Csx Transportation, Inc. v. Daniel J. Carey, II, D.C.

CourtCourt of Appeals of Kentucky
DecidedMay 2, 2024
Docket2022 CA 001431
StatusUnknown

This text of Csx Transportation, Inc. v. Daniel J. Carey, II, D.C. (Csx Transportation, Inc. v. Daniel J. Carey, II, D.C.) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Csx Transportation, Inc. v. Daniel J. Carey, II, D.C., (Ky. Ct. App. 2024).

Opinion

RENDERED: MAY 3, 2024; 10:00 A.M. NOT TO BE PUBLISHED

Commonwealth of Kentucky Court of Appeals NO. 2022-CA-1431-MR

CSX TRANSPORTATION, INC. APPELLANT

APPEAL FROM GREENUP CIRCUIT COURT v. HONORABLE JOHN F. VINCENT, JUDGE ACTION NO. 18-CI-00348

DANIEL J. CAREY, II, D.C.; CAREY CHIROPRACTIC AND REHABILITATION, INC.; AND SHANNON M. JOHNSON, D.C. D/B/A JOHNSON CHIROPRACTIC APPELLEES

AND

NO. 2022-CA-1477-MR

CRAIG HELIGMAN, M.D. APPELLANT

APPEAL FROM GREENUP CIRCUIT COURT v. HONORABLE JOHN F. VINCENT, JUDGE ACTION NO. 18-CI-00348

DANIEL J. CAREY II, D.C.; CAREY CHIROPRACTIC AND REHABILITATION, INC.; AND SHANNON M. JOHNSON, D.C. D/B/A JOHNSON CHIROPRACTIC APPELLEES

OPINION VACATING AND REMANDING

** ** ** ** **

BEFORE: THOMPSON, CHIEF JUDGE; KAREM AND MCNEILL, JUDGES.

THOMPSON, CHIEF JUDGE: CSX Transportation, Inc. and Dr. Craig Heligman

appeal from a judgment of the Greenup Circuit Court which found that the

appellants had defamed the appellees. Appellants raise numerous issues on appeal.

After reviewing the record and the law, we conclude that the trial court made two

errors regarding the jury instructions and one evidentiary error. We also conclude

that Dr. Heligman was not properly served in this action and should have been

dismissed from the case. We vacate and remand for a new trial.

FACTS AND PROCEDURAL HISTORY

In 2017, Dr. Heligman was the Chief Medical Officer of CSX. One of

Dr. Heligman’s responsibilities was to receive Certificates of Ongoing Injury or

Illness (COII) forms. These forms would be sent to Dr. Heligman’s office from

medical practitioners and would indicate that a CSX employee would need time off

from work due to injury or illness. Over several weeks in June of 2017, Dr.

Heligman received COIIs for around seventy employees at CSX’s Huntington,

-2- West Virginia mechanical facility. These COIIs were almost identical and came

from two chiropractic practitioners, Dr. Daniel Carey and Dr. Shannon Johnson.

The COIIs indicated that the employees had sustained musculoskeletal injuries

outside of work and would need two months off to recover. Dr. Heligman testified

that the amount of COIIs coming from two practitioners in that time frame was

unusual. The COIIs were also received around the same time that furloughs were

to be announced for that area.

When an employee is furloughed, CSX pays their health and welfare

benefits. Also, the Railroad Retirement Board (RRB), a federal agency, pays the

furloughed employee 60% of his or her compensation, and a private insurance plan

through Aetna pays the other 40% of the furloughed employee’s compensation.

Normally, a furloughed employee receives four months of benefits and

compensation; however, an employee who was on medical leave at the time of

being furloughed can receive up to two years of benefits and compensation.

Dr. Heligman believed the high number of COIIs received around the

time of the furlough announcement was suspicious. He drafted a letter, dated July

14, 2017, and sent it to the Office of the Inspector General of the RRB. This letter

is the basis for the underlying lawsuit; therefore, we will include it in this Opinion.

The letter stated as follows:

I [am] writing to inform you of my concern about the practices of two chiropractic physicians that provide

-3- services to CSX employees in the Huntington, WV area. They have both provided services in the region for a long time, and we have received numerous documents from them in the course of our normal review of medical fitness for duty issues related to our employees. In the past; we had suspicions that the providers were removing our employees from work inappropriately and potentially in relationship to business changes in the region that may have resulted in furloughs or reduced work hours. It was thought that the employees were reporting injuries while off duty and seeking out these providers for the purpose of inappropriately seeking benefits to offset potential wage losses.

In my professional medical opinion, both of these providers continued to keep employees off work for much longer than is medically appropriate. These conditions would be considered minor musculoskeletal injuries that generally would resolve without any treatment, without more than a few weeks away from work, or with no more than a couple of weeks of chiropractic care. Therefore, their practices are also highly suspicious for excessive and inappropriate treatment.

Although we had suspicions, we were not able to identify patterns that were clearly fraudulent. Recently, we had a significant change in business in the area with facility closures and work reductions. Concurrent with the announcing of these business changes, we received doctor’s notes withholding over fifty employees from work between June 19 and July 12, 2017. The list of employees has been expanding daily.

In my opinion, the timing of these alleged injuries and the volume of cases that spiked just at this time is highly suspicious and suggestive of fraudulent practices on the part of both the employees and these two providers. I have attached a list of the employees who have submitted notes in the time period identified. Some are extensions

-4- of cases started several months to a year earlier, some have no prior events in our records, and a few had recently been cleared to work by these providers but coincidentally had recurrences at the time the business changes were announced. However, all forms were submitted within the same short time period.

The two providers of concern are: [Shannon Johnson and Daniel Carey.]

I strongly urge you to fully investigate all of these cases for potential conspiracy to defraud RRB sickness and disability benefit programs by our employees and their chiropractors. I will also be notifying the appropriate licensing boards and health insurance companies so that they may initiate their own investigations.

Please do not hesitate to contact me for any additional information that may be of assistance in your investigation.

Included with the letter was a list of employees who had received medical care

from Drs. Carey and Johnson. An identical letter was sent to the Fraud, Waste, and

Abuse Investigations Departments of the following insurance companies: Aetna,

Inc., Highmark Blue Cross Blue Shield, and United Health Care. In addition, the

letter was sent to the Kentucky and Ohio Chiropractic Boards. About a month

after the letter was sent, CSX informed its employees and Appellees that it would

no longer accept COIIs from Appellees.

On July 12, 2018, Appellees brought the underlying cause of action.

Appellees sued Appellants for defamation per se, based on the allegations in the

letter, and for tortious interference with prospective economic advantage, based on

-5- refusing to accept COIIs from Appellees.1 Appellees also sought punitive

damages.2

On August 8, 2018, Appellants removed the case to the United States

District Court for the Eastern District of Kentucky. In its notice of removal,

Appellants claimed that Dr. Heligman, along with other individually named

defendants, had not been served in the matter. Dr. Heligman later moved to be

dismissed from the case for failure to perfect service. In January of 2019, the

federal case was remanded to the Greenup Circuit Court for lack of federal

jurisdiction. The service issue was not resolved before remand. After remand,

counsel for Appellees requested that counsel for CSX accept service on behalf of

Dr.

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