WCPanelIQ
PanelGranted

Moss, Earl

EARL MOSS, Applicant vs. KAISER FOUNDATION HEALTH PLAN, Defendant

ADJ number
ADJ4668467
Decision date
Jun 10, 2024
District office
Oakland
WCJ
James Griffin
Claim administrator
Kaiser Foundation Health Plan
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER
LC §5311CCR §10960CCR §10940CCR §10841

Summary

Defendant Kaiser Foundation Health Plan petitioned to disqualify WCJ James Griffin under Labor Code section 5311 and WCAB Rule 10960, alleging the appearance of bias after the I&A Officer presented WCJ Griffin with applicant's revised draft pre-trial conference statement (PTCS) before that document had been served on defendant. The Board found no actual ex parte contact between the WCJ and the applicant, and recognized that I&A personnel may consult with a WCJ on limited procedural matters. However, because the I&A Officer provided the WCJ with applicant's revised PTCS—a document not previously served on defendant—the Board concluded a reasonable person with knowledge of the facts could entertain doubts about the WCJ's impartiality. Applying the objective standard from Robbins v. Sharp Healthcare, the Board granted the Petition for Disqualification and returned the matter to the Presiding WCJ for reassignment to a judge other than James Griffin.

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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