Home/Case Law/Benjamin Jones vs. Stanford University, Sedgwick CMS, Reliance Insurance Company
Regular DecisionReconsideration

Benjamin Jones vs. Stanford University, Sedgwick CMS, Reliance Insurance Company

Filed: Jul 26, 2013
San Francisco
ADJ2480246 (SAC 0367547), ADJ473262 (SJO 0259060)

CompFox AI Summary

This case concerns CIGA's petition for reconsideration after an arbitrator denied its claim for reimbursement for post-liquidation benefits and ongoing medical care administration. CIGA argued that Zurich was "other insurance" due to a subsequent injury to the same body part, necessitating reimbursement and relieving CIGA of future medical care responsibilities. However, CIGA failed to provide sufficient medical evidence demonstrating that the subsequent injury contributed to the same period of temporary disability and medical treatment needs. Therefore, the Workers' Compensation Appeals Board denied CIGA's petition for reconsideration, upholding the arbitrator's original findings.

Full Decision Text1 Pages

This case concerns CIGA's petition for reconsideration after an arbitrator denied its claim for reimbursement for post-liquidation benefits and ongoing medical care administration. CIGA argued that Zurich was "other insurance" due to a subsequent injury to the same body part, necessitating reimbursement and relieving CIGA of future medical care responsibilities. However, CIGA failed to provide sufficient medical evidence demonstrating that the subsequent injury contributed to the same period of temporary disability and medical treatment needs. Therefore, the Workers' Compensation Appeals Board denied CIGA's petition for reconsideration, upholding the arbitrator's original findings.

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Benjamin Jones vs. Stanford University, Sedgwick CMS, Reliance Insurance Company (2013) – San Francisco | CompFox