CompFox AI Summary
This case involves a workers' compensation claim for a truck driver injured in 2001. The defendant insurer, SCIF, issued a denial of further medical treatment in 2015, which applicant contends was improper notice. The WCJ found SCIF failed to provide adequate notice, tolling the statute of limitations and deeming the applicant's claim timely. SCIF petitioned for reconsideration, arguing its prior communications provided sufficient notice and that the claim was barred by the statute of limitations. The Appeals Board granted reconsideration, rescinded the prior order, and returned the case for further proceedings, finding the WCJ did not address all relevant issues concerning the statute of limitations and proper notice of disclaimer of liability.
Full Decision Text1 Pages
This case involves a workers' compensation claim for a truck driver injured in 2001. The defendant insurer, SCIF, issued a denial of further medical treatment in 2015, which applicant contends was improper notice. The WCJ found SCIF failed to provide adequate notice, tolling the statute of limitations and deeming the applicant's claim timely. SCIF petitioned for reconsideration, arguing its prior communications provided sufficient notice and that the claim was barred by the statute of limitations. The Appeals Board granted reconsideration, rescinded the prior order, and returned the case for further proceedings, finding the WCJ did not address all relevant issues concerning the statute of limitations and proper notice of disclaimer of liability.
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