC causation concept to be sustainable.

 

We can administratively change the causation standard and we feel we will have to do so to stop the calls for WC reform from Springfield. The State Chamber wanted to change the “causation” standard to make the workplace the “major contributing cause” of an accident, injury or disability. This concept fell only 5 votes short in the Illinois Senate. HB 1698 merely codifies current case law regarding proof by the preponderance of the evidence by the injured worker that the injury was "arising out of" and "in the course of" employment

 

In contrast, Missouri’s WC Statute 287.020.1a states “An injury by accident is compensable only if the accident was the prevailing factor in causing both the resulting medical condition and disability. The prevailing factor is defined to be the primary factor in relation to any other factor, causing both the resulting medical condition and disability”. It is our understanding Wisconsin WC law requires a finding the accident or exposure caused an acceleration of a deleterious process in a fashion faster than the normal degenerative processes of human aging. Illinois administrators can and must consider either standard moving forward.

 

To change causation, along with working with our Arbitrators and Commissioners, we may also need to talk to the Illinois medical community.

 

·         Right now, on your editor’s desk, we have a claim where three doctors all found claimant’s work is the “cause” of his disability. Not one of the doctors have the slightest idea what claimant’s job might be!!

·         We also have a medical report from a central Illinois doctor finding three months working as a construction electrician was “repetitive enough” to cause the need for surgery a year after the job ended for bilateral carpal tunnel and shoulder repairs. We point out all work is “repetitive” and truly don’t feel normal and ordinary work should comprise an accident.

·         We hate to see “garbage-in, garbage-out” IME reports where doctors are asked—“if claimant has pain at work, is it related to work?” Whatever the answer is, they simply aren’t doing their job—we truly feel such opinions should be routinely stricken from evidence and/or returned for detailed answers with appropriate scientific background information.

 

Our message to all the Arbitrators, Commissioners, Circuit Court Judges and Appellate Court Justices and attorneys on both sides who read this KC&A Update—if you want the legislature to continue to hear calls for WC reform from all sides, leave things as they are now and continue to infuriate Illinois businesses, big and small. If you want it to quiet down, find a sustainable middle ground and move us smoothly back into the middle of the WC pack among all of the United States.

 

We appreciate your thoughts and comments. Again, if you want our materials on the 2011 Amendments to the Workers’ Compensation Act, send a reply. Feel free to post comments on our blog at: http://keefe-law.com/kcablog.html

6-21-2011; Our Webinar is Today June 21, 2011 from 2-3pm CST

Woodlake Medical Management is excited to sponsor this free webinar. If you know anyone who is interested, please feel free to forward this email to them.

In this webinar, Gene Keefe and John Campbell, Jr. will review the pending legislation that is awaiting Illinois Governor Quinn's signature. 

Anyone involved with the workers' compensation system in Illinois is strongly encouraged to register. If you have questions about any of the pending legislation or simply want to offer your thoughts, please send an email to me (chris@woodlakemedical.com) prior to the webinar. 

Gene Keefe holds a B.A. from Loyola University of Chicago and a J.D. from John Marshall Law School.  He is a member of the Chicago Bar Association, Illinois Workers’ Compensation Lawyers Association, and Workers’ Compensation Claims Association.  He has served as Arbitrator, Cook County Mandatory Court Annexed Arbitration, and has been Editor of Workers’ Compensation Law Update from July, 1992 to the present. Gene is also an adjunct professor of Workers’ Compensation Law at The John Marshall Law School in Chicago, IL. Gene is a founding partner of Keefe, Campbell & Associates. The firm specializes in general liability, employment claims, product liability and workers' compensation litigation throughout the state of Illinois.

 

John P. Campbell, Jr. was admitted to the Illinois Bar, 1999. Education: University of Illinois Urbana-Champaign, (B.A., 1995); Chicago-Kent College of Law (J.D., 1999). Member: Chicago and Illinois State Bar Associations. Strong trial and appellate experience at all levels of both the Workers’ Compensation Commission and Circuit Courts in both workers’ compensation and general liability matters. Lecturer and Presenter: Professional Education Systems Institute (P.E.S.I.), Workers’ Compensation Law in Illinois, August 2005; Council on Education in Management, Workers’ Compensation Update, October 2005.

David Kolb, FACHE, President/CEO HFN, Inc. has graciously accepted our invitation and will also provide his veteran expertise and insight into Preferred Provider Networks and the other medical changes brought about by the new legislation.

David has been in the healthcare industry for 35 years and is a recognized innovator of managed care services and strategies focused on more effective provider/member partnerships.

There is limited capacity for this webinar, so please register today!

Registration Link: https://www1.gotomeeting.com/register/253639584

Sponsor:

In 1994 Woodlake Medical Management was created with one simple concept: To give you quick IME appointments scheduled with a wide variety of doctors, while efficiently delivering well-explained, definitive medical opinions. We are a group of dedicated, friendly people who strive to consistently treat you so well that you look forward to doing business with us.