WCPanelIQ
PanelRemanded

Jimenez, Ramon

RAMON JIMENEZ, Applicant vs. VENSURE HR, INC.; LCF LX BUSINESS SERVICES; HARTFORD; GREAT NORTHERN INSURANCE COMPANY, administered by CHUBB GROUP, SECURITY NATIONAL INSURANCE COMPANY, CALIFORNIA INSURANCE COMPANY, administered by APPLIED RISK SERVICES, Defendants

ADJ number
ADJ10776417
Decision date
Aug 14, 2023
District office
Los Angeles
WCJ
—
Claim administrator
AmTrust North America (administering Security National Insurance Company); also Chubb Group, Applied Risk Services
Commissioners
PATRICIA A. GARCIA, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER
CCR §10961

Summary

Ramon Jimenez had two consolidated workers' compensation claims involving disputes over which employer and insurer were responsible for coverage. A WCJ had previously found in a March 17, 2020 decision that the general employer was Vensure HR, Inc. LCF LX Business Services, Inc., and an arbitrator on March 9, 2022 found this prior decision final and beyond his jurisdiction to disturb, holding Security National Insurance Company liable as the general employer's carrier. Defendant Vensure/Security National petitioned for reconsideration, arguing applicant was not covered under the client service agreement and that LX Business Services should be solely or jointly liable. While reconsideration was pending, the parties participated in a commissioners' settlement conference and agreed to resolve the matter by Compromise and Release. The Board rescinded the March 9, 2022 Findings and Order and returned the matter to the Los Angeles District Office for a WCJ to consider the Compromise and Release.

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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