Home/Case Law/MAURICIO FLORES vs. MERCY HOUSING, INC., FEDERAL INSURANCE COMPANY
Regular DecisionReconsideration

MAURICIO FLORES vs. MERCY HOUSING, INC., FEDERAL INSURANCE COMPANY

Filed: Dec 23, 2019
Sacramento
ADJ8939533

CompFox AI Summary

This case concerns an employer's petition for reconsideration regarding the denial of a new Qualified Medical Evaluator (QME) panel. The applicant amended his claim to include a cumulative trauma injury and additional body parts, but he did not file a new claim form. The Board denied the petition, holding that because the applicant amended an existing application and did not file a new claim form, the employer was not entitled to a new QME panel. The ruling relies on the principle that the filing date of the claim form determines which evaluator considers the injury claim.

Full Decision Text1 Pages

This case concerns an employer's petition for reconsideration regarding the denial of a new Qualified Medical Evaluator (QME) panel. The applicant amended his claim to include a cumulative trauma injury and additional body parts, but he did not file a new claim form. The Board denied the petition, holding that because the applicant amended an existing application and did not file a new claim form, the employer was not entitled to a new QME panel. The ruling relies on the principle that the filing date of the claim form determines which evaluator considers the injury claim.

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MAURICIO FLORES vs. MERCY HOUSING, INC., FEDERAL INSURANCE COMPANY (2019) – Sacramento | CompFox