WCPanelIQ
PanelGranted

Burgess, Michael

MICHAEL BURGESS, Applicant vs. OLIVER & COMPANY, INC.; CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ20199681
Decision date
Mar 31, 2025
District office
Oakland
WCJ
Alfonso J. Moresi (Workers' Compensation Arbitrator)
Claim administrator
Berkshire Hathaway Homestate Companies (administering for Cypress Insurance Company)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSE H. RAZO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: lungs (sarcoidosis), adrenal gland, gallbladder, neuropathy

LC §5909LC §5900LC §5950LC §5903LC §5952LC §5907LC §5908LC §5908.5LC §5803LC §5901CCR §10600

Summary

Michael Burgess, a longtime carpenter, claimed cumulative industrial injury (ending June 8, 2022) to his lungs (sarcoidosis), adrenal gland, gallbladder, and in the form of neuropathy while employed by Oliver & Company, Inc. After arbitration under an ADR system between the employer and Basic Crafts, the workers' compensation arbitrator found no industrial injury and ordered applicant take nothing, relying on the reports of defense physician Dr. Noriega over those of applicant's physician Dr. Harrison. Applicant sought reconsideration, arguing Dr. Noriega's reports were not substantial evidence while Dr. Harrison's were. The Appeals Board granted reconsideration on a preliminary basis, finding it unclear from the record whether substantial medical evidence supported the arbitrator's decision and that the record may not be properly developed. A final decision on the merits was deferred 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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