WCPanelIQ
PanelDismissed

Rodney Espana — ADJ6840792

RODNEY ESPANA, Applicant vs. HEALTH NET, INC.; ARCH INSURANCE, adjusted by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ6840792
Decision date
Feb 10, 2022
District office
Van Nuys
WCJ
—
Claim administrator
Sedgwick Claims Management Services (adjusting for Arch Insurance)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER
LC §5909LC §5900LC §5903LC §5902LC §5905CCR §10605CCR §10600CCR §10940CCR §10615CCR §10510CCR §10625CCR §10974

Summary

Applicant Rodney Espana filed a Petition for Reconsideration challenging the WCJ's Findings and Order issued November 26, 2013. The petition was not filed until June 15, 2021, far beyond the 25-day statutory deadline. The Board first addressed why it could act despite Labor Code section 5909's 60-day deemed-denial provision, applying Shipley to toll the time due to the Board's own administrative error. On the merits of procedure, the Board found the petition was untimely, unverified, and filed without proof of service on adverse parties. The Board also noted it would deny on the merits for failure to comply with WCAB Rule 10974 governing newly discovered evidence. The petition was dismissed.

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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