WCPanelIQ
PanelDenied

Maria Andrade — ADJ11377591

MARIA ANDRADE (Deceased), Applicant vs. DELTA AIRLINES; ACE AMERICAN INSURANCE COMPANY, administered by SEDGWICK CMS, Defendants

ADJ number
ADJ11377591
Decision date
Feb 9, 2023
District office
Oakland
WCJ
Joanna Stevenson
Claim administrator
Sedgwick CMS (administering for ACE American Insurance Company)
Commissioners
—

Injury / body parts: right shoulder, right foot/ankle

LC §5001

Summary

Applicant Maria Andrade, a flight attendant, sustained industrial injuries to her right shoulder and right foot/ankle on November 30, 2014, and her claim resolved via Stipulations for 69% permanent disability, which was fully paid. The parties subsequently negotiated a Compromise and Release (primarily to fund a CMS-approved MSA for future medical care), and the applicant signed it on February 18, 2022, with counsel returning it on February 19 and defense submitting it electronically on February 23, 2022. Unknown to all parties, the applicant had died on February 21, 2022, before the C&R was approved by the Board. The WCJ found the C&R unenforceable and issued a take-nothing order, reasoning that the applicant's death constituted a material change in circumstances and that liability for future medical care ceased upon death. The WCAB denied reconsideration, adopting and incorporating the WCJ's report.

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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