WCPanelIQ
PanelQMEMed-legalGranted in Part

Llena, Magdalena

MAGDALENA LLENA, Applicant vs. MACY’S INC., Permissibly Self-Insured, Administered by SEDGWICK, Defendants

ADJ number
ADJ4503401
Decision date
Dec 13, 2022
District office
Santa Barbara
WCJ
Scott J. Seiden
Claim administrator
Sedgwick (administering for Macy's Inc., Permissibly Self-Insured)
Commissioners
—

Injury / body parts: lumbar spine, cervical spine, bilateral knees, bilateral shoulders, bilateral elbows, bilateral wrists, bilateral hands, head, psyche, left ankle, headaches, asthma, diabetes, hypertension, gastrointestinal system, teeth and mouth

LC §4453LC §4663CCR §10945CCR §10775

Summary

Applicant Magdalena Llena sustained a specific industrial injury on February 8, 2008 while employed by Macy's (self-insured, administered by Sedgwick), affecting numerous body parts. The WCJ found her permanently and totally disabled (100%) based on a 99% scheduled rating combined with her inability to compete in the open labor market, set average weekly earnings at $520 based on earning capacity under Labor Code section 4453(c)(4), and found no basis for apportionment. Defendant petitioned for reconsideration challenging the earnings determination, the PTD finding, reliance on Dr. Butler's and the vocational expert's opinions, rejection of apportionment, and the commencement date/rate of benefits. The Appeals Board mostly affirmed, upholding the earning capacity determination, the PTD finding, and the rejection of apportionment, but found the permanent disability benefit rate required clarification (a discrepancy between the DES rate of $319.39 and the awarded $346.66). The Board rescinded and deferred the compensation rate and attorney's fee findings and remanded to the WCJ for further proceedings.

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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