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Florida Justice Reform Institute

Florida Appeals Court Orders New Trial for Tobacco Case that Produced $23.6B Verdict

March 5, 2017/in Florida Record

 

Florida appeals court orders new trial for tobacco case that produced $23.6B verdict
by Glenn Minnis | Mar. 5, 2017, 2:46pm

TALLAHASSEE — An appellate court in Florida has ordered a new trial in a cancer-related case in which tobacco giant R.J. Reynolds was ordered to pay a record-high $23.6 billion judgment.

According to a report by the Courtroom View Network, the decision comes in the wake of the widow of Michael Johnson being awarded the amount by an Escambia County circuit-court jury after it was established Johnson smoked cigarettes for most of his life before dying of lung cancer.

In the suit, attorneys for Cynthia Johnson argued Reynolds’ executives conspired to hide the dangers and damages of cigarette use, greatly contributing to her husband’s nicotine addiction and eventual demise.

In rendering its ruling, the 1st District Court of Appeal found most of the award settled on by the 2014 jury was excessive and fueled by an improper closing argument by plaintiff attorneys vilifying Reynolds for simply defending itself in the litigation.

Florida Justice Reform Institute President William Large told the Florida Record he agrees with the appellate court’s order calling for a new trial.

“The appeal case stems from the occurrence of an improper closing argument,” he said. “It’s clear the plaintiffs’ attorneys engaged in such action and the verdict was a direct function of that. The closing argument focused on clouding the minds of jurors and directly led to the absurdly excessive award.”

The case stems from a 2006 Florida Supreme Court decision decertifying Engle v. Liggett Group Inc., a class-action tobacco suit originally filed in 1994 in which the court found individual cases could rely on certain jury findings in the original case, including findings that tobacco companies had conspired to hide the dangers of smoking from consumers.

Still, the appeals courts rendered in its verdict that “[p]laintiffs may not denigrate defendants for contesting the very facts that they, as plaintiffs, are required by law to prove.”

The court went on to essentially use plaintiff’s attorneys’ own words against them, quoting from their closing argument in which they chastised Reynolds for failing to “come clean” on the dangers of smoking and the methods by which the tobacco industry targeted unsuspected consumers for much of the early 20th century.

The appellate-court opinion mentioned that a new trial on punitive damages only came after the defense rejected its remittitur to $16 million on punitives.

The Johnson verdict dwarfs any other jury award ever rendered in an Engle progeny case, with the largest prior award coming in 2014 in the Hubbird vs. Reynolds case ordered by the 11th Judicial Circuit at $28 million.

As for why something wasn’t said or done earlier in the Johnson case to curb what the appellate court now sees as unwarranted abuses toward the defense, Large seemed dumbfounded.

“I don’t know what else counsel could have done to change things,” he said. “Each time they tried to object, they were overruled. It’s often times difficult for an unpopular defendant to their get day in court. That’s why the appellate courts are often needed to straighten things out.”

http://flarecord.com/stories/511086959-florida-appeals-court-orders-new-trial-for-tobacco-case-that-produced-23-6b-verdict 

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Florida Justice Reform Institute

‘War Dogs’ Gunrunner Blames Abilify for His Actions

February 22, 2017/in Florida Record

 

Florida Record

‘War Dogs’ gunrunner blames Abilify for his actions
By Taryn Phaneuf | Feb 22, 2017

Abilify

PENSACOLA — A smuggler who made headlines a decade ago and was the focus of the 2016 film War Dogs is making news again.

Efraim Diveroli of Miami Beach has joined a long line of plaintiffs suing the maker of the prescription drug Abilify for his compulsive behavior.

Abilify is the top-selling antipsychotic drug in the United States. It is prescribed to treat several mental disorders, including schizophrenia, bipolar disorder, depression and Tourette syndrome, and has been handed out copiously since it was put on the market in 2002, earning hundreds of millions of dollars for its manufacturers, according to court documents. Between April and June 2014, Bristol-Myers reported that Abilify earned $417 million in the United States and $555 million worldwide.

Diveroli, who now lives in Miami Beach, claims that Abilify “caused harmful compulsive behaviors including compulsive gambling, hypersexuality, and compulsive spending, resulting in substantial financial, mental, and physical damages.”

Diveroli’s complaint is one of dozens of lawsuits claiming the same harm that were filed after the U.S. Food & Drug Administration issued a safety warning and required a label on the medication to warn users of the risk of compulsive behavior. Plaintiffs in the multidistrict litigation are seeking punitive and actual damages covering the purchase and ingestion of Abilify, as well as the cost of treatment. They are also asking for damages for “neuropsychiatric, mental, physical, and economic pain and suffering,” as well as attorney fees.

William Large, president of the Florida Justice Reform Institute, told the Florida Record that drug manufacturers are often blamed for side effects that could just as likely be symptoms of the ailment the drug is meant to treat.

“Abilify is prescribed to treat depression, bipolar disorder and schizophrenia,” Large said. “One of the problems that drug manufacturers have when they prescribe a drug meant to treat a certain problem is that a potential plaintiff attributes the drug, not the underlying disease, for future ailments.”

When Diveroli filed his lawsuit, the cases had been consolidated in a federal court in Pensacola, to be heard by Northern District of Florida Chief Judge M. Casey Rodgers.

Who is Efraim Diveroli?

His illegal weapons deals made headlines about 10 years ago, but Diveroli’s story was most recently told in War Dogs, a Warner Bros. film starring Jonah Hill. According to an in-depth portrait by the Miami New Times, the Hollywood version isn’t far from the truth.

With two others, Diveroli landed a $300 million contract with the federal government to deliver ammunition to the Afghan army. Their plan involved buying cheap, old bullets in Albania and shipping them to Afghanistan.

“For a few delirious months starting in 2007, Diveroli, David Packouz, and Alex Podrizki were at the center of a massive international gunrunning enterprise,” the article said. “They moved Chinese ammunition through Eastern Europe to the front lines in Afghanistan. But the plan spectacularly crumbled after a military investigation, scathing international headlines, a mysterious death in Albania, and, eventually, federal charges that shattered their lives.”

In July 2008, federal prosecutors charged all three gunrunners with 71 counts of fraud and conspiracy, and Diveroli got four years in prison. Last year, he published an autobiography, which is adamantly disputed by Packouz and Podrizki, who say it’s “full of self-aggrandizing errors,” according to New Times. Diveroli also sued Warner Bros., claiming the film company marketed the movie as a true story when it was only based on true events, according to the Hollywood Reporter.

One of his accomplices mocked Diveroli’s lawsuits, including the new case against the makers of Abilify.

“Sounds like his new business model is filing frivolous lawsuits,” Packouz told the New Times. “First the suit against Warner Bros. and now this. I sincerely hope he finds a more productive line of work.”

Blaming Abilify

People suing the makers of Abilify claim the drug is to blame for gambling debts, loss of financial stability, lost wages, and other mental, physical and economic harm.

In the lawsuit, Diveroli claims that the makers of Abilify knew or should have known that the drug causes or contributes to the risk of such side effects when taken as prescribed. While the drug’s label in Europe and Canada carries warnings of “pathological gambling,” those in the United States didn’t until about a year ago.

He also claim that the makers of Abilify haven’t adequately studied the drug.

“Defendants did not warn, advise, educate, or otherwise inform Abilify users or prescribers in the United States about the risk of compulsive gambling or other compulsive behaviors,” Diveroli’s complaint reads. “Prior to January 2016, the U.S. label made no mention of pathological gambling or compulsive behaviors whatsoever.”

He goes on to claim that the makers of Abilify added “pathological gambling” to the drug’s label in January last year but didn’t include the warning in the patient medication guide – a likelier spot to be noticed by doctors and patients, he said.

Months later, on May 3, the U.S. Food & Drug Administration posted a safety alert about the drug, warning consumers that users have reported those side effects – “compulsive or uncontrollable urges to gamble, binge eat, shop, and have sex.”

According to the FDA, the urges stopped when the user stopped taking the medication or took a smaller dose.

“These impulse-control problems are rare, but they may result in harm to the patient and others if not recognized,” the FDA warned.

The FDA identified 184 reports linking Abilify with compulsive behavior problems since the drug was approved in November 2002, including 167 cases in the United States. The FDA added new warnings to the drug’s label and medication guide addressing the extent of compulsive behavior reported by users, saying that even though the label already includes compulsive gambling as a possible side effect, “this description does not entirely reflect the nature of the impulse-control risk FDA identified.”

Large lamented that drug companies face these kinds of lawsuits in their quest to treat ailments and disorders. He asked how drug manufacturers can venture into making medication to treat certain ailments if the people they’re trying to help are going to “turn around and sue them?”

“The issue is whether or not this drug causes ‘pathological gambling,’ ” he said. “If that was a potential risk factor, the prescribing physician would have discussed that with the plaintiff.”

https://flarecord.com/stories/511083195-war-dogs-gunrunner-blames-abilify-for-his-actions 

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Florida Justice Reform Institute

‘Now is the Time to Admit that PIP Can’t be Fixed,’ FJRI President Says

February 17, 2017/in Florida Record

 

‘Now is the time to admit that PIP can’t be fixed,’ FJRI president says

Dee Thompson Feb. 17, 2017, 6:57pm

TALLAHASSEE – Florida law regarding PIP (Personal Injury Protection) payments is evolving as the Supreme Court seeks to clarify what is considered “reasonable” when it comes to medical expenses.

PIP coverage is meant to be a way for medical expenses incurred within the first 30 days after an accident to be paid, regardless of who was at fault. Auto insurers are required to pay up to $10,000 in medical expenses under the PIP laws.

Although the PIP statute (Fla. Stat. § 627.737(5)(a)1.) has been amended over the years and specifies how covered amounts are to be computed — for example “for emergency transport and treatment by providers licensed under chapter 401, 200 percent of Medicare” — insurance companies are still disputing how to define what should be covered. Companies focus on the phrase “may limit reimbursement” as a way to dispute medical charges.

William Large of the Florida Justice Reform Institute feels that PIP unnecessarily complicates things when it comes to covering medical payments for accident victims. He sees the actions of the Florida legislature in regard to PIP as being of vital interest to Floridians.

“PIP is a no-fault coverage,” he told the Florida Record. “It came about because an academic approached several state legislatures in the early 1970s and said there’s too much tort litigation; create a no-fault system to avoid the use of attorneys in litigation. If someone is injured in an accident, their claim will be immediately paid without the need for an attorney.”

Large told the Florida Record that although the original intention was good, “PIP devolved (not evolved) into a set of gotcha gimmicks over low dollar amounts. Attorneys are making a lot of money on small-dollar claims by playing gotcha games. Because of that, many people think the PIP is unworkable.”

PIP can no longer be salvaged, Large feels.

“There have been numerous attempts since the 1970s to fix PIP. As we sit here today in 2017, I think there’s a frustration level among many stakeholders and many legislators. Now is the time to admit that PIP can’t be fixed. Theoretically, PIP could be fixed, but those fixes would need to address the litigation abuses that are occurring, and I don’t believe the legislature has the wherewithal to end the abuses.”

Large feels PIP should be replaced with mandatory bodily injury coverage.

“If we get rid of PIP, there are four things that need to be done. First, what do you replace it with? You need to replace it with a mandatory BI (bodily injury) system. If you did, what would the limits be? There are different arguments as to what those policy limits should be. I believe they should be a low number, like $10,000/$20,000 — $10,000 per occurrence, $20,000 aggregate.”

In his opinion, Large also sees bad faith as an issue that needs to be fixed.

“Second you need to fix the third-party bad faith, which occurs in BI cases where someone has a low-policy limit for damages, clear liability and big damages. In those cases a plaintiff’s attorney does not want to settle a case with a low limit. Instead, they want to go forward with a trial and get a big verdict, and file a third party bad faith lawsuit against the insurer.”

He continues, “Number three, you don’t want a situation with mandatory first-party medical coverage. Number four, there should not be a mandatory rating provision, in terms of what this will cost. Instead the market should decide what this type of insurance policy should cost.”

The rules regarding PIP payment calculations are tricky, even as defined by the legislature.

“PIP is complicated,” Large said. “If you don’t dot every I and cross every T, an insurer is susceptible to paying a large attorney’s fee award. By adding needless complication to PIP, you’re getting away from why it was passed in the 1970s. Then every little comma and paragraph is litigated, and attorneys are making a lot of money off of this PIP system.”

http://flarecord.com/stories/511083215-now-is-the-time-to-admit-that-pip-can-t-be-fixed-fjri-president-says?t=o2EwADdn9NlRIuAkMHdX

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Florida Justice Reform Institute

Florida Justice Reform Institute Calls for Assignment of Benefits Changes

February 13, 2017/in Florida Record

 

by Russell Boniface | Feb. 13, 2017, 2:12pm

TALLAHASSEE — The Florida Justice Reform Institute is advocating changes to curb what it calls abuses of assignment of benefits (AOB), as well as one-way attorney’s fees for insurance claims awarded to service providers and their attorneys.

Florida’s one-way attorney fee is designed to reimburse policyholders for their legal bills if they sue an insurance company. Critics argue that some third-party vendors and their attorneys are coercing policyholders to assign over their benefits to obtain one-way attorney’s fees so they can sue insurance companies that fail to pay for fraudulent or inflated repair invoices.

The one-way attorney fee statute states that the prevailing party is awarded the attorneys’ fees and costs in addition to the damages awarded by the court.

Florida policyholders are free to sign away their AOBs to a contractor or attorney. Florida law states that an insurance policy “may be assignable, or not assignable, as provided by its terms.”

Vendors typically soliciting AOBs from policyholders are associated with property insurance, auto repair and personal insurance claims.

The Florida Justice Reform Institute, a nonprofit that advocates for judicial reform, believes Florida vendors, or service providers, and their attorneys are manipulating the process by seeking to have the rights of that insurance company assigned to them so they can get the one-way fees.

“This arrangement is particularly lucrative for attorneys,” William Large, president of Florida Justice Reform Institute, told the Florida Record. “The issue is if the vendor attorneys take on an insurance company and win, not only do get their fee paid by the insurer but they also bill the insurance company an inflated cost for the repair. If David is taking on Goliath, David wants his fees paid.”

The Florida Justice Reform Institute is seeking to amend the one-way attorney fee statute so that service providers holding assignments of benefits may not obtain attorneys’ fees.

“What is happening is the vendor that does the repair tells an insurance company to reassign the benefits to them and then sends the insurer a bill two-fold, three-fold or four-fold of the market value,” Large said. “For example, if that market price is $2,500, the vendor sends in a bill for $10,000. Service providers and the assignee are entitled to attorney’s fees under the one-way attorney fee statute. The insurer will contest it. Now the vendor is working with the insurer.”

According to a report by the Florida Justice Reform Institute, manufactured windshield repair claims involving auto glass repair shops have developed a niche market of promising “free” windshields in exchange for an AOB and the right to sue an insurer.

“You can park in a big box store and find a hairline crack in your window,” Large said. “The big box store will give you a coupon to shop in the store and tell you that they can repair the windshield in exchange for your right to file an insurance claim for a free windshield replacement. But they repair it at four-fold the cost and then file suit against the insurer when they don’t get reimbursed.”

Florida had 28,000 AOB claims in 2016, according to the Office of Insurance Regulation.

Critics argue that the AOB trend will result in rising premiums for policyholders. Last year, two bills introduced to Florida’s House and Senate addressing the AOB issue were halted.

Last month, Florida-based Citizens Property Insurance Corp. and the Florida Office of Insurance Regulation addressed the Senate Banking and Insurance Committee on the AOB issue. And on Feb. 2, officials met at the Florida Chamber of Commerce’s Insurance Summit in Miami to discuss the rise of AOB claims on account of potential fraud.

Florida’s lawmakers will continue to debate AOB reform when they convene in March.

http://flarecord.com/stories/511081664-florida-justice-reform-institute-calls-for-assignment-of-benefits-changes?t=qou9_ErhJ668yYJZaigW

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Florida Justice Reform Institute

Appeals Court Rules $18.5 Million Award too Much Following Tobacco Lawsuit

December 18, 2016/in Florida Record

 

Chandra Lye Dec. 18, 2016, 1:26pm

FLORIDA — An appeals court has ruled that an $18.5 million penalty on R.J. Reynolds (RJR) Tobacco was excessive.

The monetary reward was granted to the daughter of a smoker who died of lung cancer.

Gwendolyn Odom was awarded $6 million in compensatory damages and $14 million in punitive damages after the death of her mother, Juanita Thurston. The second phase of the case was to determine how much Odom was entitled to for punitive damages.

“When there is a large verdict oftentimes a defendant will file a motion for remittitur and it is a motion to reduce the verdict,” William Large from the Florida Justice Reform Institute told the Florida Record. “They are basically asking the trial judge to rule that the verdict was too high.”

Yet Large said it was not easy to win the favor of a judge in these cases.

“It is difficult to get a judge to grant a motion for additur or remittitur. It is not common,” he said, explaining that the additur is when the plaintiff files to have additional damages added to the original reward.

RJR raised questions about Odom’s claims, “because plaintiff failed to prove that her mother relied on a false or misleading statement made by RJR after May 5, 1992.”

The tobacco company also claims that comments made by Odom’s lawyer in the courtroom require a new trial.

The case was divided into two phases, the first was to determine if Odom was eligible to be part of the Engle class action lawsuit and to see if RJR could be held legally responsible for Thurston’s death. Part of the issue, according to court documents, was that Odom was not dependent upon her mother in a meaningful way.

“The case is about remittitur and giving a large economic reward to an adult who did not live with their mother,” Large said.

In the filing RJR also argued that, when compared to other awards in similar cases involving adult children, the award it was ordered to pay was excessive. But the trial court denied the motion.

In this case the appeals court sent it back to the same circuit judge, “with directions that the trial court grant a motion for remittitur or order a new trial on damages only,” Large said.

RJR has been fighting individual plaintiffs connected to the Engle class action suit initially filed in 1994. In 2006 a Florida judge declared that those involved in the class action could move forward as independent plaintiffs. They were permitted to rely on findings from the Engle and other similar cases to support their claims. Anyone wanting to use such cases needs to establish a link between the marketing of tobacco companies and smoking addiction.

During the case the attorney for RJR said that the company had changed its ways and has “started doing things the right way, acting as a responsible company in the tobacco industry.”

The company’s vice president of cigarette product development testified that they had been working on creating safer alternatives to smoking.

There are reportedly thousands of cases like Odom’s waiting for their day in court.

http://flarecord.com/stories/511057629-appeals-court-rules-18-5-million-award-too-much-following-tobacco-lawsuit

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Florida Justice Reform Institute

Florida Supreme Court Ruling Addresses Insurance Payment Clause Debate

December 16, 2016/in Florida Record

 

Carrie Salls Dec. 16, 2016, 12:32pm

TALLAHASSEE – The Florida Supreme Court has sided with a homeowner who sued American Home Assurance Co. Inc. after the insurer denied his claim related to water damage in his Naples home.

John Sebo filed the claim after water damage at the multimillion-dollar home, allegedly resulting from poor workmanship, was exacerbated by further damage caused by Hurricane Wilma in 2005.

American Home Assurance argued that the water damage resulted from shoddy workmanship, which was expressly listed as being not covered under Sebo’s policy. However, Sebo’s lawyers argued that the wind and rain caused by the hurricane constituted “concurrent causes,” which were not excluded from the policy.

In response to the claim, American Home Assurance only agreed to pay Sebo $50,000 to cover mold damage resulting from the water infiltration.

“The policy had a very specific exclusion,” William W. Large, president of the Florida Justice Reform Institute, told the Florida Record.

Specifically, Large said the policy did not cover damage arising from faulty planning and construction defects.

“The loss was water coming in but it was also shoddy workmanship,” Large said.

A Florida circuit court judge originally ordered American Home Assurance to pay Sebo $8.07 million. However, the Second District Court of Appeal reversed that ruling. The Florida Supreme Court agreed with the circuit court, although one justice dissented and said the case should have been sent back to the appeals court.

Large agreed with the dissenting opinion.

“The issue whether to apply the efficient proximate cause (EPC) doctrine instead of the concurring cause doctrine (CCD), was not raised by the parties before the trial court or the Second District,” Large said. “The case should have been remanded back to the Second District to consider the issues.”

Large said cases like Sebo’s are not at all uncommon, adding “Coverage under an ‘all-risk policy’ when multiple perils combine often raises issues associated with EPC or the CCD.”

In the majority opinion authored by Florida Supreme Court Justice James E.C. Perry, the court said “there is no reasonable way to distinguish the proximate cause of Sebo’s property loss – the rain and construction defects acted in concert to create the destruction of Sebo’s home.”

Justice Ricky Polston wrote the dissenting opinion, saying he thought the appeals court should consider the matter in lieu of the high court’s broader interpretation.

The Florida Supreme Court, however, has provided some clarity on how the issue related to the two doctrines will be decided in the state.

“The CCD will be applied in a loss associated with an all-risk policy,” Large said.

The Florida Insurance Council, the Property Casualty Insurers Association of America, the National Association of Mutual Insurance Companies and the American Insurance Association submitted friend-of-the-court briefs in support of American Home Assurance, while the Florida Association of Public Insurance Adjusters and United Policyholders supported Sebo’s case.

In addition to the insurance company, Sebo sued the previous homeowners, an architect and a construction company. Those defendants reached settlements with Sebo. The plaintiff’s home eventually was demolished as a result of the significant water damage.

American Home Assurance did not respond to requests for comment.

http://flarecord.com/stories/511058409-florida-supreme-court-ruling-addresses-insurance-payment-clause-debate?t=6CGdyqWMptu0CZL4dRPC

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Florida Justice Reform Institute

Jones Day Argues that Federal Law on Smoking Lawsuits Should Preempt State Laws

November 20, 2016/in Florida Record

 

Dee Thompson Nov. 20, 2016, 10:27pm

TALLAHASSEE — Attorney Gregory Katsas with Jones Day in Washington, representing tobacco company R.J. Reynolds, recently argued before the Florida Supreme Court that in Florida courts, the liability and negligence claims of smokers are preempted by federal law.

Katsas was arguing for tobacco company R.J. Reynolds in a lawsuit filed by Phil Marotta whose father allegedly died of cancer that he attributed to years of smoking.

On Nov. 1, the justices questioned Katsas as to why the preemption theory had not been decided, even though it’s a matter of “great public importance.” Attorneys often try to argue something is explicitly or at least implicitly preempted.

Just a few years ago, tobacco companies scored a victory in a landmark Florida case, Engle v. Liggett. In that matter, a class-action suit was filed in 1994 against tobacco companies by plaintiffs claiming they suffered from smoking-related health problems. The jury verdict in 2000 included $145 billion in punitive damages for the plaintiffs. However. an appellate court overturned that decision in 2004. Then the case was appealed to the Florida Supreme Court.

As a result, in 2006, the Florida Supreme Court decertified the class after agreeing with the appellate court’s decision to overturn the plaintiffs’ verdict. It seemed to be a victory for the tobacco companies. However, the plaintiffs in the original class action were then able to refile individually. Moreover, the original issues raised in the class action — that tobacco products are allegedly dangerous, defective and cause a myriad of health problems — could still be argued. Furthermore, companies that make cigarettes and other tobacco products are still supposedly liable for fraud, conspiracy and negligence.

William Large with the Florida Justice Reform Institute said that many tobacco companies have argued since 2006 that the Engle decision isn’t fair.

“That’s because the findings from one case were applicable to all future cases,” Large told the Florida Record.

Large said it begs to question whether all tobacco companies are negligent every time a case is filed.

 “One of the big arguments that tobacco companies have made since Engle is that our jury system, our concepts of due process, mean we’re supposed to get our day in court, every time,” he said.

Katsas argued that the U.S. Supreme Court’s decision in FDA v. Brown & Williamson Tobacco Corp. should be the basis for Florida tort law. In that case, it was established that all cigarettes with nicotine are addictive, but the U.S. Food and Drug Administration could not ban the sale of cigarettes. He argued that the preemption argument wouldn’t affect claims of conspiracy or concealment or plaintiffs’ ability to benefit from the original Engle verdict in the areas of disease causation or addiction.

William Large agreed. 

“The petitioner’s arguments are novel. If adopted, they would have affect smoking cases in the future. The Engle line of case law has an ‘implied conflict preemption’ problem or a due process problem associated with it. It is probably the latter. Allowing phase I findings to be applicable to subsequent plaintiffs is a violation of due process principles,” he said.

http://flarecord.com/stories/511046432-jones-day-argues-that-federal-law-on-smoking-lawsuits-should-preempt-state-laws?t=BgPlVl9y5aAxFKK2WdHj 

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Florida Justice Reform Institute

Florida, North Carolina Attorneys Address Hurricane Litigation with Webinar

November 18, 2016/in Florida Record

 

Joe Dyton Nov. 18, 2016, 12:11pm

In the aftermath of the damage Hurricane Matthew caused in the Southeast, attorneys worked through NorthCarolinaFloodClaims.com to put together a free Skype presentation Nov. 7 given by prominent insurance lawyer J.R. Whaley to help these flooded areas recover.

The presentation took place at the Quality Inn & Suites in Tarboro, but was also available online via live webinar for those who couldn’t attend. The Whitley Law Firm and Crouse Law Offices of Raleigh, North Carolina, and the Law Office of Thomas L. Young of Tampa, were co-hosts for the presentation.

Part of the discussion focused on how homeowners could recover from losses suffered through hurricane. Whaley offered a preview of what Matthew victims should expect during the next few months, based on his experiences following the disaster in Baton Rouge. Prior to the event, Whaley said Louisiana companies were consistently offering at least 50 percent less than what independent adjusters actually think the losses will be. It’s a heads up for Matthew victims when they deal with their own insurance claims negotiation process.

Although the total loss was estimated to be more than $30 billion, recent Matthew damage was estimated to be somewhere between $3 and $6 million. Although that fell well below the estimated damage, it doesn’t bring much solace to flooded homeowners, especially when this damage isn’t covered by conventional homeowner policies.

A concern raised by Tom Young was how quickly insurance company’s wanted to get in touch with insureds and schedule adjuster visits. On the surface, it sounds like a good thing that insurance companies want to help victims get their settlement quickly, but Young said it’s only a good if the fast offer is fair, which isn’t always the case.

“The obsession with speed will likely lead to errant estimates from insurance company adjusters,” Young said. “And while most adjusters employed by insurers are honest operators, the simple fact is they are paid by companies that want to minimize their claims-paid exposure. All things being equal, human nature says that these insurance company employed adjusters may err on the side of a low offer.”

“[To help insure a fair offer people should] call their insurance company, ask the company to send out an insurance adjuster from the company to review the damage and the potential claim,” Florida Justice Reform Institute President William Large told the Florida Record.

 Young suggested that rather than jump at the first offer, the insured should remember the settlement process is a negotiation and they should consider getting second and even third opinions.

“Whether insurance company employed adjusters have a natural bias toward minimizing claims or simply make mistakes when rushing to visit and evaluate thousands of structures, the policyholder must remain vigilant,” he said.

 “If a contractor came to you and said, ‘this is how much it’ll cost to fix this repair,’ call your insurance company,” Large said. “Have your insurance company call an adjuster and review that number and the damages.”

http://flarecord.com/stories/511046321-florida-north-carolina-attorneys-address-hurricane-litigation-with-webinar?t=dg9jgnOh8L3dXkbxVm54 

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Florida Justice Reform Institute

Recent State Court Rulings Place Workers’ Comp Attorney Fee Schedules in Question

November 15, 2016/in Florida Record

 

W.J. Kennedy Nov. 15, 2016, 9:55am

TALLAHASSEE — Workers’ compensation laws that impose caps on claimants’ attorney fees may be vulnerable with recent state supreme court decisions toppling fee schedules in Florida and Utah.

“The claimant’s bar is very well networked,” William W. Large, president of Florida Justice Reform Institute, told the Florida Record. “And the Florida ruling cited a violation of due process, an argument that can be made in any state.”

Nearly all states impose some limits on claimants’ attorney fees. The two topping the list with fee schedules nearly as restrictive as Florida and Utah include New Mexico and Kentucky. What remains unclear is how the ruling might affect other states that cap fees to a lesser extent.

Massachusetts attorney Allan Pierce, president of the Workers’ Injury Law & Advocacy Group (WILG), said the Florida and Utah cases have gotten a fair amount of attention, which could trigger similar interest in other states.

“So if there are issues such as these in other jurisdictions, and I surmise there might be, the rationale both in the briefs filed including the amicus as well as the opinions of the respective supreme courts will enable very cogent constitutional arguments to be advanced,” Pierce told the Florida Record.

The Florida Supreme Court ruled in April in the case of Marvin Castellanos, who suffered head, neck and shoulder injuries while working for Next Door Co. Castellanos won his workers’ comp case and received benefits of $822.70.

His lawyer sought a fee of $36,817.50, but under the state’s fee schedule he received $164.54, which he complained was equivalent to just $1.53 an hour.

Under Florida law before Castellanos, a claimant attorney would be entitled to a fee equal to 20 percent of the first $5,000 in benefits secured for a client, 15 percent of the next $5,000 secured and 10 percent of any amount secured in excess of $10,000.

The Utah Supreme Court’s ruling in May held that the court had exclusive authority to govern law practice under the state constitution, including the regulation of attorney fees. That separation of powers doctrine bars the legislature from giving that power to the labor commission, the court said.

Utah’s attorney fees are set at 25 percent for the first $25,000 of the award, 20 percent for the next $25,000 of the award, and 10 percent for awards of more than $50,000. The overall fee was capped at $18,590.

The Utah legislature approved the fee schedule to protect “unsophisticated litigants.”

Despite good intentions, the court said, many attorneys are economically unable or unwilling to take on injured workers’ cases. The schedule limits not only the quantity of workers’ comp lawyers, it also limits their quality, the court said.

The case was brought by The Injured Workers Association of Utah and several of its member attorneys.

In a WILG statement regarding the Utah ruling, Pierce said that appellate courts are recognizing the rights of “unsophisticated litigant” to have, as the Utah Court put it, access not only to a wider choice of  attorneys but also of qualified attorneys.

“Since there is no regulation or limitation on the legal fees insurers pay to their counsel, we applaud the Utah Supreme Court in restoring a measure of balance to its compensation act,” he said.

In New Mexico, lawyers on both sides top out at $22,500; Kentucky’s cap is $12,000.

The Kentucky law also says that no fee can be paid until it is approved by an administrative law judge, and that the judge must consider “the extent, complexity and quality of services rendered” in deciding whether to grant approval.

Chuck R. Davoli, with the Baton Rouge, Louisiana firm of Moore, Thompson & Lee, APLC, said that in most states the amount paid to claimants’ attorneys is determined by taking a percentage of the gross recovery and that on average is 20 percent.

“If the laws in some of theses states get shot down, then it will come down to what amounts to a reasonable recovery,” Davoli told the Florida Record.

In Florida, what is reasonable was determined by the courts in the 1968 Lee Engineering & Const. Co. v. Fellows decision, which listed the factors to be considered in determining fees.

But faced with runaway costs in the workers’ compensation system, the Florida legislature in 2003 approved sweeping changes to the law, the fee schedule among them. In general, the caps amount to about 10 percent of the award.

Then in Murray v. Mariner in 2008, the Supreme Court ruled that the caps did not permit a “reasonable” recovery for attorneys; and they could receive awards above the caps. So in 2009, the legislature struck the word “reasonable” in relation to attorneys fees, again limiting attorneys to only those amounts allowed under the caps.

http://flarecord.com/stories/510960350-recent-state-court-rulings-place-workers-comp-attorney-fee-schedules-in-question

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Florida Justice Reform Institute

Sharp Spike in Work Comp Cases Following State Supreme Court Judgment

August 22, 2016/in Florida Record

 

Sharp spike in work comp cases following state Supreme Court judgment

John Breslin Aug. 22, 2016, 10:25am

TALLAHASSEE – Florida’s workers’ compensation claims office have seen a sharp spike in cases filed following a landmark state Supreme Court ruling that barred capping attorney fees.

Following the April ruling, the number of petitions for benefit rose by 24 percent in May compared to the same month the last year, and 21 percent in June, increases significantly larger than previous months.

A proposed 19.6 percent rise in workers’ compensation insurance premiums is largely due to the judgment, which scrapped the fee schedule for attorneys, in place since 2003.

The Supreme Court judgment described the cap on fees as unconstitutional because they could be so “unreasonably low” workers were unable to find lawyers to represent them.

Business interests are concerned about the ruling’s impact, as seen in a survey commissioned by the Florida chapter of the National Federation of Independent Business (NFIB) and the Sick of Lawsuits (SOL) project. It found that 92 percent of small business owners say lawsuits are a serious problem, and a key factor holding them back from growing their business.

In a recent op-ed in the Tallahassee Democrat, Bill Herrie, executive director of the NFIB in Florida, and Julie Griffiths, outreach director for SOL and Citizens Against Lawsuit Abuse, said that litigation in workers’ compensation has increased 44 percent this year alone.

They cited figures from the Office of Judges of Compensation Claims (OJCC), the statutory body responsible for the adjudication and mediation of disputed claims.

But the office’s Deputy Chief Judge David Langham, in a recent blog post, said the number of petitions for benefit – several of which can be linked to a single claim – are estimated to have increased just over 12 percent year on year, and new cases by four percent.

The proposed increase in insurance premiums for workers’ compensation insurance was discussed Tuesday at a public meeting in Tallahassee. The increase was proposed by the National Council on Compensation Insurance, a national body linked to the insurance industry that many states use to help calculate and propose rates.

The state’s Office of Insurance Regulation will ultimately decide whether to accept the proposed rate, or set a different one.

William Large, president of Florida Justice Reform, an advocacy group that campaigns for civil justice reforms, believes the NCCI’s proposed rate increase is “quite modest.”

“The more likely increase is 35.4 percent in the overall claims costs for workers’ compensation insurance,” said Large, citing an independent report his organization commissioned to calculate the fallout from the Supreme Court’s Castellanos judgment. 

“Premiums in Florida will probably go up an additional $930 million for insured employers, and $360 million for the self insured,” Large told theFlorida Record. 

Many large employers self insure, essentially covering the costs of workers’ compensation within their own organizations.

Large estimates, based on the report his organization commissioned, that the combined cost to the state of Florida’s employers will be $1.3 billion per year.

“This will lead to a decrease in average employment growth and will translate into a loss of over 105,000 of jobs, and an average loss of $340 per year, per employee,” he warned.

In his recent blog post, Judge Langham, of the OJCC, wrote that if the significant monthly increases seen in May and June persist “there will be a significant impact” on the office.

“If 20 percent increases remain consistent over the next 12 months, the total petition volume for fiscal 2017 could be over 80,000,” Langham wrote.

The Supreme Court in April ruled against a 2003 law limiting lawyer fees. The suit centered on an attorney who was paid the equivalent of $1.53 an hour for work on a case, a rate described as “absurdly low” by the court.

Plaintiff lawyers in workers’ compensation cases further argue that insurance companies are often to blame for litigation because they unreasonably deny benefits to claimants

In their joint op-ed piece on the wider issue of litigation against employers, Herrie and Griffiths argued that personal injury lawyers are “suing local businesses at unprecedented levels.”

“Florida has earned a reputation as a state where trial lawyer influence and lawsuit abuse run rampant,” they wrote.

Citing their survey, they stated 53 percent of small-business owners report they have been threatened with a lawsuit, and 37 percent say that they have actually been a defendant in one.

http://flarecord.com/stories/510997788-sharp-spike-in-work-comp-cases-following-state-supreme-court-judgment 

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