LARRY MALLORY, Applicant vs. SAN FRANCISCO 49ERS; ZENITH INSURANCE COMPANY; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for HOME INSURANCE, in liquidation, Defendants
ADJ number
ADJ9485144
Decision date
May 18, 2021
District office
Santa Ana
WCJ
Pamella A. Stone
Claim administrator
Zenith Insurance Company; California Insurance Guarantee Association (for Home Insurance, in liquidation)
Commissioners
—
Injury / body parts: head, brain, neck, shoulders, upper extremities, back, hips, lower extremities, circulatory system, digestive system, body systems
LC §5904LC §5500.5CCR §10364CCR §10382
Summary
Applicant Larry Mallory, a former professional athlete for the San Francisco 49ers, filed a cumulative trauma claim initially against Home Insurance (in liquidation, defended by CIGA), but discovery revealed the correct injury period was August 15-24, 1979, when Zenith Insurance was the carrier. The application was amended accordingly, but CIGA was never dismissed as a party. After applicant settled by Compromise and Release with Zenith, CIGA sought reimbursement of $33,872.95 for medical-legal and adjustment expenses it incurred. The WCJ ordered Zenith to reimburse CIGA based on the equitable doctrine of unjust enrichment, since Zenith used CIGA's discovery without objection. The Appeals Board affirmed, rejecting Zenith's standing arguments and holding that the WCAB has broad equitable powers to order reimbursement to CIGA from the solvent carrier that should have borne the costs.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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