Formal rating determinations shall be deemed to constitute evidence when?

Formal rating determinations shall be deemed to constitute evidence when?

• A. When the rating is issued by the DEU.
• B. When the report is forwarded to the insurer.
• C. When the rating is reviewed by a supervisor.
• D. DEU must send the report to WCAB.

Answer: (D)

Formal rating determinations become evidence only when the DEU sends the report to the WCAB. In California SIP matters, these ratings are administrative determinations that become part of the official record for a workers’ compensation case once filed with the Workers’ Compensation Appeals Board. That filing process makes the rating operative in the adjudicatory context, subject to evidentiary rules, challenges, and review. Merely issuing the rating, forwarding it to the insurer, or having it reviewed internally does not place it into the formal evidentiary record for the WCAB.

Formal rating determinations become evidence only when the DEU sends the report to the WCAB. In California SIP matters, these ratings are administrative determinations that become part of the official record for a workers’ compensation case once filed with the Workers’ Compensation Appeals Board. That filing process makes the rating operative in the adjudicatory context, subject to evidentiary rules, challenges, and review. Merely issuing the rating, forwarding it to the insurer, or having it reviewed internally does not place it into the formal evidentiary record for the WCAB.