WCPanelIQ
PanelQMEMed-legalGranted

Contreras, Enrique

ENRIQUE CONTRERAS, Applicant vs. ALBERTO CHAVEZ and LIBIA CHAVEZ, dba REYES TRUCKING, INC. STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ10922077
Decision date
Feb 19, 2026
District office
Pomona
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: left shoulder, right shoulder, lumbar spine, left leg (below knee amputation), left knee, left ankle, left foot, left toes, right hand, psyche, circulatory system, peripheral vascular disease, hypertension, diabetes

LC §5950LC §5313LC §5909LC §5900LC §3208.3LC §5903LC §5952LC §5705LC §3600CCR §10800CCR §10974CCR §10605CCR §10964

Summary

Applicant Enrique Contreras sought reconsideration of a November 2025 F&O finding industrial injury to his left/right shoulders, lumbar spine, and left leg, but no industrial injury to his circulatory system or psyche. Applicant contended the WCJ failed to address a petition for additional QME panels (psychology, internal medicine, endocrinology) that he claims the court agreed to judicially notice at trial, and that a November 11, 2025 UR certification of a psychiatric evaluation was newly discovered evidence. The WCJ's Report rebutted this, asserting the petition was filed 30 minutes after trial concluded and never existed at trial. The Appeals Board granted reconsideration to order a transcript of the November 5, 2025 trial under WCAB Rule 10800, given the factual dispute over what occurred at trial. The Board also preliminarily found the record was not properly developed regarding both the psychiatric and circulatory (peripheral vascular disease, hypertension, diabetes) claims, since no internal medicine/endocrinology evaluation existed and applicant was entitled to a psychiatric evaluation before the six-month defense could apply.

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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