WCPanelIQ
PanelDenied

Ramos, Heather

HEATHER RAMOS, Applicant vs. PIH HEALTH, permissibly self-insured; administered by ATHENS ADMINISTRATORS, Defendants

ADJ number
ADJ13057590
Decision date
Aug 24, 2025
District office
Van Nuys
WCJ
—
Claim administrator
Athens Administrators
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER
LC §5909LC §5900LC §5708LC §5709LC §5814LC §5814.5LC §110.5LC §3206.5CCR §10600CCR §10625

Summary

Applicant Heather Ramos settled two cumulative injury claims by C&R, which required defendant to issue two Supplemental Job Displacement Vouchers (SJDVs). One voucher (Voucher 1) was timely received, but applicant disputed timely service of the second (Voucher 2). Defendant produced a December 11, 2023 proof of service for Voucher 2, invoking the Evidence Code section 641 mailbox rule. The WCJ found the presumption of mailing/receipt applied, that applicant failed to rebut it with believable contrary evidence, and that no penalty was warranted because defendant promptly reissued the voucher upon notice of non-receipt. The Appeals Board denied reconsideration, agreeing the valid proof of service outweighed applicant's allegations of non-receipt and that there was no unreasonable delay warranting penalties or attorney's fees.

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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