WCPanelIQ
PanelQMEMed-legalDismissed

Elias Ramirez, William Orlando

WILLIAM ORLANDO ELIAS RAMIREZ, Applicant vs. GRAND VIA AUTO REPAIR; ZENITH INSURANCE COMPANY, Defendants

ADJ number
ADJ11877438
Decision date
Mar 27, 2025
District office
Van Nuys
WCJ
—
Claim administrator
Zenith Insurance Company
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: low back, psyche, diabetes, upper extremities, lower extremities, neck, spine, cervical spine, lumbar spine, right elbow, high blood pressure, ulnar neuropathy

LC §5909LC §5900LC §5902LC §5903LC §4060LC §4062.2LC §5952LC §5813CCR §10421CCR §10325CCR §10955

Summary

Defendant Zenith Insurance Company sought reconsideration of the WCJ's January 3, 2025 Joint Findings and Order, which found good cause to develop the record and order an additional QME panel in internal medicine. The panel QME, Dr. Mohan Nair (pain management), had limited his opinions on causation and impairment to orthopedic conditions, deferring on diabetes, high blood pressure, and psychological injury, and failing to distinguish between the specific and cumulative trauma injuries. The Board held that the WCJ's order resolved only interim procedural/discovery matters and was not a final order subject to reconsideration. The Board dismissed the petition for reconsideration, treated it as a petition for removal, and denied removal, finding no substantial prejudice or irreparable harm and that the WCJ's order was consistent with due process and the Board's mandate to develop the record. The Board also admonished defense counsel for filing reconsideration on a non-final order.

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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