WCPanelIQ
PanelDenied

Rubio, Alberto

ALBERTO RUBIO, Applicant vs. GENERAL MOTORS, Permissibly Self-Insured, Administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ10202584
Decision date
Aug 22, 2024
District office
Van Nuys
WCJ
Clint Feddersen
Claim administrator
Sedgwick Claims Management Services (administering for General Motors, Permissibly Self-Insured)
Commissioners
—

Injury / body parts: lumbar spine, neck, bilateral shoulders, thoracic spine, bilateral upper extremities, bilateral knees, bilateral hands, sleep disorder, psyche, heart/cardiovascular system (claimed), hypertension (claimed), coronary artery disease (claimed)

LC §4605LC §4700LC §5709LC §5904LC §5952

Summary

Alberto Rubio, a longtime General Motors warehouseman, sustained an admitted cumulative trauma injury to numerous body parts including the psyche and a sleep disorder, established by a now-final Amended Joint Findings and Award of May 19, 2023. After his death from acute cardiopulmonary arrest on March 3, 2020, the WCJ awarded $250,000 in death benefits plus burial expenses to his totally dependent widow, finding that industrial anxiety and depression were a contributing cause of his death. Defendant sought reconsideration, arguing no substantial medical evidence supported industrial causation of death, that res judicata/collateral estoppel barred the claim, and that the reports were improperly obtained under Labor Code section 4605. The WCAB denied reconsideration, adopting the WCJ's Report, holding that the opinions of Dr. Pietruszka and Dr. Lamm constituted substantial evidence and that under South Coast Framing only a contributing industrial cause is required. The Board emphasized that the unrebutted medical evidence linked the previously awarded industrial psyche injury and sleep disorder to the fatal cardiopulmonary arrest.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.