WCPanelIQ
PanelDenied

Navroth II, John

JOHN NAVROTH II, Applicant vs. MERVYN'S STORES; ACE AMERICAN INSURANCE COMPANY, ADMINISTERED BY CONSTITUTION STATE SERVICES, Defendants

ADJ number
ADJ8209954
Decision date
Apr 3, 2023
District office
Santa Ana
WCJ
—
Claim administrator
Constitution State Services (administering for ACE American Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: right foot, toes, right ankle, right shoulder, penis, low back, left hip, left leg, bilateral inguinal hernias

LC §5300LC §4600LC §5307.27LC §3207CCR §10964

Summary

Applicant John Navroth II sought reconsideration of a January 20, 2023 Findings and Order in which the WCJ determined that the WCAB lacked jurisdiction to adjudicate an alleged breach of contract dispute concerning a March 2008 oral agreement between applicant and the claims manager not to obtain audio or video recordings, with an alleged breach penalty of $504 million. Applicant argued the agreement was tied to recovery of a medical benefit (timely medical treatment) and therefore fell within WCAB jurisdiction. The Board rejected this, holding that the alleged contract and resulting damages were 'damages' under an action at law rather than 'compensation' under Division 4 of the Labor Code. Relying on La Jolla Beach & Tennis Club and Victor Valley Transit, the panel affirmed that the WCAB is a tribunal of limited jurisdiction confined to compensation disputes. The Petition for Reconsideration was denied.

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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