WCPanelIQ
PanelQMEMed-legalGranted

Vazquez, Abel

ABEL VAZQUEZ, Applicant vs. INOCENSIO RENTERIA; ZENITH INSURANCE CO., Defendants

ADJ number
ADJ11017003
Decision date
May 18, 2025
District office
Salinas
WCJ
—
Claim administrator
Zenith Insurance Co.
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: left ankle, left calf, left lower extremity, psyche, hypertension, diabetes, hyperlipidemia

LC §115LC §111LC §139.2LC §4062.1LC §4062.2LC §4062.3LC §4062.5LC §4628LC §5300LC §5301LC §5302LC §52LC §5307LC §5307.3LC §5309LC §5701LC §5813LC §5900LC §5904LC §5906LC §5908.5LC §5909LC §5950LC §123LC §127LC §130LC §133LC §134LC §3200LC §4650LC §5814CCR §31.3CCR §31.5CCR §60CCR §10305CCR §10325CCR §10600CCR §10955

Summary

In this en banc decision, applicant Abel Vazquez, who sustained an industrial injury as a seasonal agricultural worker, filed a petition challenging a WCJ's order replacing QME Dr. Ira Fishman because the QME could not schedule a re-evaluation within 120 days under AD Rules 31.3 and 31.5. The WCJ ordered medical-legal discovery to restart. The Appeals Board treated the petition as one for reconsideration (because the F&O contained final findings on employment and injury) but applied the removal standard since only the non-final QME order was challenged. The Board held that only the Appeals Board has jurisdiction to determine whether a replacement panel is valid, and that in represented cases a QME's mere unavailability does not compel replacement; instead, a WCJ or the Board has discretion to order replacement for good cause based on a balancing test. The Board rescinded the March 11, 2025 F&O and returned the matter to the trial level, applying the decision prospectively only.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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