WCPanelIQ
PanelMed-legalLienGranted

Bonilla, Maria

MARIA BONILLA, Applicant vs. EMBER CARE; TECHNOLOGY INSURANCE COMPANY; AMTRUST; LIFE HOUSE HOLDINGS LLC; UNITED STATES FIRE INSURANCE COMPANY; ZENITH, Defendants

ADJ number
ADJ8166020
Decision date
Dec 8, 2024
District office
Los Angeles
WCJ
—
Claim administrator
AmTrust (formerly Majestic) for Technology Insurance Company; Zenith for United States Fire Insurance Company
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: back, low back, right hand, right wrist, left hand, left wrist, arms, fingers, shoulders

LC §5909LC §5900LC §5705LC §3202.5LC §5903LC §5952

Summary

Six lien claimants sought reconsideration of a WCJ's Joint F&O that found applicant Maria Bonilla did not sustain an industrial injury on May 2, 2008 and disallowed all six liens for failure to prove the treatment was reasonably required to cure or relieve effects of an industrial injury. The WCJ had disregarded AME Dr. Danzig's opinion as 'not stated in terms of reasonable medical probability.' The Board found no substantive difference between the WCJ's stated flaw and Dr. Danzig's actual opinion, which expressly found it 'medically probable' that 10% of applicant's back disability was due to the May 2, 2008 injury, and noted defendant had agreed in the C&Rs to pay future medical for that injury. The Board granted reconsideration, rescinded the Joint F&O, and substituted findings that applicant sustained injury on all three dates/periods, while deferring the lien recovery issues and returning the matter to the WCJ.

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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