RPNA Prevails in Classification Case Against the WCIRB

Workers’ compensation insurance costs are directly tied to the classifications assigned to a business. An employer may be forced to pay more in premiums if the Workers Compensation Insurance Rating Bureau (WCIRB) or insurance carrier incorrectly assigns a more expensive classification.

While the Insurance Commissioner relies on the WCIRB to develop classification rules, RPNA recently succeeded in overturning two WCIRB classification assignments. And it did so after a hearing in front of an administrative law judge assigned by the Insurance Commissioner. 

Nick Roxborough Presents New Trends in Workers’ Comp Fraud at CWC Risk Conference

RPNA Partner Nick Roxborough is teaming up with several other dynamic speakers to share his expertise on the hot topic of workers’ compensation issues at the CWC Risk Conference on September 8, 2017. With breaking news involving recent indictments and precedential bad faith claims mishandling decisions, the expert panel will discuss the ripple effect of fraudulent activities that have had and will…

RPNA Carves A Meaningful Path for Policyholders

The issue of Applied Underwriters’ ‘bait and switch’ marketing tactics to sell its workers’ compensation product was the focus of a recent San Fernando Valley Business Journal Article. The article highlighted RPNA’s case against the Berkshire Hathaway subsidiary (Luxor Cabs v. Applied Underwriters Captive Risk Assurance Company) as well as a similar case (Shasta Linen Supply, Inc. v. Applied Underwriters, Inc.), which prompted the California Department of Insurance (CDI) to hold Applied Underwriters accountable for its unlawful practices and comply with well recognized state filing requirements.

Referencing CDI’s settlement with Applied Underwriters, Nick Roxborough stated, “The settlement is a good first start for policyholders of Applied Underwriters in that it renders the Shasta Linen decision precedential for all policyholders similarly situated to the Shasta Linen plaintiffs.”

RPNA Wins Motion To Disqualify Opposing Counsel Based On Conflict Of Interest And Breach Of Confidentiality

Co-Managing Partner Nick Roxborough and co-counsel Jeffrey D. Farrow of Michelman & Robinson, recently won a motion to disqualify Nixon Peabody LLP from representing a plaintiff in an ongoing worker’s compensation dispute after the firm hired opposing defense counsel in the case. The decision, which was made by a Superior Court Judge in Orange County last Friday, was featured in the Daily Journal [subscription required].

Once Again, Berkshire Hathaway’s Applied Underwriters is Sued By Another Employer

When it comes to cases against Applied Underwriters, RPNA’s Nick Roxborough is the go-to expert for commentary. Workers’ Comp Executive reached out to Nick regarding the most recent lawsuit against Berkshire Hathaway’s subsidiary filed in New York. The plaintiff is seeking a $6 million bond and at least $18 million in trebled damages.

According to a September 28 article, what makes this suit of particular interest is that it challenges the way Applied structures, sells, and operates its SolutionOne workers’ comp and payroll program. The plaintiff maintains that Applied Underwriters uses an unfiled and unapproved Reinsurance Participation Agreement (RPA) to siphon off money that should be reserved to pay claims, according to the article.

Roxborough Comments in Workers’ Comp Executive Article About New Oder Barring Applied Underwriters’ EquityComp Program

Workers’ Comp Executive recently reached out to Nicholas Roxborough to comment on the new cease and desist order signed by California Insurance Commissioner Dave Jones, barring Applied Underwriters from selling its EquityComp program in California. Roxborough told Workers’ Comp Executive that, “the Order provides additional evidence that Applied has engaged in wrongdoing. It provides exquisite foundational evidence for existing lawsuits,…

RPNA’s Nick Roxborough In The News

In a recent Workers’ Comp Executive article, RPNA co-managing partner Nick Roxborough was asked to comment on California Insurance Commissioner Dave Jones’ decision regarding Applied Underwriters’ EquityComp Program. Roxborough said he wouldn’t be surprised if Applied Underwriters’ certificate is eventually pulled stating that the decision “effectively kills the program in California as it exists now.” The RPA (reinsurance participation…

Courts Decide Whether Arbitration Clauses Are Unenforceable, Not Arbitrators

RPNA attorneys Nicholas Roxborough, Joseph Gjonola and Ryan Salsig won a victory for California workers’ comp policyholders with the recent court decision stating Applied Underwriters, a subsidiary of Berkshire Hathaway, can’t enforce the arbitration provision in side agreements that were not filed with the Workers’ Compensation Insurance Rating Bureau (WCIRB).

What makes this March 16 decision in RPNA’s case Luxor Cabs v. Applied Underwriters Captive Risk Assurance Company significant is that it’s the first decision in a California court to state expressly it is the court, not arbitrators, who will decide whether or not arbitration clauses are enforceable. It is also the first California decision to state expressly that arbitration clauses are void and unenforceable when the underlying agreements have not been filed with the WCIRB, an issue being litigated in many other jurisdictions across the country.

Federal Court Denies Motion To Dismiss Racketeering Claims Against California’s Largest Workers’ Comp Carrier

A U.S District judge has denied motions filed by State Compensation Insurance Fund (SCIF) and EK Health Services Inc. to dismiss conspiracy, trade libel and RICO claims against them, allowing Electronic Waveform Lab to proceed with its civil complaint, according to plaintiff attorney Nicholas Roxborough of Los Angeles based law firm Roxborough, Pomerance, Nye & Adreani LLP (RPNA).

“Now, neither State Fund nor EK Health can escape from the fact that they conspired in their attempt to put Electronic Waveform out of business, at the expense of injured workers who were suffering from pain and had work-related conditions,” says Roxborough.