WCPanelIQ
PanelQMEMed-legalDenied

Sanchez, Steven

STEVEN SANCHEZ, Applicant vs. THE ALLIANCE FOR COMMUNITY WELLNESS dba LA FAMILIA COUNSELING SERVICE, and GUIDEONE INSURANCE, Defendants

ADJ number
ADJ19820146
Decision date
Jan 13, 2025
District office
Oakland
WCJ
Sarah B. Carr
Claim administrator
GuideOne Insurance
Commissioners
—

Injury / body parts: psyche, nervous system, head, teeth

LC §3208.3LC §139.2LC §5400LC §5411LC §5412LC §3600LC §3202.5CCR §10955CCR §10109CCR §10787

Summary

Steven Sanchez claimed a cumulative trauma psychiatric and physical injury through September 12, 2024 while employed by The Alliance for Community Wellness dba La Familia Counseling Service, insured by GuideOne Insurance. Defendant filed a DOR setting all issues, including the post-termination defense under Labor Code section 3208.3(e), and sought to bifurcate and try that defense separately. The WCJ took the matter off calendar at the January 14, 2025 MSC because applicant had a timely objection and an imminent Panel QME evaluation was needed to develop medical evidence, and denied bifurcation. The Appeals Board denied defendant's Petition for Removal, finding no substantial prejudice or irreparable harm because every threshold issue under section 3208.3, including predominant industrial causation, requires substantial expert medical opinion before any 3208.3 issue can be tried, whether bifurcated or not.

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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