Justia Injury Law Opinion Summaries

Two former employees of Coca-Cola claim that they were injured while performing their jobs. They reported their injuries to Coca-Cola’s third-party administrator for worker’s compensation claims, Sedgwick, which denied benefits. Plaintiffs claim that the medical evidence strongly supported their injuries, but that Sedgwick engaged in a fraudulent scheme involving the mail: using Dr. Drouillard as a “cut-off” doctor. They sued alleging that the actions of Sedgwick, Coca-Cola, and Dr. Drouillard violated the Racketeer Influenced and Corrupt Organizations Act, 18 U.S.C. 1961(1)(B), 1962(c), and 1964(c). The district court dismissed. The Sixth Circuit reversed and remanded, noting that since the dismissal, several of the issues were resolved by its 2012 opinion in another case. The district court misapplied the elements of a RICO cause of action to the plaintiffs’ allegations. The court declined to abstain from exercising jurisdiction pending the outcome of state workers comp proceedings. The alleged acts have the same purpose: to reduce Coca-Cola’s payment obligations towards worker’s compensation benefits by fraudulently denying worker’s compensation benefits to which the employees are lawfully entitled. The allegations suggest that the defendants’ scheme would continue on well past the denial of any individual plaintiff’s benefits View "Jackson v. Segwick Claims Mgmt Serv., Inc." on Justia Law

Al-Mansoob filed a lawsuit concerning a traffic accident in July 2009. When he instituted Chapter 7 bankruptcy proceedings two months later, he did not list his claims against Malloy and Wilburn Archer Trucking, Inc. (Defendants), among his assets, but did list a suit against State Farm, arising out of the same accident. Upon learning of the omission, Defendants sought summary judgment, arguing that Al-Mansoob was judicially estopped from pursuing the claims. Relying on a Sixth Circuit case decided a few days before Al-Mansoob filed his response, the district court granted the motion. The Sixth Circuit reversed, reasoning that judicial estoppel should not apply to the trustee, who had been substituted as real party in interest, and that Al-Mansoob’s failure to disclose the case was inadvertent in any event. View "Al-Mansoob v. Malloy" on Justia Law

Cleveland sued financial institutions, alleging that by securitizing subprime mortgages and foreclosing on houses, defendants allegedly contributed to declines in property values, shrinking tax base, and increased criminal activity, causing a public nuisance. The district court dismissed, finding preemption by state law and failure to demonstrate that defendants unreasonably interfered with a public right or were the proximate cause of alleged harm. The Sixth Circuit affirmed. Cleveland filed another suit in state court against non-diverse institutions, alleging public-nuisance, violation of the Ohio Corrupt Activities Act, (RICO analogue), by inaccurately claiming title to mortgages and notes in foreclosures in violation of Ohio Rev. Code 2923.32. Cleveland also sought to recover (Ohio Revised Code 715.261) costs incurred maintaining or demolishing foreclosed houses. While the case was pending, banks sought a declaratory judgment that Cleveland’s public-nuisance claim was preempted by the National Bank Act and an injunction against the suits. The district court suggested that it lacked subject-matter jurisdiction and dismissed. Subsequently, the state court dismissed Cleveland’s public-nuisance and OCAA claims; appeal is pending. The U.S. Supreme Court denied certiorari in the first case, so that declaratory relief is now moot. The Sixth Circuit reversed with respect to the second suit; the district court had jurisdiction.View "Chase Bank USA, N.A. v. City of Cleveland" on Justia Law

Otteren was driving behind his travel companion, Daggett, when Daggett made an illegal U-turn. As Otteren repeated Daggett’s U-turn, his vehicle cut off a motorcycle being driven by Rupert, resulting in his death. Rupert’s widow sued Daggett under the theory that the accident was a reasonably foreseeable result of Daggett’s own negligence because she knew Otteren was following her. The district court granted summary judgment to Daggett upon holding, under Michigan law, that Otteren’s operation of his own vehicle constituted a superseding, intervening cause that cut off any liability on Daggett’s part. The Sixth Circuit reversed, finding that the plaintiff raised genuine issues of material fact as to each element of the prima facie negligence case. View "Rupert v. Daggett" on Justia Law

In 2000 an “incident” occurred on the ice of a professional hockey game in Switzerland between Miller and McKim. McKim was injured. Swiss courts filed criminal charges against Miller. McKim’s insurer and hockey club filed suit against Miller, and two civil judgments were entered against Miller. Miller left Switzerland before the judgments were finalized and informed his hockey team and its insurer (Winterthur) that he no longer had the financial means to defend the litigation. In 2005, a document was submitted to Miller in Michigan from Winterthur that acknowledged its responsibility for the costs of criminal and civil judgments and proceedings pending in Zurich and previous attorneys’ fees. In 2010, McKim’s team and insurer submitted demands for payment to Miller from the Swiss judgment. Miller, claiming reliance, submitted the demands to Winterthur, which declined to pay the judgments in full. Miller brought suit in Michigan, seeking contractual damages and enforcement of the terms of the 2005 document. The district court granted Winterthur’s motion to dismiss for lack of personal jurisdiction. The Sixth Circuit affirmed. Miller had established a basis for personal jurisdiction under Michigan’s long-arm statute, but the requirements of constitutional due process were not met. View "Miller v. AXA Winterthur Ins. Co." on Justia Law

The Sheriff’s Office for Boyle County received an arrest warrant and emergency protective order for King, who had allegedly entered his ex-wife’s property, pointed a gun at her face, and said “I’m going to kill someone today.” The sheriff told Deputy Adams that he had seen King the week before, and that King had been acting “strange [and] violent” and to obtain assistance from the Kentucky State Police. Adams was aware that King, years earlier, had allegedly fired shots near a state trooper who entered onto King’s property. Deputies Adams and Issacs and State Trooper Taylor, who told a dispatcher that “one of us will have to kill—shoot him,” went to King’s home. Although no one answered the door, they saw King lying on a couch, knocked again, and showed badges. What happened next is disputed. Taylor claims that King aimed a gun; Taylor’s bullet killed King. King’s estate sued under 42 U.S.C. 1983. The district court ruled that Taylor had not been properly served and, in any event, was entitled to summary judgment on the merits. The Sixth Circuit vacated, stating that questions of immunity and superseding cause require resolution of disputed facts. View "King v. Taylor" on Justia Law

Adams worked in coal mines for 17 years, leaving A & E Coal in 1988, after 12 years, because he was having difficulty breathing. He has not worked since. Adams also smoked cigarettes for about 25 years, averaging a pack a day before quitting in 1998 or 1999. Adams filed his first claim for benefits under the Black Lung Benefits Act 30 U.S.C. 901 in 1988. His claim was denied: He did not prove that his pneumoconiosis was caused in part by his coal-mine work, or that his pneumoconiosis totally disabled him. In 2007, Adams filed a second claim. Two pulmonologists agreed that he was completely disabled, but disagreed on what lung diseases Adams had, and on what caused them. An Administrative Law Judge awarded benefits, finding that Adams had pneumoconiosis, that the disease was caused by Adams’s exposure to coal dust during his coal-mine employment, and that he was totally disabled because of the disease. The Benefits Review Board and the Third Circuit affirmed. Although the ALJ was not required to look at the preamble to the regulations to assess the doctors’ credibility, he was entitled to do so. View "A & E Coal Co. v. Adams" on Justia Law

Ulman filed her claim for benefits in 2006, alleging that her disability began in 2002. As found by the ALJ, her insured status expired on December 31, 2003. To be eligible for benefits, her disability must have begun on or before that date and continued until she filed her application for benefits. 42 U.S.C. 423(a)(1). Claimant was 47 at the time her insured status expired. She had worked as a waitress, park ranger, and home health aide. In rejecting her claim, the ALJ confused the dates of December 3, 2001 when she fell backwards off a ladder, with the 2006 date of the application, and made an adverse credibility determination. The ALJ recognized that she suffered from physical limitations that prevented her from performing her past work, but found that she could perform other jobs (cashier, parking lot attendant, ticket taker) that existed in the national economy. The Appeals Council and district court affirmed. The Sixth Circuit affirmed, applying harmless error analysis to the credibility determination. With the exception of confusion about the date, the ALJ’s decision carefully parsed the medical records and accorded them fair weight; those records support a finding of no disability.View "Ulman v. Comm'r of Soc. Sec." on Justia Law

Genentech manufactured and sold the psoriasis medication Raptiva, approved by the FDA in 2003. Raptiva works by suppressing T-cells ; because T-cells help fight infections, suppression has the potential to cause potentially life-threatening side effects. Following reports of adverse health effects, including a rare brain infection, Genentech voluntarily removed Raptiva from the market in 2009. Marsh began using Raptiva in 2004 and subsequently suffered viral meningitis and a collapsed lung. She sued in 2011, alleging strict products liability under design-defect and failure-to-warn theories, negligence, breach of warranty, and fraud. She claimed that, before and after FDA approval, Genentech knew of dangerous side effects that it concealed and did not include in the drug’s label. The district court dismissed, holding that Genentech was immune from suit because neither statutory exception to immunity for drug manufacturers applied. Marsh argued that immunity does not apply because failure to submit updated information rendered Raptiva noncompliant with FDA approval when it left Genentech’s control and that her claim was not preempted because it was premised on non-compliance rather than fraud or bribery. The Sixth Circuit affirmed. Allegations underlying Marsh’s argument that immunity does not apply are essentially the type of claim that is preempted.View "Marsh v. Genetech Inc." on Justia Law

Park sells art from its gallery, online, by catalog, and by phone, and conducts auctions in different cities and on cruise ships. Franks, CEO of Global Fine Art Registry, published online articles alleging that Park engaged in suspect business practices and sold inauthentic art. Park sued, claiming defamation, tortious interference, interference with prospective business advantage, and civil conspiracy to destroy goodwill and reputation. During trial, the district court gave several warnings and sanctioned Franks’s counsel for failure to honor rulings regarding improper lines of questioning. Despite repeated instances of misconduct, Park did not request a mistrial. The jury returned a verdict in favor of defendants on defamation, tortious interference with business expectancies, and civil conspiracy, but did not find in favor of defendants on counterclaims. The jury found in favor of GFAR on its Lanham Act counterclaim and awarded $500,000.00. The district court decided that the misconduct was serious enough that there was a reasonable probability that the verdict was influenced and granted a new trial. The Sixth Circuit affirmed denial of a motion to reinstate the verdict. Failure to seek a mistrial based on misconduct occurring during the trial did not waive Park’s right to seek a new trial under FRCP 59. View "Park West Galleries, Inc. v. Hochman" on Justia Law