Workers’ Compensation · Primary-source case analysis

Gomez: CIGA Liability Depends on Other Coverage Across the Injury Record

Decision: Workers’ Compensation Appeals Board, OAK 234515; OAK 239085; OAK 240882, decided May 27, 2003. Document: WCAB en banc opinion and decision after reconsideration.

Gomez consolidated matters involving insolvent carriers, CIGA, and potentially overlapping coverage for cumulative or successive industrial injuries.

CIGA is a statutory insurer of last resort

Its responsibility extends only to covered claims and can be displaced when qualifying other insurance is available.

Cumulative injury requires a coverage-period analysis

The record must identify the injurious exposure and every solvent or insolvent carrier covering portions of that period.

Successive injuries require allocation before final responsibility

CIGA may remain potentially liable until the separate injuries and their contribution to disability are determined.

Administration and payment responsibility can diverge

The Board addressed not only ultimate liability but which defendant should administer the award while allocation issues are resolved.

Key takeaways

Discuss the procedural record

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