Didier Rosa vs. Xcelsis Corporation; State Compensation Insurance Fund

(LAO 0839406) is a case involving Didier Rosa, a customer service representative who sustained an industrial injury to his neck while employed from October 7, 2002 to December 29, 2003. The Rehabilitation Unit issued a Determination on January 24, 2006, stating that due to the failure of the claims administrator to demonstrate that the employee was not a qualified injured worker, the Rehabilitation Unit would authorize the provision of vocational rehabilitation services at the expense of the employer and that the employee was entitled to retroactive benefits at the “delay rate” for the period 12/14/04 & continuing. The Workers’ Compensation Appeals Board found that the Rehabilitation Unit had jurisdiction to issue the Determination, had authority to order retroactive

Xcelsis Corporation; State Compensation Insurance Fund Didier Rosa WORKERS-COMPENSATION APPEALS BOARDSTATE OF CALIFORNIADIDIER ROSA, Applicant,vs.XCELSIS CORPORATION; STATE COMPENSATION INSURANCE FUND, Defendant. Case No. ADJ2723383 (LAO 0839406)OPINION AND DECISION AFTER RECONSIDERATION            On April 15, 2010, we granted defendant State Compensation Insurance Fund (SCIF)’spetition for reconsideration in order to allow sufficient opportunity to further study the factual andlegal issues in this case. This is our decision after reconsideration.            Applicant, while employed as a customer service representative from October 7, 2002,through December 29, 2003, sustained an industrial injury to his neck.Applicant requested vocational rehabilitation services. SCIF did not respond. On Januar)’24, 2006, the Rehabilitation Unit issued a Determination stating that: “1. Due to failure of theclaims administrator fSCIFJ to demonstrate that the above-captioned employee is not a qualifiedinjured worker, the Rehabilitation Unit shall authorize the provision of vocational rehabilitationservices at the expense of the employer. … 4. The employee is entitled to retroactive benefits atthe ‘delay rate’ for the period 12/14/04 & continuing.” SCIF did not appeal the Determination, andit became final.            After a complicated procedural history’ that need not be recounted here, the case came onfor trial on October 6, 2009. The parties stipulated that SCIF had paid temporary disabilityindemnity from December 30. 2003, to November 1, 2004, and paid for some medical treatment.One of the issues raised was: ‘’Applicant is seeking enforcement of determination of therehabilitation unit, dated January’ 24, 2006. arguing that said determination was a final order.”Applicant testified. ,             A Findings and Award issued on October 19, 2009, but it was rescinded because the WCJ didyot address the issue of enforcement of the rehabilitation determination. The case was again

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