So it turns out that I have been living under a rock the past week and did not hear about the Walmart vs. Shank story until yesterday when Walmart reversed its position. For those of you who have been living under a rock as well, here is a recap:
Ms. Shank signed up for Walmart’s health plan which contains a clause that states that Walmart may recoup money from an employee for medical expenses if said employee collects damages from an injury suit.
Ms. Shank was enrolled in Walmart’s health plan for about 3 months when she was in a car accident that put her in a wheelchair and caused brain damage which took most of her short term memory.
Walmart paid about $470,000 for her health care.
The Shank family sued the trucking company responsible for her accident and received a $1 million settlement.
Walmart then sued the Shank family to recover their costs for her health care. They just decided yesterday to reverse their position.
Now I know that all of the blogs and comments on various news stories are ripping on Walmart for wanting the money. Everyone seems to be considering the age old question of who needs it more… a disabled woman, or a company with a net profit of around $11 billion. My background in philosophy and my own moral beliefs tell me that the woman obviously wins. But there is so much more to consider here…
Last year Walmart paid $5 BILLION to cover their US health care costs. They provide health insurance policies for full time workers after six months and part time workers after 12 months. I hate to argue this point, but I would guess that the majority of these employees were previously uninsured and are now even able to provide health insurance for their children and spouses.
I hate to stereotype, but there is this American mentality that health insurance should be covered and paid for by employers… and this lack of social responsibility concerning how much YOUR health care REALLY COSTS. Yes I believe that our country will remain better off the less that the government is involved in our health care, and that employers should continue to be offered tax breaks and rewards for providing employees with insurance coverage. However, I also believe that everyone should get more involved in staying healthly, researching their health insurance costs, and paying more out of their own pocket for health care… cause unfortunately when it doesn’t hit YOUR POCKETBOOK, you don’t seem to care how much it costs.
Now I am not saying that Walmart should be entitled to receive all of the money back for Ms. Shanks health care. However I think that we need to consider more about what it means for a company (in our capitalist society) to pay $470,000 dollars for a worker who will never work for that company ever again. As much as we want to make Walmart out to be the big bad wolf, I imagine that situations like this, and the fact their health insurance premiums are increasing anywhere from 8-15% every year (if not more), make them reconsider how their health insurance policies are offered.
So is your company entitled to part of your health or disability settlement??? I would have to argue that in some ways yes they are. If nothing else they are entitled to a big fat thank you letter from you and your family. Even though the Shank family has a long road ahead of them, they should be thankful that at least part of it has been paved by a company that offered their family a health plan and paid $470,000 of Ms. Shanks health care costs.
Walmart made the right choice in reversing their decision to take money from the Shank’s settlement, situations like this need to be considered separately within their policy due to the terrible circumstances surround this case.
However, Walmart has to set a precedent, and I think they did exactly that. They maintained that they’re entitled to the money, but allowed the Shank family to keep the settlement.
I regret that this precedent had to be set in such terrible circumstance, however I applaud Walmart for the decisions that were made.




I followed this news carefully as it unfolded. It’s a heartbreaking story. Your analysis seems to cover most of the important points. I had two thoughts:
1) Does Walmart itself not take out insurance policies against these kind of massive expenses or already factor in the expected costs of accidents and care? Walmart must consider that at least some employees will have such dramatic expenses associated with their health care plan and budget accordingly. Considering they can predict the number and amount of these kinds of random accidents, it should not come as a surprise or a burden when an unfortunate incident happens to a company with 2 million employees.
2) Did Walmart share in the burden of attorney’s fees associated with the lawsuit? How can a provider’s agreement state that they should recoup losses from settlements without participating in the litigation process?
The insurance policies (and premium costs thereof) given to employees (and the companies that insure their employers) already factor in these outlier cases. The health plan subscribers pay for just that: insurance against random incidents, no matter how expensive they may be. The amount they already pay in premiums has factored in the chances that they might cost $500,000+ at any given time. So isn’t it only fair that they receive the care they paid for and keep the settlement paid out for their suffering?
George,
Thanks for your comment.
Walmart, with its large number of employees and 5 billion in healthcare expenses, is self-insured. Very simply explained, the company “sets aside” a certain amount of money to cover healthcare expenses. This expense is calculated using actuarial and insurance information. Because this risk is calculable, they can be self insured for a certain amount and then supplement above and beyond this amount with a third party.
Considering this, Walmart does not technically have a third party paying their claims like you see with typical insurance. This is money that is set aside off of their bottom line to cover healthcare expenses. Therefore, when an employee has “catastrophic” healthcare expenses and files a lawsuit trying to receive money for damages, Walmart expects to receive some of that money back. Then they are able to place this money back into the pool for healthcare expense coverage, for continuing employees, the following year.
Addressing question #2 - Walmart did not share in the attorney fees. The suit was taken on by the Shank family alone. The clause in the Walmart benefits plan states (something to the effect of) an employee must repay health expenses if the individual files a lawsuit and receives money. I believe to some extent that this clause was poorly thought out. I think that cases should be reviewed on an individual basis, and per review that the money should be set up in a fund for the family (rather than given back to the company) if further medical care is needed.
It was initially hard for me to put such a large corporation into perspective, in terms of them wanting the money back from an injured/sick employee (especially when they are
second behind Microsoft for charitable contributions).
But the more I consider the situation, the more it seems like common sense. “My employer paid for my large healthcare expenses in a time of need. So by giving them the money back from the care they paid for, they are able to continue to provide other workers care from the same pool of cash, already grows every year due to continued obesity, other chronic diseases and rising healthcare costs.”
Maybe thats my philosophy major coming out - Utilitarianism- consider what will bring the greatest good for the greatest number of people.