WCPanelIQ
PanelLienDismissed

Rincon, Veronica

VERONICA RINCON, Applicant vs. THE PERMANENTE MEDICAL GROUP, INC.; permissibly self-insured, administered by ATHENS ADMINISTRATORS, Defendants

ADJ number
ADJ11612609
Decision date
Sep 25, 2025
District office
San Jose
WCJ
—
Claim administrator
Athens Administrators (administrator for The Permanente Medical Group, Inc., permissibly self-insured)
Commissioners
JOSÉ H. RAZO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR
LC §5909LC §5900LC §5702LC §4903LC §4904

Summary

Applicant Veronica Rincon, in pro per, sought reconsideration of an Order approving a Stipulation between defendant and the Employment Development Department (EDD) settling EDD's lien interests for $8,211.36 covering the period November 12, 2017 through December 25, 2018. Applicant received SDI benefits from EDD during a period for which defendant was found liable for temporary disability, and defendant was required to reimburse EDD. The WCJ recommended denial, noting there was no evidence the settlement was improper or against applicant's interests. The Appeals Board dismissed the Petition because applicant was not a party to the Stipulation and therefore was not aggrieved under Labor Code section 5900(a). The Board advised that if applicant is unclear about her benefit calculations, she may request an accounting from defendant and file a Declaration of Readiness if a dispute arises.

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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