Home/Case Law/JOSE PINEDO vs. LA CUMBRE COUNTRY CLUB, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION By Its Servicing Facility CAMBRIDGE INTEGRATED SERVICES For LEGION INSURANCE, In Liquidation, EVEREST NATIONAL INSURANCE COMPANY/ACCA
Regular DecisionReconsideration

JOSE PINEDO vs. LA CUMBRE COUNTRY CLUB, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION By Its Servicing Facility CAMBRIDGE INTEGRATED SERVICES For LEGION INSURANCE, In Liquidation, EVEREST NATIONAL INSURANCE COMPANY/ACCA

Filed: Jul 07, 2009
ADJ3580511 (GOL 093894) ADJ3203152 (GOL 093061)

CompFox AI Summary

The California Workers' Compensation Appeals Board granted CIGA's Petition for Reconsideration, rescinding the prior decision. The Board found that the WCJ must first determine if the applicant sustained one or two industrial injuries before addressing issues of administrator change and liability. This decision stems from CIGA's contention that the October 20, 2002 incident, documented by an Agreed Medical Evaluator, constituted a separate injury contributing to the applicant's needs. The case is returned to the trial level for further development of the record on this threshold issue.

Full Decision Text1 Pages

The California Workers' Compensation Appeals Board granted CIGA's Petition for Reconsideration, rescinding the prior decision. The Board found that the WCJ must first determine if the applicant sustained one or two industrial injuries before addressing issues of administrator change and liability. This decision stems from CIGA's contention that the October 20, 2002 incident, documented by an Agreed Medical Evaluator, constituted a separate injury contributing to the applicant's needs. The case is returned to the trial level for further development of the record on this threshold issue.

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JOSE PINEDO vs. LA CUMBRE COUNTRY CLUB, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION By Its Servicing Facility CAMBRIDGE INTEGRATED SERVICES For LEGION INSURANCE, In Liquidation, EVEREST NATIONAL INSURANCE COMPANY/ACCA (2009) – | CompFox