Workers’ Compensation · Primary-source case analysis
Hershman: Section 5814 Penalties Could Be Covered Claims Against CIGA
Hershman examined whether CIGA succeeds to statutory delay-penalty liability when an insolvent workers’ compensation carrier left benefits unpaid.
The insolvent carrier had delayed benefits
An award issued against a carrier that later entered liquidation, and CIGA assumed responsibility for covered claims.
The penalty was tied to compensation
The Board treated former section 5814 liability based on unreasonable delay as an obligation arising under the workers’ compensation policy and award.
The punitive-damages exclusion did not control
The statutory exclusion for punitive or exemplary damages did not remove this compensation penalty from covered claims.
The matter returned for the actual penalty decision
The WCAB resolved CIGA’s threshold legal responsibility but remanded for evidence and findings on whether and what penalty should be awarded.
Key takeaways
- Identify the conduct and entity responsible for each delay.
- Separate covered-claim status from proof of unreasonable delay.
- Check the penalty statute applicable to the payment period.
- Develop the liquidation and CIGA-assumption record.
Discuss the procedural record
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