WCPanelIQ
PanelDenied

Mark Enriquez — ADJ21059402

MARK ENRIQUEZ, Applicant vs. CTI FOODS HOLDING COMPANY, LLC; ARCH INSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ21059402
Decision date
Oct 21, 2026
District office
Los Angeles
WCJ
—
Claim administrator
Sedgwick Claims Management Services, Inc. (administering Arch Insurance Company)
Commissioners
CRAIG L. SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, LISA A. SUSSMAN, DEPUTY COMMISSIONER

Injury / body parts: right shoulder

LC §3202.5LC §5313LC §5502LC §5900LC §5903LC §5909LC §5952CCR §10670

Summary

After the parties settled a right shoulder injury claim via Compromise and Release, both the carrier (Sedgwick) and the employer (CTI) issued payments of $46,537.50 to applicant, allegedly resulting in duplicative payments totaling $93,075.00. Defendant filed a Petition for Reimbursement, but the WCJ found that although defendant proved two separate payments were issued, it failed to prove applicant actually received and cashed both checks. The WCJ ordered defendant to take nothing, and defendant sought reconsideration arguing the WCJ improperly considered an authentication issue not in the PTCS and should have developed the record. The Board denied reconsideration, holding defendant failed to meet its burden of proof under Labor Code section 3202.5 because it offered no evidence of receipt or cashing, declined to question applicant when given the chance, and could not rely on 'off the record' statements or facts not in evidence.

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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