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Breast Implants: Dow Corning Bankruptcy
SUMMARY OF THE BANKRUPTCY CLAIMS RESOLUTION PROCEDURES FOR BREAST IMPLANT AND OTHER IMPLANT CLAIMANTS
From the Office of Plaintiffs' Liaison Counsel News (4th Qtr. 1998).
This is a summary of the proposed Plan as of 1-1-99. You should not rely on
anything in this Summary until (1) the Court approves the materials to be sent
to claimants and counsel, and (2) you obtain and review that material to see
what, if any, changes have been made. This summary is in no way intended to be
a solicitation for acceptance or rejection of the Plan.
1.Filing of Claims. Filing of Claims. Anyone who timely filed a Proof of Claim in the
bankruptcy case by the bar date is automatically registered with the new
Claims Office. Persons who did not timely file have another opportunity to
register through Dow Chemical's (and other co-defendant's) "Rule 3005" filing.
Section 2.02 of the document provides that such persons must file a "Notice of
Intent" with the bankruptcy court anytime prior to 90 days after the Effective
Date of the Plan to assume their claim. This filing will automatically
register them with the Claims Office, allowing them the opportunity to elect
litigation or settlement (assuming their Notice of Intent was timely filed).
2.Election Deadline.All timely registered claimants have 6 months after the
Effective Date to elect either the Litigation Facility or the Settlement
Facility. (Section 3.02(c)). Claimants who do not elect either will
automatically be placed in the Settlement Facility.
3.Settlement Options For Breast Implant Claimants. Section 6.02 provides that
Breast Implant Claimants may participate in and receive compensation from any
and all of the three following options:
A.Explantation. Claimants may receive a one-time $5,000 explantation payment
for Dow Corning breast implants removed after 12/31/90 (which is broader than
the RSP date of 4/l/94) and on or before the 10th anniversary of the Effective
Date. (Section 6.02(c).) The amount of compensation is also greater than the
RSP explanation amount ($3,000).
B.Disease. Claimants have 15 years to file a disease claim. All claimants may
select between the original global criteria (Disease Option I) and the Long
Term Benefit criteria of the RSP (Disease Option II) (this is broader than the
RSP which only allowed current claimants to use the original global criteria).
Payment amounts for Disease Option I range from $10,000 to $50,000 (same as
the RSP without the rupture enhancement) and Disease Option II amounts are
identical to the RSP Long Term Benefit grid ($75,000 -- $250,000). In
addition, if sufficient funds are available, Disease Claimants may receive
another payment of up to an additional 20% called a Premium Payment. (Section
6.02(d).) As discussed below, there are also provisions built in both disease
options to allow for payments for increased severity of disease or disability.
Claimants who filed their disease claims with the Claims Office as part of the
original global settlement or the RSP do not have to resubmit their
documentation
OR
Expedited Release. Instead of participating in the disease option, claimants
can release and forego their right to participate in this settlement option
and receive now $2,000 as an Expedited Release payment. (Section 6.02(f).) The
Expedited Release Payment program is available for 3 years from the Effective
Date and may be extended by the Claims Administrator. Claimants who elect the
Expedited Release Payment do not waive their right to participate in the
Explanation and Rupture Payment Options (i.e., they can accept the $2,000 and
still receive compensation from these two other settlement options).
C.Rupture. Section 6.02(e) provides that Claimants may receive up to $25,000
($20,000 Base Payment and $5,000 Premium Payment) for a ruptured Dow Corning
silicone gel (or ruptured lumen surrounding the silicone in a double lumen)
Breast Implant if they are explanted and submit rupture proof on or before two
years after the Effective Date (the RSP time frame was less than one year).
The rupture proof is based on the RSP but the dates have been changed to
correlate with the bankruptcy settlement, i.e., claimants explanted prior to
the Effective Date have less stringent proof requirements than claimants
explanted after the Effective Date (in the RSP, the applicable date was
1/1/96). This will allow claimants to be explanted now before the Plan is
confirmed and submit their rupture proof relying on the surgical report and if
available, the pathology report along with a statement as to whether the
implants have been preserved.
There is also a provision in the proposed Plan that is not in the RSP that
allows claimants with ruptured implants to receive compensation if they are
unable to be explanted because of a serious medical condition (i.e.,
explantation is medically contraindicated) and if their rupture is documented
by MRI. In addition, claimants may participate in an "Individual Review
Process" to have their rupture claims accepted in certain circumstances even
though they do not meet the rupture definition (see discussion below and the
provisions at Section 6.02(e)(v)).
4.Individual Rupture Review Process. Section 6.02(e)(v) describes a process
for claimants who do not meet the rupture definition to recover if they can
meet any of the two following criteria:
A.Medical documentation, created before explantation surgery or within a
reasonable time after explantation of the Dow Corning single or double lumen
silicone gel Breast Implant, demonstrating visual confirmation of a breach in
the elastomer envelope found upon or prior to removal of the Dow Corning
silicone gel Breast Implant, or
B.Medical documentation demonstrating migration along tissue placed distant
from the site of breast implantation of a substantial mass of material
confirmed by biopsy to be silicone from a ruptured Dow Corning single or
double lumen silicone gel Breast Implant,
This documentation is submitted to Dow Corning, with the claimant's
identifying information redacted. Dow Corning has 60 days to review the
submission and accept or reject it. Dow Corning may not unreasonably deny a
claim submitted through this process. If they reject the proof, the claimant
may appeal to the Appeals Judge whose decision is final and binding. This
process and the two new criteria are broader than the RSP, which did not have
anything similar.
The rupture definition also explicitly states that the Claims Office shall
take into account that physicians use different terminology in their records
and that simply because the medical records do not use the word "rupture" is
not a basis to deny the claim. This is also broader than the RSP.
5.25% Election Penalty in the RSP. . In the RSP, all claims were processed under
the original global criteria and then, after receiving a Notification of
Status letter, current claimants could elect between the Fixed Amount Benefit
Schedule and the Long Term Benefit Schedule. If they elected the Long Term
benefits and did not qualify, they could return to the Fixed Amount benefits
but their compensation was reduced by 25%. This process has been changed for
certain types of claims. In the Dow Corning settlement, claimants who seek
benefits for scleroderma, lupus, polymyositis and dermatomyositis will
automatically be evaluated under both the Fixed Amount benefits (Disease
Option I) and the Long Term Benefit (Disease Option II) criteria. (Section
6.02(d)(ii and iii)). Their Notification of Status letter will inform them of
their eligibility under both programs and claimants may choose to recover
under the highest disease for which they are eligible. All other disease
claims (ACTD, MCTD, ANDS, etc.) will be evaluated under Disease Option I (the
global criteria) and, if they have an approved disease or a claim with only a
minor deficiency, they can then elect to submit additional material to qualify
under Disease Option II (the Long Term Benefit Schedule). If they fail to
qualify for Disease Option II and wish to return to Disease Option I, their
compensation will be reduced by 25%.
6.Multiple Manufacturer Reduction. Section 6.02(d)(v) provides that only
claimants who have a disease claim, a Dow Corning breast implant and
acceptable proof of a silicone gel breast implant from Bristol, Baxter or 3M
will have their disease recovery reduced by 50%. Under Section 6.02(e)(viii),
a claimant's rupture recovery may also be reduced if they fall within a very
narrow circumstance: the claimant has acceptable proof of a rupture of a Dow
Corning silicone gel breast implant, was a current claimant in the RSP, did
not opt out of the RSP, and received a rupture enhancement payment for a
Bristol, Baxter or 3M silicone gel breast implant in the RSP. If they meet all
of these criteria, then their Dow Corning rupture recovery will also be
reduced by 50%. Only an extremely small number of claims may fall within this
narrow circumstance.
7.Increased Severity Fund. The Plan Provides for an Increased Severity
Program for claimants who qualify under Disease Option I (the original global
criteria). (Section 6.02(d)(viii)). This fund allows claimants to receive
additional benefits if their disability level increases to the "A" level
anytime during the 15 years of the settlement program. In the RSP, there are
no additional benefits for claimants who elected Fixed Amount benefits. The
total payout of the Increased Severity Fund is $15 million NPV. There is also,
like the RSP, a provision which allows claimants in Disease Option II to
recover for an increase in the severity of their disease or disability.
(Section 6.02(d)(ix)(b).) These payments are treated as Premium Payments under
the Plan.
8.Other Products. Although the Term Sheet and Addendum II Provided that Dow
Corning would establish the criteria for Other Products (i.e., it would be the
criteria set forth in their Second Amended Plan of Reorganization), this
criteria has been improved in significant respects. For example, the rupture
definition and proof is identical to that for breast implant claimants. This
is a capped non-reversionary fund of $36 million NPV.
9.Silicone Material Claimant Program. Breast Implant Claimants who have
silicone gel breast implants that were implanted after 1/1/76 and before
1/1/92, have at least one breast implant made by Bioplasty, CUI or Mentor and
do not also have an implant from Bristol, Baxter, 3M or Dow Corning may submit
a disease claim and receive up to 40% of the disease grid. (Section 6.04). It
is a capped non-reversionary fund of $57.5 million NPV. All disease claims
under this program must be submitted on or before two years after the
Effective Date. Claimants who do not elect or qualify for the disease option
may receive an Expedited Release Payment. Claimants who have only Bristol or
Baxter silicone breast implants may apply as well, but they are required to
"Marshal" their recoveries (i.e., first obtain all compensation available to
them from the manufacturer of their implants). Their recovery will be reduced
on a dollar-for-dollar basis. All excess money in the fund, after payment of
disease and Expedited Release payments, will be made on a pro rata basis to
all eligible Silicone Material Claimants. Silicone Material Claimants will not
be paid until all disease and expedited release claims under this fund have
been evaluated. Since claims may be submitted for two years, claims from this
fund will not be paid until at least beginning the 3rd year of the Plan.
10.Foreign Claimants. The foreign claims that have not already settled with
Dow Corning will be offered the same settlement options as domestic claimants
(explanation, rupture, and disease or expedited release) but will be paid on a
"Pfizer" grid of 60% or 35% of the value of domestic claimants, depending on
their country of citizenship. (Section 6.05). In addition, the Claims Office
is authorized to establish a separate claims facility in Europe and one in
South America to allow claims to be processed in languages other than an
English.
11.Proof of Manufacturer. . Schedule I lists the brand and implant names
acceptable for Dow Corning breast implants and the proof required. The proof
is verbatim, from the RSP with some additional criteria specific to Dow
Corning, such as participation in the Dow Corning Breast Implant Removal
Assistance Program. The proof also lists a set of unique identifiers, adopted
largely wholesale from Dr. Middleton, which should make it easier for
claimants to have their proof accepted by the Claims Office. Proof of
manufacturer is essential to recovering any benefits under the Plan.
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