Business of insurance
In Farias v. Able Building Maintenance, 2016 Cal. Wrk. Comp. P.D. LEXIS 440, the panel majority upheld an arbitrator's decision that an applicant was entitled to self-procure treatment at the employer's expense from the date the claim was denied until the claim was accepted, and that when the claim was accepted, medical control transferred to the exclusive provider network under a carve-out agreement.
In Berrios v. EJ Distribution Corp., 2016 Cal. Wrk. Comp. P.D. LEXIS 416, the WCAB upheld an arbitrator's decision that an insurer could not unilater...
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