WCPanelIQ
PanelDismissed

Sample, Nelson

NELSON SAMPLE, DEC’D., Applicant vs. AUTOMOBILE CLUB OF SOUTHERN CALIFORNIA; OLD REPUBLIC INSURANCE COMPANY, Administered by CCMSI, Defendants

ADJ number
ADJ12139553
Decision date
Dec 17, 2024
District office
Van Nuys
WCJ
—
Claim administrator
CCMSI (administering Old Republic Insurance Company)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER

Summary

Applicant Nelson Sample is deceased, and Brenda Morales appears as the dependent applicant in this matter against the Automobile Club of Southern California, insured by Old Republic Insurance Company and administered by CCMSI. A Petition for Reconsideration had been filed challenging a decision issued November 26, 2024. The petitioner subsequently withdrew the Petition for Reconsideration. Because the petition was withdrawn, the WCAB dismissed it.

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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