WCPanelIQ
PanelDenied

Felipe Martinez — ADJ13831424

FELIPE MARTINEZ, Deceased, Applicant vs. ONE WORLD VENTURES, LLC; ALASKA NATIONAL INSURANCE COMPANY, Defendants

ADJ number
ADJ13831424
Decision date
Dec 18, 2022
District office
San Diego
WCJ
Alicia D. Hawthorne
Claim administrator
CopperPoint Insurance Company (a division of Alaska National Insurance Company)
Commissioners
—

Injury / body parts: COVID-19 infection (death)

LC §4553LC §4554LC §4557LC §4558LC §4702LC §5301LC §5302LC §5315LC §5702LC §5803LC §5804LC §5909LC §3700LC §3753LC §4909CCR §10700

Summary

Felipe Martinez died from occupationally contracted COVID-19 on June 16, 2020. His widow, Guadalupe Navarro, acting in pro per and with limited English proficiency, executed a Compromise and Release (C&R) on DWC Form 10214(d) on October 21, 2020, settling the dependency death claim for the present value of the statutory death benefit, without a certified Spanish interpreter. After retaining counsel, she petitioned to set aside the C&R and filed a serious and willful misconduct (S&W) petition under Labor Code section 4553. The WCJ found good cause to set aside the OACR, allowed the S&W claim to proceed, and declined to require reimbursement of funds, granting defendant only a credit. The Board, after reconsideration, affirmed the F&O (amending only to strike Finding 5), holding that the C&R resolved only the dependency claim, the S&W claim was not settled, and good cause existed to set aside the OACR given the lack of an interpreter and mutual mistake.

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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