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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ8866592
Regular
Jul 31, 2018

IRMA QUINTERO vs. EPISCOPAL SENIOR SERVICE CENTER dba SPRING LAKE VILLAGE

The Workers' Compensation Appeals Board granted reconsideration to address an error regarding temporary disability indemnity. The Board affirmed the finding of 41% permanent disability but deferred the issue of EDD lien recovery. Crucially, the Board found the rheumatologist's apportionment opinion substantial evidence, while the AME's apportionment opinion lacked sufficient reasoning. The case is returned to the WCJ for further proceedings on the EDD lien.

Workers' Compensation Appeals BoardIRMA QUINTEROEPISCOPAL SENIOR SERVICE CENTERATHENS ADMINISTRATORSFindings and AwardReconsiderationPermanent DisabilityApportionmentEDD LienComplex Regional Pain Syndrome
References
4
Case No. ADJ4552593 (MON 0258406) ADJ6674320
Regular
Jun 21, 2011

KIMBERLY DeNOVA-JOY vs. SANTA PAULA ELEMENTARY SCHOOL DISTRICT, CIGA On Behalf of FREMONT INSURANCE COMPANY In Liquidation, As Administered By CAMBRIDGE INTERGRATED SERVICES

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award, remanding the case for further proceedings. The Board found the WCJ failed to fully address apportionment, a mandated issue. Specifically, the WCJ neglected to consider apportionment of orthopedic and psychiatric disability as determined by AMEs, beyond the rheumatologist's opinion on fibromyalgia. The Board also noted that existing medical reports may be stale, necessitating potential new evaluations.

Workers' Compensation Appeals BoardReconsiderationApportionmentPermanent DisabilityFibromyalgiaCumulative TraumaMedical EvidenceExpert Medical OpinionOrthopedicsPsychiatry
References
3
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