WCPanelIQ
PanelLienGranted

Miller, Harvey

HARVEY MILLER, Applicant vs. PACIFIC BELL TELEPHONE COMPANY; OLD REPUBLIC INS. CO., adjusted by SEDGWICK, Defendants

ADJ number
ADJ12745529
Decision date
Oct 27, 2024
District office
Redding
WCJ
—
Claim administrator
Sedgwick (adjusting for Old Republic Ins. Co.)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: right knee, left hip, lumbar spine

LC §4909LC §5313LC §5903LC §5952LC §5311LC §5909LC §5900LC §4903.1LC §4906LC §5901CCR §10600CCR §10960

Summary

Applicant Harvey Miller, a lineman who sustained industrial injuries to his right knee, left hip, and lumbar spine on February 28, 2019, sought reconsideration of a July 30, 2024 Findings and Order awarding defendant an $8,075.28 credit for an alleged ERISA short-term disability plan overpayment, applied against his 2% permanent disability and future medical treatment. The WCAB granted reconsideration and rescinded the F&O, finding the credit award procedurally and substantively defective: no award of permanent disability, future medical, or attorney's fees actually issued, so there was nothing to which a credit could attach, and the medical record was absent. Critically, the Board found that applicant raised a colorable argument of ERISA preemption—a jurisdictional issue the WCJ failed to address. The Board also dismissed applicant's petition to disqualify the WCJ as skeletal and unsupported by any factual basis. The matter was returned to the trial level for further proceedings, including analysis of whether the credit is preempted by federal ERISA law.

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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