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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ2798585 (MON 0241152) ADJ2723676 (MON 0241153)

Regular

Sep 21, 2011

MAXINE WIGGS vs. ALLIED SIGNAL AEROSPACE, ST. PAUL TRAVELERS INSURANCE

This case involves a Petition for Removal filed by the defendant challenging the setting of a status conference based on an allegedly improper Declaration of Readiness to Proceed to Expedited Hearing. The defendant argued the expedited hearing was requested for unauthorized surgery, which was a violation of policy. However, the defendant later conceded the surgical consult had been authorized, rendering their petition moot. The Appeals Board dismissed the petition as moot and also noted an unacceptable delay in scanning case documents into EAMS.

Workers' Compensation Appeals BoardPetition for RemovalDeclaration of Readiness to Proceed to Expedited HearingPresiding Workers' Compensation Administrative Law JudgeStatus ConferenceExpedited HearingMedical TreatmentSurgical ConsultMoot PetitionEAMS

References

Case No. ADJ2798585 (MON 0241152) MF ADJ2723676 (MON 0241153)

Regular

Aug 21, 2018

Maxine Wiggs vs. Allied Signal Aerospace, St. Paul Travelers Insurance

This case involves applicant Maxine Wiggs' claim for industrial injuries sustained in 1997 and 1997-1998, leading to a need for medical treatment. The Workers' Compensation Appeals Board (WCAB) reviewed a prior decision ordering the defendant to have a Nurse Case Manager assess the applicant's need for heavy home health care. The WCAB affirmed the WCJ's decision, finding jurisdiction to enforce a prior stipulation regarding the evaluation of home health care needs, even with the existence of Utilization Review (UR) and Independent Medical Review (IMR) processes. However, one commissioner dissented, arguing that the matter should be resolved through UR and IMR, asserting the WCJ lacked authority to circumvent these statutory processes.

ADJ2798585ADJ2723676Nurse Case ManagerIrene MeffordHome health careUtilization ReviewIndependent Medical ReviewLabor Code Section 4610Labor Code Section 4610.5Labor Code Section 5900

References

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MAXINE WIGGS vs. ALLIED SIGNAL AEROSPACE, ST. PAUL TRAVELERS INSURANCE

Maxine Wiggs vs. Allied Signal Aerospace, St. Paul Travelers Insurance

ADJ2798585ADJ2723676Nurse Case ManagerIrene MeffordHome health careUtilization ReviewIndependent Medical ReviewLabor Code Section 4610Labor Code Section 4610.5Labor Code Section 5900