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PanelRemanded

Alisa Lewis — ADJ4151048

ALISA LEWIS, Applicant vs. R.A.E. GREEN ENTERPRISES, INC.; UNITED STATES FIRE INSURANCE COMPANY, Administered by CRUM & FORSTER HOLDINGS CORP.; INDEMNITY INSURANCE COMPANY OF NORTH AMERICA, Administered by LWP Claims Solutions, Inc., Defendants

ADJ number: ADJ4151048
Decision date: Jan 19, 2023
District office: Van Nuys
WCJ: —
Claim administrator: Crum & Forster Holdings Corp. (administering United States Fire Insurance Company); LWP Claims Solutions, Inc. (administering Indemnity Insurance Company of North America)
Commissioners: KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

CCR §10961

Summary

While Alisa Lewis's case was pending on reconsideration before the Appeals Board, the parties reached a proposed settlement. Because the District Office is precluded from acting on a case while it is pending on reconsideration under Cal. Code Regs., tit. 8, § 10961, the Board rescinded the WCJ's decision of August 5, 2020 and returned the matter to the trial level so the WCJ could review the proposed settlement. The Board emphasized that if the WCJ does not approve the settlement, the WCJ may reinstate the original decision, and any aggrieved party may then timely seek reconsideration. The Board expressly stated this was not a final decision on the merits of any pending issue. A new panel member was substituted for Commissioner Sweeney, who is no longer with the Board.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.