CompFox AI Summary
This case involves two cumulative injury claims for shoulder injuries sustained by the applicant waitress. Fremont Insurance Company, initially the insurer, became insolvent, and CIGA subsequently took over its obligations. CIGA sought reimbursement from SCIF, the subsequent insurer, for medical treatment provided to the applicant. The WCJ initially denied CIGA full reimbursement, finding the issue of 100% reimbursement for non-permanent disability benefits was not properly raised at trial. However, the Appeals Board granted reconsideration, finding CIGA sufficiently raised the issue of full reimbursement in its petitions and supporting documents, and remanded the case for further proceedings.
Full Decision Text1 Pages
This case involves two cumulative injury claims for shoulder injuries sustained by the applicant waitress. Fremont Insurance Company, initially the insurer, became insolvent, and CIGA subsequently took over its obligations. CIGA sought reimbursement from SCIF, the subsequent insurer, for medical treatment provided to the applicant. The WCJ initially denied CIGA full reimbursement, finding the issue of 100% reimbursement for non-permanent disability benefits was not properly raised at trial. However, the Appeals Board granted reconsideration, finding CIGA sufficiently raised the issue of full reimbursement in its petitions and supporting documents, and remanded the case for further proceedings.
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