CompFox AI Summary
The WCAB granted CIGA's petition for reconsideration to address its contention that the administrative law judge (WCJ) erred in finding a medical lien constituted a "covered claim" under Insurance Code § 1063.1(c). Although the WCJ ultimately disallowed the lien because its reasonable value had been paid, CIGA argued that the "covered claim" finding created potential collateral estoppel issues. Finding these findings irrelevant to the ultimate resolution, the WCAB amended the original order to delete the specific findings regarding the "covered claim" status. The WCAB affirmed the disallowance of the remaining lien balance.
Full Decision Text1 Pages
The WCAB granted CIGA's petition for reconsideration to address its contention that the administrative law judge (WCJ) erred in finding a medical lien constituted a "covered claim" under Insurance Code § 1063.1(c). Although the WCJ ultimately disallowed the lien because its reasonable value had been paid, CIGA argued that the "covered claim" finding created potential collateral estoppel issues. Finding these findings irrelevant to the ultimate resolution, the WCAB amended the original order to delete the specific findings regarding the "covered claim" status. The WCAB affirmed the disallowance of the remaining lien balance.
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