WCPanelIQ
PanelQMEMed-legalDismissed

Montes, Ernesto

ERNESTO MONTES, Applicant vs. LILY TRANSPORTATION CORP.; ACE AMERICAN INS. CO., administered by CBCS, Defendants

ADJ number
ADJ11181762
Decision date
Aug 19, 2024
District office
Los Angeles
WCJ
Daniel A. Dobrin
Claim administrator
CBCS (administering for Ace American Insurance Company)
Commissioners
—

Injury / body parts: wrists (bilateral), shoulders (bilateral), cervical spine, lumbar spine, umbilical hernia, gastrointestinal system (gastritis/GERD), mastication (dental)

LC §5900LC §5903LC §5813LC §5500.5LC §5502CCR §10605CCR §10600CCR §10940CCR §10615CCR §10945CCR §10421

Summary

Applicant Ernesto Montes, a trucker, brought a cumulative trauma claim and a specific hernia claim against Lily Transportation Corp. (insured by Ace American, administered by CBCS). After trial on a documentary record including PQME reports in four specialties, deposition transcripts, and sub rosa surveillance, the WCJ awarded 62% PD in the CT claim and 18% PD in the specific hernia claim. Defendant filed a Petition for Reconsideration on June 21, 2024, more than 25 days after service of the May 22, 2024 decision. The Appeals Board dismissed the Petition as untimely and jurisdictionally barred, noting it would have denied it on the merits, and admonished defendant and its counsel for bringing a meritless petition that bordered on frivolous and failed to make specific references to the record under WCAB Rule 10945(b).

Issues

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Holding

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Analysis

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Defense takeaway

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