David Nam, vs. Southern California Edison; Permissibly Self-insured,

In this case, Southern California Edison sought reconsideration of the November 12, 2008 Findings, Awards, and Orders wherein the workers' compensation administrative law judge (WCJ) found that the applicant, David Nam, was entitled to reimbursement of $19,050.00 in reasonable medical expenses. The WCJ found that Nam had received insulin injections from the Agape Medical Clinic in Korea while he was teaching classes at a chapel, and that the clinic had sent the bill to the Calvary Chapel, who paid for it. The WCJ found Nam's testimony credible, but the defendant argued that Nam did not pay the medical expenses in question, that the entity that paid the medical expenses was not seeking reimbursement, and that the charges were not reasonable

SOUTHERN CALIFORNIA EDISON; Permissibly Self-Insured, DAVID NAM, WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIADAVID NAM, Applicant,vs.SOUTHERN CALIFORNIA EDISON; Permissibly Self-Insured, Defendants.Case No. ADJ2595621 (ARM 0064504)OPINION AND ORDER GRANTING RECONSIDERATION AND DECISION AFTER RECONSIDERATION            Defendant seeks reconsideration of the November 12, 2008 Findings, Awards, and Orders wherein the workers’ compensation administrative law judge (WCJ) found that the applicant is entitled to reimbursement of $19,050.00 in reasonable medical expenses.            Defendant contends that the WCJ erred in awarding the applicant reimbursement of medical expenses, arguing that applicant did not pay the medical expenses in question, that the entity that paid the medical expenses is not seeking reimbursement, and, in the alternative, that the ” charges are not reasonable.            We have considered the Petition for Reconsideration, and we have reviewed the record in this matter. We received an answer from applicant. The WCJ has filed a Report and Recommendation on Petition for Reconsideration (Report), recommending that the petition be denied.            For the reasons discussed below, we will grant reconsideration, rescind the Findings, Awards, and Orders, and find that applicant is not entitled to reimbursement of $19,050.00 in reasonable medical expenses.            We will briefly review the relevant facts. The applicant sustained an industrial cumulative trauma injury through July, 1996 in the form of carpal tunnel syndrome. The applicant has , diabetes, and, as a result of his industrial upper extremity injury, he can no longer self-administer his daily insulin injections. Pursuant to an April 28, 2004 Findings and Award, defendant is required to provide applicant with insulin injection therapy four times a day.            From October 4th, 2007 to November 5th, 2007 the applicant traveled to Korea to teach classes at a chapel. According

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