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Regular DecisionRegular Panel Decision

HEATHER RAMOS vs. PIH HEALTH, ATHENS ADMINISTRATORS

Filed: Aug 25, 2025
Van Nuys
ADJ13057590; ADJ13058223

CompFox AI Summary

Applicant Heather Ramos sought reconsideration of a WCJ's Findings of Fact and Orders (F&O) which found defendant PIH Health and Athens Administrators had provided proof of service for a supplemental job displacement voucher (SJDV). The WCJ applied the presumption of timely mailing and receipt, finding applicant failed to rebut it and was not entitled to a penalty. Applicant contended there was no valid proof of service, and defendant did not meet the burden to invoke the presumption, thus entitling her to a penalty and attorney's fees. The Appeals Board upheld the WCJ's decision, concluding that the defendant's proof of service was valid, and applicant's evidence was insufficient to overcome the mailing presumption, therefore denying reconsideration.

Full Decision Text1 Pages

Applicant Heather Ramos sought reconsideration of a WCJ's Findings of Fact and Orders (F&O) which found defendant PIH Health and Athens Administrators had provided proof of service for a supplemental job displacement voucher (SJDV). The WCJ applied the presumption of timely mailing and receipt, finding applicant failed to rebut it and was not entitled to a penalty. Applicant contended there was no valid proof of service, and defendant did not meet the burden to invoke the presumption, thus entitling her to a penalty and attorney's fees. The Appeals Board upheld the WCJ's decision, concluding that the defendant's proof of service was valid, and applicant's evidence was insufficient to overcome the mailing presumption, therefore denying reconsideration.

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HEATHER RAMOS vs. PIH HEALTH, ATHENS ADMINISTRATORS (2025) – Van Nuys | CompFox