A ruling by the state Workers Compensation Appeals Board has ignited both sorrow and anger over the death of an injured worker five years ago this week.
Compounding the indignation over the details of how Charles Romano died is outrage at the meager fines—still to be issued in the case—that advocates say highlight the weakness of state oversight and the failure of state lawmakers to hold insurers accountable.
“I mourn the loss of Charles Romano and the suffering that preceded it,” says Jesse Ceniceros, board president of Voters Injured At Work.
“The facts of his case–how the rule of law in this great and wealthy state turned its back on this hardworking man–cast shame upon his employer and its insurer. His case also shows once more how powerful interests have rigged the workers compensation system against ordinary Californians. If it can happen to him, cut down in the prime of his life, it can happen to anyone.”
Charles Romano, a grocery worker at Ralph’s in Camarillo, died at the age of 47 in early May 2008, ending a five-year effort to recover from a shoulder and neck injury he suffered on the job in 2003. Frustrating that effort, as the appeals board found, were repeated delays and denials of care by Romano’s employer, part of the Kroger foods chain, and its claims administrator, Sedgwick CMS.
The ruling denied an appeal by Ralph’s and Sedgwick of their liability in the case (Romano v. Kroger, or ADJ1372133). It revealed that Sedgwick “continued to deny or delay care through the end of applicant’s life,” failing to pay even for Romano’s final hospitalization for more than 4 months after his death.
Facts of the case elicited unusually blunt and evocative language from the appeal board. The “horrifically ill” Romano repeatedly sought authorization and attention to his claims from Sedgwick, which showed only “blithe disregard for its legal and ethical obligation to provide medical care to a critically injured worker.”
Despite its determination that Sedgwick “unreasonably delayed medical care in 11 separate instances,” the board cited the limitations of state law in setting the maximum penalty of “25 percent of the delayed medical benefit, not to exceed $10,000.” The maximum fine Sedgwick faces stemming from the death is thus only $110,000.