Louisiana Workers' Compensation Corporation

What they litigate

Disputed issues across the decisions this insurance carrier is named in. Every row opens the decisions it counts.

• Jurisdiction / venue3
• AOE/COE1
• Statute of limitations1

Where they appear

• Santa Ana 3
• Van Nuys 2

How the appealed decisions came out

These are decisions that were appealed and published — the tail of a system that mostly settles. Most claims end in a compromise and release or a stipulation and never reach a panel, so nothing below describes how this insurance carrier does its work. It describes how a set of appealed disputes came out.

• 4 for the applicant
• 1 for the defense

Counted over 5 appealed decisions. Not this insurance carrier’s book of work.

Decisions

Newest decisions this insurance carrier is named in, each with the passage the panel turned on and a link to the official PDF.

• ADJ10110126 · 2024-05-16 · Santa Ana District OfficeStatute of limitationsdeferred

  Determinative passage · p.16as a professional athlete, Occupational Group No. 590, by the Atlanta Falcons, New Orleans Saints, Pittsburgh Steelers, the Los Angeles Rams, and the St. Louis Rams, claims to have sustained injury arising out of and in the course of employment to head, neck, shoulders, hands, wrists, fingers, elbows, back, hips, knees, ankles, feet, toes, neurological, internal, sleep, psyche, and chronic pain. 2. At the time of the claimed injury, the workers' compensation carriers for the various employers were: (1) Great Divide Insurance, administered by Berkley Entertainment for the Atlanta Falcons; (2) Louisiana Workers' Compensation Corporation for the New Orleans Saints; (3) State Workers Insurance Fund for the Pittsburgh Steelers; (4) California Insurance Guarantee Association for Legion Insurance, in liquidation for the Los Angeles Rams; (5) Fairmont by Zenith for the St. Louis Rams; and, (6) Travelers Insurance also for the St. Louis Rams. 3. The Workers' Compensation Appeals Board has subject matter jurisdiction over the claimed injury. 4. The conferral of jurisdiction arising out of applicant's California contract of hire precludes the enforcement of choice of law/forum selection clauses. 5. The issue of whether compensation is barred by Labor Code section 5405 is deferred.

  The issue of whether compensation is barred by section 5405 is deferred pending further proceedings.

  Official decision · page 16 →
• ADJ9078233 · 2023-10-16 · Santa Ana District OfficeOther disputed issueapplicant prevailed

  Determinative passage · p.9The exclusion had to be clearly stated not merely open to interpretation. This is especially true in light of the fact the employer was a football team that played one-half of its games out-of-state. The Louisiana Workers' Compensation Corporation relies on the out-of-state provision which is stated above is unclear as to its intent. If the Louisiana Workers' Compensation Corporation intended an exclusion for extraterritorial injuries, they should have set forth that exclusion in clear and unambiguous language. There is no language or endorsement contained in the insurance policy issued by the Louisiana Workers' Compensation Corporation of an express limitation of extraterritorial injuries and jurisdiction. There is no express exclusion in the insurance policy for injuries in another state and filed in another state and not defending or paying benefits based on an award issued by another state having jurisdiction. In the opinion of the Arbitrator, in the absence of such express language excluding such injuries and fillings in another state and in light of the know business of the insured, the fact that the Shreveport Pirates played approximately one-half their games out-of-state, it is found by the Arbitrator that the insurance policy issued by the Louisiana Workers' Compensation Corporation to the Shreveport Pirates covers applicant's claim in California.

  The arbitrator and Appeals Board found the insurance policy lacked clear and unambiguous exclusions for out-of-state injuries, thus coverage extended to injuries sustained out-of-state by the applicant.

  Official decision · page 9 →

Also recorded as

The same insurance carrier is printed several ways across the decisions, and all of them were counted as one. This is every spelling behind the figures above.

• Louisiana Workers' Compensation Corporation
• LOUISIANA WORKERS' COMPENSATION CORPORATION

Is this your company and something here is wrong? Tell us and we will fix it. Every figure on this page is a count of released decisions this insurance carrier is named in, and the decisions themselves are listed above with the passage each turned on.