WCPanelIQ
PanelLienGranted

Jeremiah Brazil — ADJ12142266

JEREMIAH BRAZIL, Applicant vs. BLUE AND GOLD FLEET; AMERICAN ZURICH INSURANCE COMPANY, Defendants

ADJ number
ADJ12142266
Decision date
Nov 30, 2021
District office
Oakland
WCJ
—
Claim administrator
American Zurich Insurance Company (state WC carrier); Charles Taylor (third party administrator for maritime benefits)
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, MARGUERITE SWEENEY, COMMISSIONER

Injury / body parts: right knee

LC §5905LC §5900LC §5903CCR §10507CCR §10605CCR §10845CCR §10940CCR §10392CCR §10615CCR §10840

Summary

Jeremiah Brazil, a ferry captain and Jones Act seaman employed by Blue and Gold Fleet, injured his right knee in 2014 when he slipped on an oily deck plate in the engine room of a vessel tied to a pier in San Francisco Bay. The employer's TPA initially accepted the claim for maritime cure and maintenance benefits, but after the employer denied a follow-up MRI request, applicant filed a California workers' compensation claim, which Zurich denied on statute of limitations grounds and for lack of state jurisdiction. The WCJ found no concurrent jurisdiction under California workers' compensation law, and applicant petitioned for reconsideration. The Appeals Board granted reconsideration and reversed, holding that the WCAB has concurrent jurisdiction over the claim notwithstanding the prior provision of federal maritime benefits. Applying the 'twilight zone' doctrine and the factors set out in CNA Ins. Co. v. WCAB (Baker), the Board concluded that applicant's substantial California contacts and the state's interest in the welfare of its citizens supported concurrent jurisdiction. The matter was returned to the trial level for determination of all remaining issues, including EDD's lien and the statute of limitations defense.

Issues

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Holding

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Analysis

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