In this issue..
New United Motors
Manufacturing V. WCAB
(Gallegos)
Vol. XII No. IX
September 2006
COMPENSATION
NEWS
MONTHLY REPORT
New decision on penalty provision under
new penalty statute
This is a published
appeals court
decision
T
he applicant had an
industrial injury that
was admitted. The
carrier entered into a stipulated
award in the amount of
$31,535.00. The carrier made
timely payments until a new third
party administrator took over
handling of the file. The new
third party administrator
incorrectly assumed all payments
had been completed and ceased
making permanent disability
payments to the applicant.
The applicant attorney sent a
letter to the new carrier
requesting an explanation of
benefits. The carrier discovered
their mistake and issued a self
imposed 10% penalty. The
applicant attorney filed for a 5814
penalty.
The Workers' Compensation
Judge (WCJ) issued a decision
against the employer for a 25%
penalty. The third party
administrator filed a petition for
reconsideration.
The appellate court reviewed
section 5814. Section (a) deals
with a 25% penalty. Section (b)
indicates that the employer may
issue a self imposed penalty of 10
% within 90 days of discovery of
the mistake.
The appellate court indicated
the discovery does not have to be
by the employer. The discovery
can be by the applicant or the
applicant attorney. The court
discusses what "discovery"
means and indicates it is not
defined in the statute. Therefore,
the employer can discover the
mistake through any means.
The court would not rule on
whether the applicant attorney
was entitled to a fee under Labor
Code section 5814.5. This issues
was remanded back to the WCJ.
The applicant attorney also
requested attorney fees for
responding to the Writ and the
appellate court disallowed this
request.
=================
Editor: Harvey Brown
Firm: Samuelsen, Gonzalez,
Valenzuela and Brown
Address: 18500 Von
Karman #470, Irvine
Phone: 949 252-1300
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