BALTIMORE RAVENS ACE AMERICAN INSURANCE COMPANY Administered by SEDGWICK CLAIMS MANAGEMENT SERVICES MIKE ANDERSON WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAMIKE ANDERSON, Applicant,vs.BALTIMORE RAVENS; ACE AMERICANINSURANCE COMPANY, Administered BySEDGWICK CLAIMS MANAGEMENTSERVICES, Defendants.Case No. ADJ6587965(Santa Ana District Office)OPINION AND ORDERGRANTING RECONSIDERATIONAND DECISIONAFTER RECONSIDERATION Defendant seeks reconsideration of the May 12, 2014 Commutation Award issued by a workers’ compensation administrative law judge (WCJ), wherein the WCJ ordered commutation in the sum of $78,000.00. The commutation was to pay the $45,000.00 lien balance of Pre-Settlement Solutions (PSS),1 to pay applicant’s college tuition and related expenses, and to allow applicant to purchase a reliable vehicle. On March 26, 2012, in the underlying case, the WCJ issued a Findings and Award wherein she found that applicant, while employed as a professional football player, sustained industrial injury causing 78% permanent disability. Defendant contends the WCJ erred in calculating applicant’s remaining benefit, arguing that the basis for the Award was an inaccurate Disability Evaluation Unit (DEU) commutation report that omitted $51,000.00 previously paid to PSS from applicant’s permanent disability balance. Defendant argues that the WCJ’s calculation results in a double recovery to applicant of more than $50,000.00. We have considered the Petition for Reconsideration (Petition) and we have reviewed the record in this matter. Applicant filed an Answer. The WCJ has filed a Report and Recommendation of Workers’ Compensation Judge on Petition for Reconsideration (Report), recommending that the 1 We note that PSS was not a lien claimant of record at the time the case-in-chief was tried. It has not filed its lien in EAMS nor been listed as a case participant in this matter. , Commutation A ward be vacated, the Petition be denied, and
Mike Anderson vs. Baltimore Ravens Ace American Insurance Company Administered By Sedgwick Claims Management Services
This case involves a dispute between Mike Anderson, an applicant, and the Baltimore Ravens and ACE American Insurance Company, administered by Sedgwick Claims Management Services, defendants. Mike Anderson was a professional football player who sustained an industrial injury causing 78% permanent disability. The Workers' Compensation Appeals Board granted reconsideration of the May 12, 2014 Commutation Award issued by a workers' compensation administrative law judge, wherein the WCJ ordered commutation in the sum of $78,000.00. The Appeals Board granted reconsideration, rescinded the Commutation Award, and returned the matter to the trial level for further proceedings.
- Filed On:
- Court: California, Santa Ana
- Case No. ADJ6587965
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