WCPanelIQ
PanelGranted

Concepcion, Jean

JEAN CONCEPCION, Applicant vs. NORWALK INTERCOM HEALTHCARE; ZURICH NORTH AMERICA INSURANCE, administered by GALLAGHER BASSETT SERVICES, Defendants

ADJ number
ADJ18125440
Decision date
Nov 3, 2024
District office
Anaheim
WCJ
—
Claim administrator
Gallagher Bassett Services for Zurich North America Insurance
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: neck, back, psyche, sleep, internal, left knee, bilateral shoulders, head, other body systems

LC §3600LC §3208.3LC §5405LC §5401LC §5500LC §5400LC §5411LC §4600LC §4650LC §5909LC §5900CCR §10450CCR §10600

Summary

Applicant Jean Concepcion, a marketing director for Norwalk Intercom Healthcare, claimed an August 4, 2022 injury from a motor vehicle accident while allegedly delivering donuts to a client. The WCJ found the claim barred by the going and coming rule, the post-termination defense under section 3600(a)(10), and the six-month psyche bar under section 3208.3(d). The Appeals Board granted reconsideration, rescinded the F&O, and substituted a new F&O finding the claim was not barred by any of these defenses. The Board reasoned that applicant was performing a service incidental to his employment (or at minimum a minor deviation), that defendant failed to prove the statute of limitations bar because it produced no evidence of providing a claim form, and that defendant failed to produce evidence of termination or applicant's length of employment.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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