WCPanelIQ
PanelLienGranted

Lepe Delgado, Jose

JOSE LEPE DELGADO, Applicant vs. ABRISA HOLDING COMPANY, INC.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, Defendants

ADJ number
ADJ13196373
Decision date
Feb 2, 2025
District office
Van Nuys
WCJ
—
Claim administrator
Travelers Property Casualty Company of America
Commissioners
—

Injury / body parts: teeth, cervical spine, thoracic spine, lumbar spine, shoulders, elbows/forearms/wrists, feet/ankles, psyche

LC §5909LC §5900LC §5705LC §3202.5

Summary

Applicant Jose Lepe Delgado settled his cumulative trauma claim via a Compromise and Release for $70,600, with defendant agreeing to handle all liens of record. At a lien trial involving only defendant and lien claimant Dental Trauma Center, the WCJ found applicant sustained industrial injury to multiple body parts including the teeth. Defendant sought reconsideration, arguing the WCJ erred in finding industrial dental injury. The Appeals Board granted reconsideration, rescinded the WCJ's decision, and substituted a finding that applicant did not sustain industrial injury to his teeth, concluding the reporting of Dr. Schames did not constitute substantial medical evidence. The Board deferred all other body parts and issues, reserving jurisdiction.

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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