WCPanelIQ
PanelQMEMed-legalGranted

Kopec, Gerald

GERALD KOPEC, Applicant vs. STATE COMPENSATION INSURANCE FUND, legally uninsured; administered by THE HARTFORD, Defendants

ADJ number
ADJ9749095
Decision date
Feb 19, 2026
District office
Redding
WCJ
—
Claim administrator
The Hartford (adjusted by AIMS)
Commissioners
CRAIG L. SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: neck, spinal stenosis, right shoulder, bilateral upper extremities, carpal tunnel syndrome, left shoulder, hearing, tinnitus, hyperacusis

LC §5909LC §5900LC §5950LC §4660LC §4660.1LC §4662LC §5702LC §4453LC §4659CCR §10166CCR §10390

Summary

Applicant Gerald Kopec, an insurance underwriter, was found by the WCJ to have sustained a cumulative industrial injury through February 22, 2013 to multiple body parts, resulting in 100% permanent total disability payable at $837.69 per week. Defendant petitioned for reconsideration, arguing the total disability finding was unsupported by substantial evidence, that the WCJ disregarded apportionment evidence, and that hyperacusis was non-industrial. The Appeals Board granted reconsideration to further study the record, identifying multiple deficiencies including the absence of any scheduled rating, questionable substantiality of the PQME's opinions, unaddressed apportionment, a clerical error in the PD payment rate, ambiguity in attorney fees (15% vs. 20%), unconfirmed defendant/insurance status, and unresolved exhibit admissibility. The Board deferred a final decision on the merits pending further review.

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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