WCPanelIQ
PanelQMEMed-legalRemanded

Arnold, Nancy

NANCY ARNOLD, Applicant vs. SUBEQUENT INJURIES BENEFITS TRUST FUND, et. al., Defendants

ADJ number
ADJ7991744
Decision date
Apr 3, 2025
District office
Van Nuys
WCJ
—
Claim administrator
—
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: head, psyche, cervical spine, headaches, post-concussive disorder, vestibular dysfunction, irritable bowel syndrome

LC §4660LC §4660.1LC §4751LC §4753LC §3208.3LC §5313LC §5900LC §5903LC §5909LC §5952

Summary

Nancy Arnold, a teacher, sustained an industrial injury on August 20, 2019 when an autistic child head-butted her, causing injuries to her head, neck, and claimed psychiatric disability. After settling with her employer via C&R (which excluded psyche), she sought SIBTF benefits. The WCJ found applicant met the SIBTF threshold and reached 100% permanent total disability by adding her disabilities. SIBTF petitioned for reconsideration, arguing the WCJ failed to make findings on prior and subsequent disability and psyche causation, improperly added rather than combined disabilities, and that the C&R barred the psyche claim. The Board granted reconsideration, rescinded the F&A, and remanded for further proceedings because the WCJ made no finding on psyche causation, the medical record lacked a Rolda-compliant analysis, the CVC was improperly bypassed without rebuttal evidence, and the C&R did not preclude the psyche claim because SIBTF was not a party and psyche was excluded from settlement.

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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