WCPanelIQ
PanelGranted

Abdelmalak, Eshak

ESHAK ABDELMALAK, Applicant vs. HANI, INC.; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION FOR CASUALTY RECIPROCAL EXCHANGE in liquidation, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES; and R.K. CHEVRON; AMERICAN ALL-RISK LOSS ADMINISTRATORS, administered by CLARENDON/ENSTAR, Defendants

ADJ number
ADJ1556152
Decision date
Feb 17, 2025
District office
Marina del Rey
WCJ
—
Claim administrator
Sedgwick Claims Management Services (for California Insurance Guarantee Association/Intercare on behalf of Casualty Reciprocal Exchange in liquidation); American All-Risk Loss Administrators administered by Clarendon/Enstar
Commissioners
JOSE H. RAZO, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER

Injury / body parts: back/lumbar spine, right leg, left leg, neck, psyche, head, hearing, cognitive, internal organs, upper gastro/GERD, hypertension, hypertensive kidney disease, hypertensive heart disease, bladder, bowel, vertigo, heart, diabetes, neuropathy, pulmonary

LC §4663LC §4664LC §5313LC §5803LC §5900LC §5901LC §5907LC §5908LC §5908.5LC §5909LC §5950CCR §10600

Summary

Eshak Abdelmalak pursued three claims, including a cumulative trauma claim (ADJ1556152) against Hani, Inc. (insured by Casualty Reciprocal Exchange in liquidation, administered by CIGA), a 1998 specific injury against R.K. Chevron (Clarendon) resolved at 52% PD, and a CT claim against Chevron (ADJ11379405) found barred by the statute of limitations. The WCJ initially found 100% PTD but, after additional proceedings on award calculation, issued a November 14, 2024 F&A finding applicant entitled to 90% PD after apportionment under Labor Code sections 4663 and 4664. Applicant sought reconsideration arguing his totally diminished future earning capacity resulted solely from the ADJ1556152 injury, entitling him to an unapportioned 100% PTD award. CIGA sought reconsideration arguing the WCJ erred by not deducting apportionment identified by the orthopedic AME in the time-barred CT claim against Chevron. The Board granted both petitions to allow further study of the record and the apportionment analysis under Kopping, deferring a final decision after reconsideration.

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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