WCPanelIQ
PanelQMEMed-legalGranted in Part

Haynes, Steven

STEVEN HAYNES, Applicant vs. REBAR INTERNATIONAL; ZURICH AMERICAN INSURANCE COMPANY, Defendants

ADJ number
ADJ15505677
Decision date
Dec 29, 2024
District office
Santa Rosa
WCJ
—
Claim administrator
Zurich American Insurance Company
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: neck (cervical spine), mid-back (thoracic spine), lower back (lumbar spine), headaches, depression, sleep disorder

LC §112LC §115LC §3201.5LC §4660.1LC §4663LC §4709LC §5301LC §5315LC §5701LC §5900LC §5901LC §5906LC §5908LC §5908.5LC §5909LC §5911LC §5950LC §5951LC §5952LC §5953CCR §10320CCR §10330

Summary

Steven Haynes, an ironworker, sustained industrial injury to his neck, mid-back, and low back on October 8, 2018, with the case proceeding through the Ironworkers' collectively bargained ADR program under Labor Code section 3201.5. The arbitrator found applicant rebutted his 81 percent scheduled rating and was permanently and totally disabled without apportionment, relying on QME Dr. Cabayan and vocational expert Frank Diaz. Defendant sought reconsideration, challenging the addition of disability percentages, rejection of nonindustrial apportionment, and substantiality of the medical and vocational reporting. The Appeals Board first addressed the Shipley equitable tolling issue (since the petition was not received within 60 days through no fault of the parties) and confirmed jurisdiction. On the merits, the Board affirmed the finding of permanent total disability based on applicant's non-feasibility for vocational rehabilitation, amending the findings to clarify that PTD rests solely on vocational non-feasibility and to remove references to vocational apportionment per Nunes.

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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