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Del Hoyo, Apolinar

APOLINAR DEL HOYO, Applicant vs. ARCHSTONE HARBORVIEW, ACE GROUP/ESIS; IRVINE COMPANY, FEDERAL INSURANCE/SEDGWICK, Defendants

ADJ number
ADJ8555171
Decision date
Date unavailable
District office
San Diego
WCJ
—
Claim administrator
Federal Insurance/Sedgwick (Irvine Company); ACE Group/ESIS (Archstone Harborview)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR
LC §5500.5LC §5412LC §5315LC §5909LC §5313LC §5815LC §5900CCR §10962

Summary

Applicant Apolinar Del Hoyo had three consolidated claims, including an alleged cumulative trauma (ADJ10259448) running June 3, 2007 through June 29, 2015. The WCJ found in a July 21, 2020 Findings and Award that Irvine Company (insured by Federal Insurance) was the responsible carrier under Labor Code sections 5500.5 and 5412, and issued findings in the other two cases that had no disputed issues. Irvine sought reconsideration, arguing the WCJ failed to explain the responsible-carrier determination, failed to issue a Summary of Evidence, and failed to analyze the section 5412 elements. The Appeals Board found the record deficient because the WCJ never determined injury (a 'claimed' injury), issued a non-final order, and never analyzed the two elements of section 5412 needed to apply section 5500.5(a). The Board rescinded the Findings and Award and returned the matter to the trial level for further proceedings and a new decision.

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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