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|This web page contains the "gag" clause of the Kaiser Permanente Retirement Plan for Physicians Serving Members of Kaiser Foundation Health Plan contract.
An explanation of what this document is about is directly below.
Above each of these three pages of documents is a transcription of the
photocopies so you can copy and paste the material into e-mails or
reports. This
document was obtained from a current physician source within The
Permanente. It is now
very clear that current and former Permanente Physicians have no
business being in government positions, especially within regulatory
agencies where patients can be abused by the former employees of Kaiser
and the Permanente. Their refusal to enforce either regulation or
law or to find factual wrong doing is a direct result of this "gag"
clause. If these doctors and other Permanente employees find
any
wrong doing by Kaiser or the Permanente they will face very expensive
to fight legal
retaliation.
It
is very unlikely that the "gag" clause that is in this document is
legal and that any court of law would actually find for Kaiser.
That is evident in the last document on this page: Item - I-5 Aids to Construction.
However, Kaiser has and does continue to enforce it in civil court against any
employee bound by this contract. Permanente physicians have
explained that this part of the contract is not generally presented to
the physician until they have been working for them at least a couple
of years. By that time either a physician will either not pay
attention to the additional paperwork and will just file it away or in
the event that the physician would attempt to improve the system and
wish to make it a safer place for the patient this contract section is
brought out to intimidate. Then the physician will be informed
that he is a part of all wrongdoing that he has witnessed and because
he has waited so long to complain that the authorities will hold him
responsible as well as any other wrongdoer that may be caught.
If
the physician persists they enforce Article G-1 - G-6 of the contract.
This costs a great deal of money for the physician to fight;
consequently most just give up and keep quiet.
While eventually
a court will most likely, and generally does rule in favor of the
employee that the Kaiser and/or Permanente have taken action against,
fighting it in court is very expensive. Several physicians have
done the right thing and have gone to the authorities. They have
been retaliated against by Kaiser and the Permanente and one of the
ways is through this contract.
The
above applies to current and former
employees bound by this contract that go to work for any government
agency. This also includes positions representing the government
in an advisory capacity while still being employed by Kaiser or the
Permanente. If they find wrong doing they lose a lot of money.
Now
you know the reason that no matter what evidence is presented to CMS,
DMHC, Medical Boards, CDC, FDA, etc., little if any wrong doing is ever
found
against Kaiser. Now you know a big reason why investigations are
diluted, no wrong doing is found or the public is repeatedly advised
that more evidence is always needed.
Here
are the documents. There are variations floating around from the
various Permanentes. At their core they all have this section
inserted. May physicians refer to it as the "Till death do they
part" clause. The contents of the documents are transcribed and
placed above the photocopies.
| Kaiser Permanente Retirement Plan for Physicians Serving Members of Kaiser Foundation Health Plan |  | Article G. Disqualification
G-1. Cause for Disqualification.
The Plan does not attempt to require you to perform any
Additional Services or to refrain from any Competitive or Improper
Activity, nor does it attempt to solicit your promise to perform any
Additional Service or to refrain from any Competitive or Improper
Activities. Rather, the Plan makes Health Plan's promise to pay
you a Retirement Income expressly conditional on your performance and
forbearance. In legal parlance, the consideration for Health
Plan's promise to pay you a Retirement Income is in part your loyalty
in providing Medical Services to Health Plan Members, which serves as
the measure of your Retirement Income under the Retirement Income
Formula, in part the Additional Services you perform at Health Plan's
request, and in part the Competitive and Improper Activities which you
continue to avoid. Thus, your interest in the Plan continues and
your effort consistent with your physical condition, to perform to the
best of your ability any Additional Service requested by Health Plan
and so long as you do not engage in any Competitive or Improper
Activity.
G-2. When Disqualification Occurs.
Only the Administrative Committee can determine
Disqualification, but it is the duty of the Administrative Committee to
determine and Invoke the Disqualification of a Participant if and as
soon as it determines that such Participant (i) did not make every
reasonable effort to perform to the best of his or her ability any
Additional Service requested by Health Plan during his or her Service
or Retirement, or (ii) engaged during such period in any material
Competitive Activity without first obtaining the written approval of
Health Plan, or (iii) engaged in any Improper Activity.
G-3. Effect of Disqualification.
Notwithstanding any other provision of the Plan or any inference
that may be drawn from one or more of these provisions , the
Disqualification of a Participant cancels, forfeits and forever
terminates any and every interest and claim of interest the Participant
had in or under the Plan at the time of Disqualification. On and
after Disqualification of a Participant, no Retirement Income or other
payment of any kind is owed to the Participant or his or her Joint
Retirement Income Recipient or Beneficiary or any other person whose
interest or right might otherwise be derived through the Participant,
but any Retirement Income payments made before Disqualification are not
recoverable by Health Plan.
G-4. Additional Services.
At any time during your Service or Retirement, Health Plan may request
you to render any of the Additional Services listed below. You
will be entitled to reimbursement for all expenses necessarily incurred
by you in performing a requested Additional Service. You will
also be entitled to a reasonable payment for performing any requested
Additional Service listed in (a), (b), (c), and (d) below, but not for
the Additional Service described in paragraph (e). The amount of
this payment will take account of the fact that performing Additional
Services is part of the consideration for Health Plan's promise to pay
you a Retirement Income under this Plan. Any of the following are
included within the term Additional Services which Health Plan may
request you to perform:
(a) Consult
with a physician rendering Medical Services to any Member if such
physician has requested Health Plan to provide a consulting physician.
|
 | (b) Study and advise Health Plan in connection with any matter within the scope of Health Plan's activities.
(c)
Serve on a board of review or any panel or group established to
mediate, arbitrate or otherwise advise on or decide any matter in which
Health Plan is interested.
(d) For a period not to
exceed 90 days in any year, render Medical Services at a Medical
Service Center which is away from your home if a serious shortage of
physicians available to render Medical Services occurs at such Medical
Service Center because of war, epidemic or other national calamity.
(e) Serve as a member of the Administrative Committee described in Section I-I
G-5. Competitive Activities. You
will be considered to have engaged in a Competitive Activity if at any
time during your Service or Retirement you perform or engage or assist
anyone in any of the following acts or activities unless you first
obtain the written consent of Health Plan:
(a) Render
professional medical or administrative services to or on behalf of any
other hospital service plan or medical service plan operated on a group
practice prepayment basis within any area served by Health Plan on the
date your Retirement begins.
(b) Make available to any
individual, company, plan or other organization competing with Health
Plan any confidential information regarding Health Plan, a list of
Members, or membership groups, or otherwise assist any such competitor
to solicit any Members.
G-6. Improper Activities. A Participant is subject to Disqualification for an improper Activity if at any time during his or her Service or Retirement:
(a)
The Participant performs any act or engages in any activity, the
principal purpose of which is to damage or discredit Health Plan or
physicians serving Members, or to restrict Health Plan in the
legitimate operation and expansion of the hospital and medical service
plans it now offers or may hereafter offer; or
(b) The
Participant's professional license is revoked by any state for reasons
or under circumstances which tend materially to discredit Health Plan
or physicians serving Members; or
(c) Final judgment is
entered against the Participant in a criminal or civil action based on
gross negligence, willful misconduct or moral turpitude under
circumstances which tend materially to discredit Health Plan or
physicians serving Members.
|  | Article I. Administration
I-1. Establishment of the Administrative Committee. The
Plan is administered by an Administrative Committee of not less than
five individuals, at least 10% of whom are Participants, appointed by
Kaiser Foundation Health Plan, Inc. to serve at its pleasure. The
Administrative Committee acts by resolution adopted by oral vote at a
meeting or by written vote without a meeting, of a majority of its
members, except that every determination under Article G required the
affirmative vote of more than 95% of the Administrative Committee.
The Administrative Committee may appoint subcommittees from among
its members and others with such powers and duties as the
Administrative Committee specifies, except that no subcommittee may
make any determination under Article G.
I-2 Duties of the Administrative Committee.
The Administrative Committee makes such rules, regulations and
Interpretations and maintains or causes to be maintained such records,
including those of Its own proceedings, as may from time to time be
necessary to perform its duties under the Plan in a fair and
nondiscriminatory manner. The Administrative Committee's decision
on any matter within its jurisdiction is final and binding for all Plan
purposes. The Administrative Committee obtains from Health Plan
or other sources such data as it may need from time to time.
I-3 - Compensation and Expenses.
No compensation is paid to any member of the Administrative Committee
for serving as such, but Health Plan pays all travel expenses of
Administrative Committee members and all necessary expenses of the
Administrative Committee, including but not limited to fees of
actuaries, accountants, lawyers and others needed by the Administrative
Committee for their special skills, as well as the direct costs of
performing its duties under the Plan, gathering data and maintaining
records.
I-4. Immunity from Liability. No
member of the Administrative Committee shall incur any liability for
any loss or damage which may result in connection with the execution of
his or her duties or the exercise of his or her discretion, or from any
other action or failure to act hereunder, excepting only liability for
his or her own gross negligence or willful misconduct. Health
Plan shall indemnify each member of the Administrative Committee
against any and all claims, losses, damages and expenses,
including counsel fees, incurred by the Administrative Committee and
any member thereof and any liability, including any amounts paid in
settlement, arising from any action or failure to act, except when the
same is judicially determined to be attributable to the gross
negligence or willful misconduct of such member.
I-5. Aids to Construction. California Law Governs.
All matters affecting the validity and construction of
this Plan are determined in accord with the laws of the State of
California.
Unenforceable Provisions.
If any provision of this Plan is invalid or
unenforceable, the remaining provisions shall nevertheless be carried
into effect to the fullest practical extent.
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