WCPanelIQ
SignificantDenied

Puni Pa’u

ADJ number
ADJ9159725
Decision date
Sep 10, 2019
District office
Riverside
WCJ
—
Claim administrator
State Compensation Insurance Fund (for legally uninsured Department of Forestry/CAL FIRE)
Commissioners
—

Injury / body parts: back

LC §4610LC §4600.4LC §4600CCR §9792.9.1CCR §330CCR §347CCR §790CCR §2000CCR §1300.71

Summary

Applicant Puni Pa'u sought radio frequency ablation for an accepted back injury; defendant's UR provider (EK Health) denied two treatment requests, each received on a Monday and denied on the following Monday. Applicant contended the UR denials were untimely because Saturday should count as a 'working day' under Labor Code section 4610, which would have exceeded the five-working-day deadline and given the WCAB jurisdiction over the treatment dispute. The Board, in this significant panel decision, held that although Saturday is a business day under Civil Code section 9, it is not a 'working day' under Labor Code section 4610 because that statute does not incorporate the Civil Code section 9 definition. Applying principles of statutory interpretation and modern dictionary, statutory, regulatory, and judicial usage, the Board concluded 'working day' means a day other than Saturday, Sunday, or a Government Code holiday. The Board also held that even if Saturday were a working day, the denials would still be timely under Code of Civil Procedure section 12a, which extends deadlines falling on a Saturday to the next non-holiday. The Board affirmed the WCJ's finding that the UR denials were timely.

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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