Home/Case Law/BILLY JOHN JONES, JR. vs. DRC INTERIORS, SUITSUPPLY, CHUBB, BUILDING CORPORATION (STEP CONSTRUCTION SERVICES), VALLEY FORGE INSURANCE COMPANY
Regular DecisionDecision After Reconsideration

BILLY JOHN JONES, JR. vs. DRC INTERIORS, SUITSUPPLY, CHUBB, BUILDING CORPORATION (STEP CONSTRUCTION SERVICES), VALLEY FORGE INSURANCE COMPANY

Filed: Sep 02, 2025
Marina del Rey
ADJ10959526

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration of a Findings and Order from August 30, 2021, which had found that applicant Billy John Jones, Jr. did not sustain an injury arising out of and in the course of employment (AOE/COE) to his foot and toes and ordered a take nothing. The Appeals Board determined that the WCJ's finding was not supported by medical evidence concerning causation for the alleged injury, especially for a diabetic individual, and noted the absence of evaluation by a medical-legal evaluator or treating physician on this issue. Consequently, the Board rescinded the original Findings and Order and returned the case to the trial level, instructing the parties to further develop the medical record by obtaining a medical opinion from a Panel Qualified Medical Evaluator addressing causation.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration of a Findings and Order from August 30, 2021, which had found that applicant Billy John Jones, Jr. did not sustain an injury arising out of and in the course of employment (AOE/COE) to his foot and toes and ordered a take nothing. The Appeals Board determined that the WCJ's finding was not supported by medical evidence concerning causation for the alleged injury, especially for a diabetic individual, and noted the absence of evaluation by a medical-legal evaluator or treating physician on this issue. Consequently, the Board rescinded the original Findings and Order and returned the case to the trial level, instructing the parties to further develop the medical record by obtaining a medical opinion from a Panel Qualified Medical Evaluator addressing causation.

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