Legal Opinion

Zurich American Insurance Co. v. Journey Operating, LLC

Kentucky Supreme Court

Decided October 21, 2010No. 2009-SC-000796-WCPublishedCited by 4 opinions

1Opinion of the Court

OPINION OF THE COURT

This appeal concerns whether KRS 342.125(1) permits an Administrative Law Judge (ALJ) to reopen a final award in order to prevent an insurer from benefiting from its constructive fraud on the tribunal. If so, the question becomes whether substantial evidence supports the finding of constructive fraud and decision to estop the insurer from denying liability at reopening. The Court of Appeals reversed a decision of the Workers’ Compensation Board, reinstating the ALJ’s decision by holding that an ALJ has such authority; that the evidence supports the finding of constructive…

2Cases cited10 opinions

  1. Eadie v. Complete Co., Inc.Tennessee Supreme Court · 2004
  2. Messer v. DreesCourt of Appeals of Kentucky (pre-1976) · 1964
  3. Potter v. Eli Lilly and Co.Kentucky Supreme Court · 1996
  4. Wheatley v. Bryant Auto ServiceKentucky Supreme Court · 1993
  5. Akers v. Pike County Board of EducationKentucky Supreme Court · 2005

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3Cited by4 opinions

  1. Daniel Popa v. Lucia Tiberia PopaCourt of Appeals of Kentucky · 2020
  2. Encova Mutual Insurance Group (Formerly Brickstreet Mutual Insurance Company) v. Roger HallKentucky Supreme Court · 2025
  3. Harlan Nursing Home, Inc. v. David Howard as Administrator of the Estate of Reed HowardCourt of Appeals of Kentucky · 2022
  4. Kentucky Employers' Mutual Insurance v. Roger HallCourt of Appeals of Kentucky · 2024

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