Home/Case Law/KAREN R. ROLPH vs. RALEY'S and CALIFORNIA INSURANCE GUARANTEE ASSOCIATION on behalf of MISSION INSURANCE COMPANY, in liquidation
Regular DecisionReconsideration

KAREN R. ROLPH vs. RALEY'S and CALIFORNIA INSURANCE GUARANTEE ASSOCIATION on behalf of MISSION INSURANCE COMPANY, in liquidation

Filed: Oct 02, 2007
SAC 112485

CompFox AI Summary

This case concerns applicant's industrial injuries in the 1980s to her neck, back, psyche, and knees, for which Raley's was the employer and Mission Insurance Company was the insurer. The applicant sought spinal surgery, and the defendant sought reconsideration of the WCJ's order to provide it. The Appeals Board denied reconsideration, finding the second opinion physician's report was not substantial evidence as it was based on an inaccurate medical history and an incorrect legal theory that industrial injuries must be the sole cause of the need for surgery.

Full Decision Text1 Pages

This case concerns applicant's industrial injuries in the 1980s to her neck, back, psyche, and knees, for which Raley's was the employer and Mission Insurance Company was the insurer. The applicant sought spinal surgery, and the defendant sought reconsideration of the WCJ's order to provide it. The Appeals Board denied reconsideration, finding the second opinion physician's report was not substantial evidence as it was based on an inaccurate medical history and an incorrect legal theory that industrial injuries must be the sole cause of the need for surgery.

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KAREN R. ROLPH vs. RALEY'S and CALIFORNIA INSURANCE GUARANTEE ASSOCIATION on behalf of MISSION INSURANCE COMPANY, in liquidation (2007) – | CompFox