Workers’ Compensation · Primary-source case analysis
Gomez: CIGA Liability Depends on Other Coverage Across the Injury Record
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
- Map every employer, injury period, and carrier.
- Identify solvent coverage before treating a claim as covered by CIGA.
- Separate cumulative from successive injury theories.
- Preserve allocation and administration issues for decision.
Discuss the procedural record
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