WCPanelIQ
PanelGranted

Garcia, Andres

ANDRES GARCIA, Applicant vs. DIAMOND STAFFING SERVICES, INC.; NATIONAL RETAIL TRANSPORTATION; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION For LUMBERMEN’S UNDERWRITING ALLIANCE, In Liquidation; THE HARTFORD COMPANY, Administered by TRISTAR RISK MANAGEMENT, Defendants

ADJ number
ADJ9017829
Decision date
Feb 25, 2024
District office
Los Angeles
WCJ
—
Claim administrator
TRISTAR Risk Management (administering for The Hartford Company); California Insurance Guarantee Association (CIGA) for Lumbermen's Underwriting Alliance, in Liquidation
Commissioners
—

Injury / body parts: lumbar spine, cervical spine, bilateral knees

LC §5275

Summary

Applicant Andres Garcia sustained industrial injury to his lumbar spine, cervical spine, and bilateral knees on June 16, 2013 while working as a forklift operator placed by Diamond Staffing Services at the NRT job site. After Garcia settled with Diamond's insurer Lumbermen's (now in liquidation, handled by CIGA) via a $45,000 C&R, CIGA joined NRT and its insurer The Hartford, asserting Garcia was a special employee of NRT, making The Hartford 'other insurance' under Insurance Code section 1063.1(c)(9)(A) and the claim non-covered by CIGA. The WCJ found Garcia was not an employee of NRT, but the Board granted reconsideration and rescinded that finding. Applying Kowalski and progeny, the Board held that NRT had the paramount right of control over Garcia's work and found a special employment relationship existed. The Board substituted a finding that Garcia was a special employee of NRT and deferred all other issues, noting any coverage dispute regarding The Hartford's policy is subject to mandatory arbitration under Labor Code section 5275(a)(1).

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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