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Benjamin Claxton — ADJ8481999

BENJAMIN CLAXTON, Applicant vs. ARIZONA CARDINALS and GREAT DIVIDE INSURANCE COMPANY, administered by BERKLEY SPECIALTY UNDERWRITING MANAGERS; OAKLAND RAIDERS and ACE AMERICAN INSURANCE COMPANY, administered by ESIS, Defendants

ADJ number
ADJ8481999
Decision date
May 30, 2022
District office
Oakland
WCJ
—
Claim administrator
Berkley Specialty Underwriting Managers (administering Great Divide Insurance Company); ESIS (administering ACE American Insurance Company)
Commissioners
DEIDRA E. LOWE, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: head, neck, back, shoulders, elbows, wrists, hips, knees, ankles, feet, toes, psyche, neurological system, internal, sleep disorder, cognitive disorder

LC §3208.3LC §5900LC §5902LC §5903

Summary

Professional football player Benjamin Claxton claimed cumulative trauma injuries including a cognitive disorder while employed by various NFL teams, including the Oakland Raiders (May 3, 2007 - August 21, 2007) and the Arizona Cardinals (January 7, 2009 - September 3, 2011). Neurology QME Dr. Daniel Shalom recommended a neuropsychological evaluation to assess applicant's cognitive complaints. The WCJ found the cognitive disorder claim barred by Labor Code section 3208.3 (six-month employment defense), reasoning the relevant employment was less than six months with the Raiders, and held an evaluation unnecessary. The WCAB rescinded the F&O, holding that because the Cardinals (where applicant was employed for over a year) were party defendants, there was no basis to limit the section 3208.3(d) defense to the Raiders' short tenure, so the psychiatric claim was not barred. The Board further reasoned a cognitive disorder is distinct from a psychiatric injury and not subject to section 3208.3, and ordered the matter returned to the WCJ for further proceedings including a neuropsychological evaluation.

Issues

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