Nurse Sues Elevance Health for Disability Discrimination

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Fired for Pain: Veteran Nurse Sues Elevance Health

Priscilla Kamoi dedicated 17 years of her life to caring for patients within a massive healthcare conglomerate. As a licensed Registered Nurse at Anthem Blue Cross and Elevance Health, she demonstrated exemplary performance. She earned regular salary increases, annual bonuses, and consistently strong evaluations. She was a loyal, high-performing employee doing vital work.

Then, she became the patient.

Diagnosed with a debilitating and excruciating nerve condition, Kamoi suddenly found herself needing the very compassion and care she had spent nearly two decades providing to others. Instead of supporting a veteran employee, her employer responded with rigid quotas, disciplinary action, and ultimately, termination.

This stark juxtaposition between a health insurance company’s public mission and its internal treatment of a disabled worker sits at the heart of a major lawsuit filed in Los Angeles County Superior Court. Represented by Helmer Friedman LLP and The Carr Law Group, Kamoi is holding Elevance Health accountable for disability discrimination, retaliation, and wrongful termination.

Understanding the Agony of Trigeminal Neuralgia

In late 2018, Kamoi developed severe trigeminal neuralgia. Often described by medical professionals as one of the most painful conditions known to humanity, it causes excruciating, electric-shock-like pain that radiates through the head and face.

For Kamoi, the attacks were sudden and unbearable. The condition made basic human functions—speaking, chewing, swallowing, and sleeping—incredibly difficult. She experienced numbness on the left side of her face and a progressive loss of hearing. Furthermore, the strong medications prescribed to manage the nerve pain carried heavy side effects, including severe fatigue, dizziness, and a slowness in thought processing.

The pain episodes completely derailed her daily routine. In a January 2023 email to her supervisors, Kamoi attached photographs of her face during a severe shock attack. She explained that the pain was so intense she could not manage to eat dinner until after 11:00 p.m., when the episode finally subsided.

A Shift in Corporate Culture

Despite her agonizing diagnosis, Kamoi returned from medical leave in 2019 ready to work. As a salaried Discharge Planner, she had the flexibility to take the time she needed to manage her symptoms while still performing her duties to an exceptional standard.

The corporate environment shifted drastically in mid-2022. Management announced that nurses would be transitioned to concurrent utilization review duties. This new role was far more complex, requiring nurses to review a patient’s vital signs, lab results, imaging, and overall treatment to determine the medical necessity of continued hospital stays.

More importantly, supervisor Monica Gagnon imposed strict new productivity standards. Nurses were now required to process 1.5 complex cases per hour and finish all work strictly within an 8-hour shift.

Knowing her medical condition and medication slowed her processing time, Kamoi proactively requested a reasonable accommodation. She asked to remain in her role as a Discharge Planner—a position she had mastered for years. Elevance Health management denied her request, forcing her into the highly regimented utilization review role.

A Timeline of Hostility and Denied Accommodations

What followed was a nearly three-year cycle of corporate hostility. Elevance Health continually penalized Kamoi for failing to meet aggressive hourly quotas, despite knowing her disability made those speeds impossible.

When Kamoi protested to her supervisor, Celia Zarate, that her medical condition prevented her from moving fast enough to meet the new targets, Zarate offered a callous response: “Then get another job.”

The pressure continued to mount. Kamoi received formal warnings for taking too much time to complete her work and for working unauthorized overtime to finish her cases. On May 16, 2024, Kamoi submitted a formal request for reasonable accommodations signed by her physician. The doctor explicitly stated that Kamoi could maintain her high-quality work but required breaks to recover from pain attacks and additional time to complete assignments.

Within two weeks, Elevance Health denied the medical request.

Analyzing the Legal Claims

The California Fair Employment and Housing Act (FEHA) provides strict protections for workers facing medical challenges. Employers are legally obligated to engage in a timely, good-faith interactive process to find effective accommodations for employees with known disabilities.

Kamoi’s complaint outlines clear violations of these fundamental rights. By denying flexible scheduling, refusing to adjust arbitrary productivity quotas, and punishing her for the physical limitations caused by her illness, the company failed in its legal duties.

Gregory Helmer of Helmer Friedman LLP emphasizes the core legal standard at play. “The law is clear: an employer cannot penalize a disabled employee for being disabled, nor can it refuse to provide simple accommodations—like a little extra time—and then use the employee’s resulting ‘performance deficiency’ as a pretext for dismissal. That is precisely what the law against disability discrimination seeks to prevent.”

Furthermore, the lawsuit alleges severe retaliation. Under the California Labor Code and FEHA, employers cannot punish workers for requesting accommodations or reporting discriminatory behavior.

The Escalating Pattern of Retaliation

Kamoi filed complaints with the California Civil Rights Department in August and December 2024, detailing the company’s failure to accommodate her disability. Elevance Health’s response was swift and punitive.

In January 2025, management increased the productivity quotas again, demanding 2.5 cases per hour. Kamoi was subjected to verbal reprimands and targeted scrutiny. While her peers were evaluated on a standard monthly basis, Kamoi’s supervisor, Sharon Johnson, placed her under stringent weekly monitoring.

The harassment culminated on May 22, 2025. After badgering Kamoi over minor, split-second discrepancies in her timekeeping, Johnson summoned her to an abrupt telephone meeting. After 17 years of dedicated service to the company, Kamoi was fired immediately and told she was ineligible for rehire.

Broader Implications for Healthcare Workers

This case highlights a disturbing trend within corporate medicine. Healthcare workers are expected to operate with deep empathy and boundless endurance, yet they frequently face rigid, profit-driven metrics imposed by their employers.

James Carr of The Carr Law Group notes the underlying hypocrisy of the situation. “There is a cruel irony in a major health insurance company—one that profits from the healthcare system—showing such little regard for the health and dignity of a nurse who has dedicated 17 years to caring for its members.”

Employees facing major medical hurdles deserve a supportive environment, not a relentless campaign of disciplinary action designed to push them out the door. The law mandates that human dignity must take precedence over arbitrary hourly quotas.

Demanding Justice and Corporate Accountability

Priscilla Kamoi’s lawsuit against Elevance Health, Inc. (Case No. 26STCV08319) is a powerful step toward holding major corporations accountable for disability discrimination. No worker should be forced to choose between managing a debilitating illness and keeping their livelihood.

If you or a loved one has suffered from workplace discrimination, denied medical accommodations, or wrongful termination, you do not have to fight these battles alone. The legal team at Helmer Friedman LLP has over 20 years of experience advocating for justice and securing high-profile victories against massive corporations.

We offer free, confidential consultations to help you understand your legal rights and explore your options. Reach out today to partner with proven advocates who will fight tirelessly to protect your career and your dignity.

ESU’s $5.1M Religious Discrimination Verdict Explained

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$5.1M Verdict: ESU’s Costly Religious Discrimination Failure

A Kansas jury has sent a clear message to public universities: failing to protect employees’ religious rights carries serious consequences. On January 21, 2026, a Lyon County jury awarded Dr. Dusti Howell $5,181,344.55 in damages against Emporia State University—one of the most significant religious discrimination verdicts in Kansas history. For educational institutions, HR departments, and anyone navigating workplace religious discrimination, this case is a defining legal moment.

A 20-Year Career Derailed by a Week-Long Church Conference

“They just made his life miserable because of his religious practice.” Attorney Linus BakerDr. Howell was no newcomer to Emporia State. He had served as a tenured professor in Instructional Design and Technology for over two decades. His family are members of a non-denominational church that observes what are traditionally considered Jewish holidays—including the Feast of Tabernacles. For 23 years, the university accommodated this practice without issue.

That changed in 2020 when Howell returned from the week-long Feast of Tabernacles to a meeting with Dean Joan Brewer and interim IDT department chair Jim Persinger. He was told that future religious absences would require eight weeks of pre-approved notice from HR, the dean, and his chair. Attendance at a tech conference? No approval needed. A one-week church observance he had attended since the age of six? Approval required—and not guaranteed.

Hostile Work Environment

What followed, according to the lawsuit, was a calculated campaign to push Howell out. Dean Brewer issued a disciplinary letter riddled with factual errors: claiming Howell had been absent for “weeks” when it was one week, inflating a single-day absence to a week, and citing policy violations from a policy that didn’t actually exist in writing. Howell was excluded from email chains, disciplined for missing meetings he wasn’t told about, and eventually demoted to teaching only freshman courses—after years of teaching exclusively at the graduate level. He ultimately resigned, believing termination was imminent.

His attorney, Linus Baker, described it plainly: “They just made his life miserable because of his religious practice.”

No Written Policy—A Critical Legal Failure

At the heart of this case is a policy gap that proved catastrophic for the university. Emporia State had no written policy accommodating religious observances—despite a 2016 faculty senate proposal specifically designed to create one. That proposal never passed. Worse, court filings indicate the university had developed a pattern of denying religious accommodation requests from students as well.

This absence of policy wasn’t just an administrative oversight. Under Title VII of the Civil Rights Act, the Kansas Act Against Discrimination, and the Kansas Preservation of Religious Freedom Act, employers—including public universities—are required to reasonably accommodate employees’ sincerely held religious beliefs unless doing so would impose an undue hardship. The U.S. Supreme Court reinforced this in its 2023 Groff v. DeJoy ruling, which held that employers must demonstrate concrete undue hardship before denying a religious accommodation—not simply assert inconvenience.

Emporia State couldn’t meet that standard. The accommodation Howell requested had been granted without incident for more than two decades. The university’s own track record undermined any hardship argument entirely.

California Laws Protecting Employees from Religious Discrimination

California provides some of the strongest protections in the nation against workplace discrimination, including religious discrimination. Under the California Fair Employment and Housing Act (FEHA), employers are required to reasonably accommodate an employee’s religious beliefs or practices unless doing so would result in an “undue hardship” that is significantly more than minimal inconvenience—a higher standard than federal law. This includes allowing time off for religious observances, accommodating dress and grooming requirements associated with religion, and providing space for prayer or worship when feasible.

Unlike Kansas, where the Groff v. DeJoy ruling emphasizes federal protections, California law enforces an even stricter interpretation of undue hardship, often leaning in favor of employees. When comparing FEHA to Kansas law, FEHA allows broader claims and provides stronger legal recourse to employees. The process for proving undue hardship in Kansas, as illustrated in the Howell case, aligns with federal law after Groff but lacks the expansive protections and enforcement mechanisms that California offers. For example, FEHA applies to employers with five or more employees, while Title VII only applies to employers with 15 or more, further ensuring inclusivity in California’s workplace protections.

This disparity highlights the variability in state-level protections and underscores the importance of legal advocacy in navigating these nuances. California’s framework demonstrates a robust commitment to balancing employee rights and business needs, ensuring workplace fairness for individuals of all religious backgrounds.

The Jury’s Verdict: $2.1M in Compensatory, $3M in Punitive Damages

The jury found Emporia State, Dean Brewer, and Jim Persinger liable and awarded Howell $2.1 million in compensatory damages—representing the wages and career earnings lost due to his forced resignation—and $3 million in punitive damages, signaling deliberate misconduct rather than a mere policy misunderstanding. Additional attorney’s fees and damages are expected to increase the total further. An appeal is reported to be likely.

What Educational Institutions Must Take Away

This verdict carries clear lessons for universities and colleges across the country:

  • Written religious accommodation policies are non-negotiable. The absence of a formal policy left ESU legally exposed and created the conditions for discriminatory conduct to go unchecked.
  • Consistency matters. Applying stricter standards to religious absences than to professional ones—like conference travel—is precisely the kind of disparity that Title VII is designed to prevent.
  • Constructive discharge is a legal liability. Creating a hostile work environment that effectively forces an employee to resign carries the same legal weight as wrongful termination.
  • Post-Groff, the burden falls on employers. Universities must be prepared to demonstrate genuine, substantial hardship—not just inconvenience—before denying any religious accommodation request.

Religious Discrimination Has No Place in the Workplace

Dr. Howell’s case is a stark reminder that workplace religious discrimination—whether overt or disguised as policy enforcement—can devastate careers and cost institutions millions. No employee should face discipline for observing their faith, particularly when that accommodation had been honored for years.

If you or someone you know has experienced religious discrimination, retaliation, or a hostile work environment, speaking with an experienced employment attorney is a critical first step. Contact Helmer Friedman LLP for a confidential consultation.

Wrongful Termination Dressed Up as Standard HR Practice

Shocked by Wrongful Termination, Helmer Friedman LLP.

Your Rights as a Disabled Employee: What the Law Requires

Every year, thousands of workers with disabilities are quietly pushed out of their jobs—not through outright hostility, but through policies that appear neutral on the surface while stripping away federally protected rights against wrongful termination and disability discrimination. Understanding what the law demands of your employer is the first step to protecting yourself.

Under both federal and California law, employees with disabilities have robust legal protections. The Americans with Disabilities Act (ADA) prohibits discrimination against qualified individuals with disabilities in hiring, firing, advancement, compensation, and other terms of employment. In California, the Fair Employment and Housing Act (FEHA) provides even broader protections, covering employers with five or more employees and applying strict standards to the accommodation process. Together, these laws form a powerful framework—one that employers routinely underestimate, often at significant financial cost.

Who Qualifies as a “Qualified Individual” Under the ADA?

Not every medical condition triggers ADA protections, but the law’s reach is broader than many employees realize. Under the ADA, a person is considered disabled if they have a physical or mental impairment that substantially limits one or more major life activities, have a record of such impairment, or are regarded by their employer as having such an impairment.

A “qualified individual” is someone who can perform the essential functions of a job—with or without reasonable accommodation. This distinction matters enormously. An employer cannot lawfully refuse to hire or retain someone simply because they have a disability, so long as the employee can fulfill the core duties of the role, either independently or with appropriate support.

Major life activities covered by the ADA include walking, lifting, sleeping, working, thinking, and communicating, among others. Courts have made clear that even temporary impairments can qualify—and that being cleared to return to work does not automatically mean an employee is no longer disabled.

What Are “Reasonable Accommodations”?

A reasonable accommodation is any modification or adjustment that allows a qualified individual with a disability to perform their job. Both the ADA and FEHA impose a legal duty on employers to explore and provide these accommodations—unless doing so would constitute an “undue hardship.”

Reasonable accommodations can include:

  • Medical leave for treatment or recovery
  • Job restructuring or modified schedules
  • Reassignment to a vacant position
  • Relocation of the work area
  • Modification of equipment or devices

The “undue hardship” exception is narrower than many employers claim. It requires proof of significant difficulty or expense, taking into account the employer’s size, financial resources, and operational structure. It is not a blanket excuse to avoid the interactive process.

Critically, when an employee requests an accommodation, the law requires employers to engage in a good-faith interactive process—a dialogue aimed at identifying effective solutions. Refusing to participate in that process is itself a violation.

Case Study: EEOC v. Geisinger Health — When “Most Qualified” Becomes Wrongful Termination

The case of EEOC v. Geisinger Health serves as a poignant reminder of the potential pitfalls associated with seemingly neutral workplace policies. At the heart of this story is Rosemary Casterline, a dedicated registered nurse at Geisinger Wyoming Valley Medical Center who devoted 30 years to her profession. After undergoing shoulder replacement surgery in October 2018 due to a rotator cuff injury, she faced unexpected challenges during her recovery. Fortunately, she received medical clearance to return to work in January 2019.

What happened next was a textbook example of ADA violations dressed up as standard HR practice. Rather than returning Casterline to her position, Geisinger posted the position as vacant and informed her that she would need to reapply and compete for her role. When she attempted to apply, the posting had already been removed. The hospital then gave her a hard deadline—obtain a new position by March 28, 2019, or be fired. She applied for numerous roles and was rejected from each. Geisinger terminated her employment on March 28 for failing to secure another position.

“Disability discrimination has no place in the workplace,” said Debra Lawrence, regional attorney for EEOC’s Philadelphia District Office. “Federal law prohibits employers from retaliating against or interfering with employees’ rights secured under the Americans with Disabilities Act, including when they seek a reasonable accommodation.”

Despite Casterline’s diligent efforts to apply for various roles, she faced rejection at every turn. Ultimately, Geisinger terminated her employment on March 28, citing her inability to find a new position.

In response, the EEOC stepped in, arguing that Geisinger’s “most qualified applicant” policy—mandating that employees returning from non-FMLA medical leave compete for reassignments—violated her rights under the ADA. The EEOC noted in its Letter of Determination that there was no substantial evidence indicating that it would have been an undue hardship for Geisinger to accommodate Casterline by holding her position open for her.

The court upheld the EEOC’s claims, finding sufficient grounds to believe that Geisinger interfered with employees’ efforts to exercise their ADA rights. This case emphasizes the critical importance of adopting compassionate policies that support individuals who are navigating health challenges. It serves as a reminder that practices requiring disabled employees on leave to compete for their own positions can lead to significant hardships and may attract scrutiny from the EEOC.

Case Study: Western Distributing’s $919,000 Settlement

The space where the Family and Medical Leave Act (FMLA) and the ADA meet is a complex legal landscape, one where employees are frequently and unjustly failed. These laws are not just regulations; they are lifelines. The FMLA offers up to twelve weeks of unpaid, job-protected leave, promising that an employee can return to their original or an equivalent role. The ADA builds on this, requiring employers to provide reasonable accommodations.

For Clinton Kallenbach, a long-serving driver at Western Distributing Company, these weren’t abstract legal concepts—they were promises of stability during a health crisis. After taking FMLA leave, he was cleared by his doctor to return to work, ready to get back behind the wheel. But Western Distributing refused to accept it. Instead of welcoming him back, they created a maze of demands for second opinions and further evaluations. It was a heart-wrenching series of delays that felt less like due diligence and more like a deliberate effort to push him out.

The courts saw through the charade, recognizing the company’s actions as a violation of both the ADA and the FMLA. Western Distributing was ordered to pay $919,000 to settle the disability discrimination lawsuit—a sum that reflects the profound harm inflicted on Kallenbach and the company’s blatant disregard for his rights.

His story is a painful reminder of what happens when the return-to-work process is weaponized. For an employee recovering from a medical condition, the path back to work should be one of support, not suspicion. Employers who use this vulnerable moment as an excuse for termination are not only breaking the law but also breaking faith with the people who depend on them, exposing themselves to severe legal and financial consequences.

In this case, the EEOC was represented in-house by trial attorneys Karl Tetzlaff, Michael LaGarde, Lauren Duke, Jeff Lee, and Assistant Regional Attorneys Rita Byrnes Kittle and Laurie Jaeckel.

What Employers Cannot Do: Prohibited Actions Under the ADA and FEHA

Beyond the duty to accommodate, both the ADA and FEHA impose specific prohibitions that employers frequently overlook or deliberately ignore.

Illegal Medical Inquiries: During the interview process, employers may not ask applicants about the existence, nature, or severity of a disability. Questions must be limited to whether the applicant can perform specific job functions. Under FEHA, employers are also prohibited from inquiring about prior Workers’ Compensation claims. Post-offer medical examinations are permissible only when required of all employees in similar roles and treated as confidential records.

The “Future Harm” Excuse: An employer cannot refuse to hire or retain a disabled employee on the basis that the person might pose a future risk to themselves or others. California law is explicit: the possibility of future harm is not a legally acceptable reason for discrimination. Each individual must be evaluated based on their current, actual condition—not hypothetical risk.

Retaliation: It is unlawful for an employer to retaliate against an employee for requesting an accommodation, filing a discrimination charge, or participating in any investigation or proceeding under the ADA. Requesting an accommodation is a protected activity. So is seeking additional medical leave. Employers who respond to these requests with adverse employment actions—demotion, termination, reassignment to inferior positions—face serious legal exposure.

Blanket Exclusion Policies: Any employment policy that automatically excludes entire groups based on a medical condition is generally unlawful. Individuals must be assessed on their specific condition and its actual effect on job performance—not on generalizations about their diagnosis.

Navigating a Complex Legal Framework

Disability rights law is not simple. It requires understanding the interaction between federal and state statutes, the procedural requirements of filing charges with the EEOC or the California Civil Rights Department, and the factual nuances that determine whether an employer’s conduct crosses the legal line.

The cases of Rosemary Casterline and Clinton Kallenbach demonstrate that even experienced employers with legal teams and established HR policies can—and do—violate the law. Their stories also demonstrate something else: that workers who know their rights and pursue them, with the right legal support, can achieve justice.

Protect Your Rights Before It’s Too Late

If you have been denied a reasonable accommodation, forced to compete for your own job after medical leave, subjected to illegal medical inquiries, or terminated after returning from a disability-related absence, the law may be on your side.

The attorneys at Helmer Friedman LLP have spent more than two decades representing employees in complex discrimination and wrongful termination cases. With a proven track record of significant settlements and court victories, the firm provides personalized, confidential advocacy for clients navigating the most challenging workplace situations.

Contact Helmer Friedman LLP today for a free, confidential consultation. Your rights matter—and so does the outcome of your case.