WCPanelIQ
PanelDismissed

Besana, Sveva Margherita

SVEVA MARGHERITA BESANA, Applicant vs. YP HOLDINGS LLC; AMERICAN ZURICH INSURANCE; AIG CLAIMS/THIRD PARTY ADMINISTRATOR, Defendants

ADJ number
ADJ13873540
Decision date
Nov 29, 2023
District office
Los Angeles
WCJ
—
Claim administrator
AIG Claims/Third Party Administrator; Gallagher Bassett AIG West
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: nervous system, psyche (stress/psych)

LC §5803LC §5814CCR §10700CCR §10803

Summary

Applicant Sveva Margherita Besana, acting in pro per, sought reconsideration of an Order Approving Compromise and Release (OACR) issued by the WCJ on September 21, 2023, on the ground that the OACR was procured by fraud. The C&R settled a claimed cumulative psychiatric/nervous system injury for $35,000, and applicant argued it should be augmented by a $10,000 penalty under Labor Code section 5814 for a late payment. The WCJ approved the C&R without holding a hearing. The WCAB found that because no hearing was held and no complete record was created assessing the parties' understanding of the agreement, the Petition was premature. The Board dismissed the Petition and returned the matter to the trial level with a recommendation that the WCJ treat the Petition as one to set aside the OACR and conduct a hearing.

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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