Week Adjourned: 7.14.17 – Ford, Blue Shield, Wells Fargo

Top Class Action Lawsuits

Heads Up Ford Transit Van Owners – a consumer fraud class action lawsuit has been filed against Ford Motor Co, alleging Ford knew of the Transit van flex disc defect long before it issued the recall of some 402,000 Ford Transit vans.

The recall affects 2015, 2016 and 2017 models of Ford Transit vans that have a defect in the flex disc, which is a type of rubber joint connecting the transmission to the driveshaft. The defect can allegedly cause vehicle damage in addition to being a safety hazard, the complaint asserts.

All Care Transport is a family-owned business that provides non-emergency medical transport. It owns several of the Transit vehicles. The plaintiff states in the complaint that two of his Transit vans’ flex discs failed in November 2016. In one case, the driver lost control of the steering and breaks while driving on a freeway. “Had another vehicle been near the van at the time, a crash would have been likely,” the complaint states. The repair cost in excess of $3,200.

According to Ford’s recall announcement, the flex disc cracks after about 30,000 miles, possibly causing the driveshaft to separate from the transmission. The cracking can result in a loss of power while driving or the unintended movement of parked vehicles not anchored by a parking brake. Such separation can also damage surrounding components, including brakes and fuel lines.

The Ford Transit lawsuit claims that Ford’s recall notice doesn’t indicate that the automaker has a permanent fix for the defect, as it recommends vehicle owners repair the disc every 30,000 miles. Further, the notice does not indicate any plans by Ford to reimburse customers such as All Care for lost business opportunities from disc-related repairs.

“In short,“ the complaint states, “as the safety recall notice makes clear, Ford’s recall fails to fix the underlying problem and falls well short of fully compensating plaintiffs and class members for the harm caused by the defective class vehicles.”

The plaintiff and All Care assert that Ford had knowledge of the defect as early as 2014, based on vehicle evaluations and testing, field data, replacement part sales data and consumer complaints made directly to Ford and collected by federal regulators at the National Highway Transportation Safety Administration.

The plaintiffs state in the proposed class action: “Yet despite this knowledge, Ford failed to disclose and actively concealed the defect from class members and the public, and continued to market and advertise the class vehicles as ‘tough,’ ‘safe,’ ‘durable’ vehicles ‘designed to do its job all day, every day and for many years to come,’ which they are not.”

“All Care Transport expected the class vehicles to be of good and merchantable quality and not defective,” the complaint states. “It had no reason to know of, or expect, that the vehicles were equipped with a defective flex disc that would catastrophically and dangerously fail, nor was it aware from any source prior to purchase of the unexpected, extraordinary and costly repairs the defect would cause them to incur.”

The proposed class includes anyone who leased or purchased a 2015-2017 Transit in California for purposes other than personal or household use.

The case is All Care Transport LLC et al. v. Ford Motor Company, case number 5:17-cv-01390, in the U.S. District Court for the Central District of California.

Bad Blue Shield? Once again, Blue Shield of California and its claims administrator Magellan Health Services, are in the news—this time facing a bad faith insurance class action lawsuit alleging it wrongly restricted patients’ access to outpatient and residential mental health treatment.

The complaint was filed in Northern California by two parents who allege their teenage children were denied coverage, repeatedly, under the parents’ employer-based health insurance plans. The children required medical assistance for serious mental and substance abuse problems, according to the lawsuit.

The Blue Shield lawsuit received class-action status in June, enabling patients whose claims were rejected under similar circumstances to join as plaintiffs.

According to the complaint, Blue Shield and Magellan Health Services of California, which handles the insurer’s mental health claims, developed criteria that violate accepted professional standards and the terms of the health plan itself. Further, the plaintiffs claim the defendants are in violation of the Employee Retirement Income Security Act, a federal law that regulates employee benefit plans. (Californiahealthline.org)

The class action alleges specifically, that the insurers authorized residential patients care only if less intensive treatment in the previous three months was unsuccessful. This “fail-first” approach is inconsistent with standards established by professional groups such as the American Psychiatric Association or the American Society of Addiction Medicine, the complaint states.

The plaintiffs seek to change Blue Shield’s and Magellan’s policies to be consistent with the law, generally accepted professional standards and the terms of its own plans, according to the lawsuit. Further, they seek to have the thousands of mental health and substance-use benefit denials reprocessed by the defendants.

The lawsuit is Charles Des Roches, et al. v. California Physicians’ Service, et al. 

Top Settlements

If First You Don’t Succeed, Wells… do as the judge tells you and revise that settlement deal! And guess what—it worked. A revised $142 million settlement has received preliminary approval potentially ending the Wells Fargo consumer bank account fraud class action lawsuit.

The back story is that Wells Fargo employees were involved in a fake bank account scam that saw them set up unauthorized accounts and transfer customers’ funds from legitimate accounts to the newly-created ones without customer knowledge or consent. And the point? Additional bank fees of course—and it enabled the employees to hit their sales targets. Wells Fargo customers were then charged fees for insufficient funds or overdrafts, because they didn’t have enough money in their legitimate accounts. How do you spell illegal?

In March, Wells Fargo announced it had reached a preliminary $110 million settlement resolving 12 putative class actions making similar allegations of fraud. According to the Consumer Financial Protection Bureau (CFPB), which shared in a $185 million fine brought against Wells Fargo for the fraud, bank employees set up more than two million deposit and credit card accounts without customer authorization between January 2011 and September 8, 2015. Some 14,000 of those accounts earned over $400,000 in fees for the bank, including annual fees, interest charges and overdraft-protection fees, CNN Money reported.

US District Judge Vince Chhabria has now given the revised settlement deal the go-ahead after the plaintiffs and defendants resubmitted the agreement with several revisions, as requested by the judge. Those revisions include a simplified opt-out process, a more comprehensive class notification procedure and an expanded anticipated scope of credit-impact damages.

Under the original settlement proposal, the class consisted of Wells Fargo bank customers that had unauthorized accounts opened in their names, were enrolled in a product or service or had an application submitted for a product or service in their name without consent between January 1, 2009, and the execution of the settlement. Wells Fargo subsequently agreed to extend the claims to 2002, adding an additional $30 million to the settlement fund in April.

“[T]he parties negotiated a revised settlement that guarantees classwide compensation for actual damages, supplements compensation for noncompensatory damages and provides a better process for claimant input and court oversight prior to final approval,” Judge Chhabria wrote. 

The case is Jabbari et al. v. Wells Fargo & Co. et al., case number 3:15-cv-02159, in the U.S. District Court for the Northern District of California. 

Ok – That’s a wrap for this week. See you at the bar!

Week Adjourned: 7.22.16 – Apple, Blue Shield, Herbalife

.appleTop Class Action Lawsuits

Bad Apple, Again? Yet another lawsuit against Apple, this one set to take a bite over allegations of consumer fraud surrounding devices that are replaced via AppleCare+ warranty with refurbished replacements that don’t meet a specific clause in the contract.

Filed in California, on behalf of plaintiff Vicky Maldonado and others similarly situated, the proposed class action alleges the clause claiming refurbished devices are “equivalent to new in performance and reliability” is false.

According to the Apple lawsuit allegations, a refurbished device is a “secondhand unit that has been modified to appear to be new” and therefore can’t be equivalent in durability and functionality as a new unit. Maldonado filed the suit after she purchased a third generation iPad and then cracked the screen after owning it for six months.

As the damage to Maldonado’s iPad was accidental in nature, she was forced to replace her tablet at an out of pocket cost of $250, according to the suit. However, she was told that for another $100 the AppleCare+ program would replace the tablet if similarly damaged in the future. Allegedly, the replacement iPad Maldonado was given under the warranty did not function properly and since it had impaired functionality, the tablet wasn’t equivalent to new, the suit asserts.

Following this, in 2013 Maldonado bought another iPad, a fourth generation model. She claims that she wasn’t informed that she would get a refurbished device if she damaged the tablet. When she tried to get a repair for the device in May 2015, she was given a refurbished device instead. According to court filings, she claims the device she received wasn’t equivalent to that of a new device either in performance or reliability.

Policy Policing Needed? Blue Shield got slapped with a consumer fraud class action lawsuit this week, filed by enrollees who allege the insurer owes its members another $35 million in rebates due to errors in its medical-loss ratio calculation of 2014. That’s some accounting error, if true…

Brought by plaintiffs Becky Ebenkamp and Rebecca Morris, the Blue Shield class action lawsuit seeks to represent more than 446,000 individual policy holders from that year.

According to federal law, insurers are required to issue refunds if they don’t spend at least 80 percent of premium dollars on medical care or on improving the quality of care. The complaint alleges Blue Shield improperly counted certain payments as medical expenses it had made erroneously in 2014 to providers who were not in its network and patients whose coverage had lapsed. By counting those mistaken payments as legitimate medical expenses, Blue Shield pushed itself closer to the 80 percent threshold, thus reducing the size of the refunds it owed, according to the complaint.

The lawsuit states that under the consumer refund rule, those payments should have been logged as administrative expenses, and Blue Shield customers are therefore entitled to a bigger refund.

The rebate rule, part of the Affordable Care Act, is intended to contain the cost of health coverage by limiting the share of premiums insurers can spend on administrative functions, executive salaries, overhead and profits. If an insurer spends only 75 percent of premium dollars on care, for example, it must send refund checks to enrollees equal to 5 percent of the premiums they paid.

Who knew? Ah, precisely.

Top Settlements

Herbalife to Pay Up…Remember that old adage, if it sounds too good to be true? Well, Herbalife International of America, Inc., Herbalife International, Inc., and Herbalife, Ltd. have agreed to fully restructure their US business operations and pay $200 million to compensate consumers to settle Federal Trade Commission (FTC) consumer fraud charges that the companies deceived consumers into believing they could earn substantial money selling diet, nutritional supplement, and personal care products.

In its complaint against Herbalife, the FTC also charged that the multi-level marketing company’s compensation structure was unfair because it rewards distributors for recruiting others to join and purchase products in order to advance in the marketing program, rather than in response to actual retail demand for the product, causing substantial economic injury to many of its distributors.

According to the FTC’s complaint, Herbalife claims that people who participate can expect to quit their jobs, earn thousands of dollars a month, make a career-level income, or even get rich. But the truth, as alleged in the FTC complaint, is that the overwhelming majority of distributors who pursue the business opportunity earn little or no money.

For example, as stated in the complaint, the average amount that more than half the distributors known as “sales leaders” received as reward payments from Herbalife was under $300 for 2014. According to a survey Herbalife itself conducted, which is described in the complaint, Nutrition Club owners spent an average of about $8,500 to open a club, and 57 percent of club owners reported making no profit or losing money.

The small minority of distributors who do make a lot of money, according to the complaint, are compensated for recruiting new distributors, regardless of whether those recruits can sell the products they are encouraged to buy from Herbalife.

Finding themselves unable to make money, the FTC’s complaint alleges, Herbalife distributors abandon Herbalife in large numbers. The majority of them stop ordering products within their first year, and nearly half of the entire Herbalife distributor base quits in any given year.

The Herbalife settlement requires Herbalife to revamp its compensation system so that it rewards retail sales to customers and eliminates the incentives in its current system that reward distributors primarily for recruiting. It mandates a new compensation structure in which success depends on whether participants sell Herbalife products, not on whether they buy products.

The settlement also prohibits Herbalife from misrepresenting distributors’ potential or likely earnings. The order specifically prohibits Herbalife from claiming that members can “quit their job” or otherwise enjoy a lavish lifestyle.

In addition, the order imposes a $200 million judgment against Herbalife to provide consumer redress, including money for consumers who purchased large quantities of Herbalife products (such as many Nutrition Club owners, among others) and lost money. Information on the FTC’s redress program will be announced at a later date.

Ok, that’s a wrap folks… See you at the Bar!