September 2006

Catherine Robbins vs. Sharp Healthcare; American Manufacturers Mutual Insurance Company; And Broadspire Services, Inc., Adjusting Agency

Sharp Healthcare; American Manufacturers Mutual Insurance Company; and Broadspire Services, Inc., Adjusting Agency Catherine Robbins WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIACATHERINE ROBBINS, Applicant,vs.SHARP HEALTHCARE; AMERICAN MANUFACTURERS MUTUAL INSURANCECOMPANY; and BROADSPIRE SERVICES, INC., Adjusting Agency, Defendants.Case No. SDO 0335934OPINION AND ORDER GRANTING PETITION FOR DISQUALIFICATION AND DECISION AFTER DISQUALIFICATION            The law firm of Trovillion, Inveiss, Ponticello & …

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Catherine Robbins vs. Sharp Healthcare; American Manufacturers Mutual Insurance Company; And Broadspire Services, Inc., Adjusting Agency

Sharp Healthcare; American Manufacturers Mutual Insurance Company; and Broadspire Services, Inc., Adjusting Agency Catherine Robbins WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIACATHERINE ROBBINS, Applicant,vs.SHARP HEALTHCARE; AMERICAN MANUFACTURERS MUTUAL INSURANCECOMPANY; and BROADSPIRE SERVICES, INC., Adjusting Agency, Defendants.Case No. SDO 0335934OPINION AND ORDER GRANTING PETITION FOR DISQUALIFICATION AND DECISION AFTER DISQUALIFICATION            The law firm of Trovillion, Inveiss, Ponticello & …

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Kathy Ward vs. City Of Desert Hot Springs Permissibly Self-insured And Administered By Hazelrigg Risk Management Services

.opnIn this case, the City of Desert Hot Springs was self-insured and administered by Hazelrigg Risk Management Services. The applicant, Kathy Ward, claimed to have sustained cumulative psychiatric and internal injury while employed as a development services manager by the City of Desert Hot Springs. The defendant sought to compel the applicant to be examined by a doctor, but the applicant refused, asserting that the examination was impermissible pursuant to sections 4060 and 4062.2. The Workers’ Compensation Appeals Board held that for claimed industrial injuries occurring on or after January 1, 2005, in which the employee is represented by an attorney, medical disputes regarding the compensability of the alleged industrial injury must be resolved solely by the procedure provided in section 4062.2

Kathy Ward vs. City Of Desert Hot Springs Permissibly Self-insured And Administered By Hazelrigg Risk Management Services

.opnIn this case, the City of Desert Hot Springs was self-insured and administered by Hazelrigg Risk Management Services. The applicant, Kathy Ward, claimed to have sustained cumulative psychiatric and internal injury while employed as a development services manager by the City of Desert Hot Springs. The defendant sought to compel the applicant to be examined …

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Deanna Brasher vs. Nationwide Studio Fund; And State Compensation Insurance Fund

shall be obtained.” (Emphasis added.)            Section 4610, as amended by SB 228, provides, in pertinent part,  “(a) The administrative director shall adopt regulations to establish a system of utilization review for medical  treatment provided or proposed to be provided to an injured employee. The regulations shall include, but not be  limited to, all of the following:  “(1) A system of utilization review that is independent of the employer and the insurer.  “(2) A system of utilization review that is consistent with the standards of practice of the medical profession.  “(3) A system of utilization review that is consistent with the standards of

Deanna Brasher vs. Nationwide Studio Fund; And State Compensation Insurance Fund

shall be obtained.” (Emphasis added.)            Section 4610, as amended by SB 228, provides, in pertinent part,  “(a) The administrative director shall adopt regulations to establish a system of utilization review for medical  treatment provided or proposed to be provided to an injured employee. The regulations shall include, but not be  limited to, all of the following:  “(1) A system of …

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Deanna Brasher vs. Nationwide Studio Fund; And State Compensation Insurance Fund

Nationwide Studio Fund; and State Compensation Insurance Fund Deanna Brasher WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIADEANNA BRASHER, Applicant,vs.NATIONWIDE STUDIO FUND; and STATE COMPENSATION INSURANCEFUND, Defendant(s).Case No. OAK 0296709OPINION AND DECISION AFTER RECONSIDERATION            We previously granted applicant’s petition for reconsideration to further study the factual and legal issues in this case. This is our Opinion and Decision …

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Deanna Brasher vs. Nationwide Studio Fund; And State Compensation Insurance Fund

Nationwide Studio Fund; and State Compensation Insurance Fund Deanna Brasher WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIADEANNA BRASHER, Applicant,vs.NATIONWIDE STUDIO FUND; and STATE COMPENSATION INSURANCEFUND, Defendant(s).Case No. OAK 0296709OPINION AND DECISION AFTER RECONSIDERATION            We previously granted applicant’s petition for reconsideration to further study the factual and legal issues in this case. This is our Opinion and Decision …

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