Home/Case Law/JAMES HARRIS vs. TRENDWEST RESORTS, INC., AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA, CNA CLAIMSPLUS INC.
Regular DecisionReconsideration

JAMES HARRIS vs. TRENDWEST RESORTS, INC., AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA, CNA CLAIMSPLUS INC.

Filed: May 12, 2011
San Francisco
ADJ2554333 (SJO 0247822) ADJ3694053 (SJO 0239468)

CompFox AI Summary

This case concerns an applicant awarded medical treatment for admitted industrial cardiovascular and psyche injuries. The defendant sought reconsideration, primarily challenging the need for "back up services" and the specific payment terms. The Appeals Board granted reconsideration to clarify that "back up services" are an entitlement for the applicant, not a direct obligation to a specific individual. The award was amended to stipulate two hours of "back up services" daily at $8 per hour, with providers to bill the defendant according to standard procedures, thus addressing concerns about potential employment relationships.

Full Decision Text1 Pages

This case concerns an applicant awarded medical treatment for admitted industrial cardiovascular and psyche injuries. The defendant sought reconsideration, primarily challenging the need for "back up services" and the specific payment terms. The Appeals Board granted reconsideration to clarify that "back up services" are an entitlement for the applicant, not a direct obligation to a specific individual. The award was amended to stipulate two hours of "back up services" daily at $8 per hour, with providers to bill the defendant according to standard procedures, thus addressing concerns about potential employment relationships.

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