WCPanelIQ
PanelGranted

Contreras, Agustin

AGUSTIN CONTRERAS, Applicant vs. ASPEN ENTERPRISES; TRUCK INSURANCE EXCHANGE, administered by FARMERS, Defendants

ADJ number
ADJ433569
Decision date
Jan 26, 2025
District office
Salinas
WCJ
—
Claim administrator
Farmers (administering for Truck Insurance Exchange)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: left knee

LC §5909LC §5900LC §5950LC §5952LC §5701LC §5906LC §5907LC §5908LC §5908.5LC §5803LC §5901CCR §10600

Summary

Applicant Agustin Contreras, a nursery worker, sustained an industrial left knee injury. The WCJ found 24% permanent disability and concluded that applicant failed to rebut the 2005 Permanent Disability Rating Schedule (PDRS) despite vocational evidence from evaluators Tom Sullivan and James Westman. Applicant sought reconsideration, arguing the AME (Dr. Mark Anderson) and vocational reporting establish permanent total disability because he cannot benefit from vocational rehabilitation or compete in the open labor market. The Appeals Board granted reconsideration to determine whether the existing record constitutes substantial evidence and whether the record needs further development, deferring a final decision on the merits. The Board also addressed timeliness under the amended version of Labor Code section 5909, finding it acted within 60 days of case transmission.

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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