WCPanelIQ
PanelQMEDenied

Anaya, Sandra

SANDRA ANAYA, Applicant vs. SANTA BARBARA UNIFIED SCHOOL DISTRICT, Self-Insured Schools Bakersfield, Defendants

ADJ number
ADJ17976590
Decision date
Jul 21, 2024
District office
Santa Barbara
WCJ
Deborah Rothschiller
Claim administrator
Self-Insured Schools Bakersfield
Commissioners
—

Injury / body parts: lumbar spine

CCR §9927

Summary

Sandra Anaya, while unrepresented, entered into a Stipulation with Request for Award at 14% permanent disability based on a PQME report from Dr. Pearson, even though her PTP, Dr. Wickman, had rated her at the equivalent of 25%. The QME report was not on file but the PTP report was, and the I&A Officer flagged the inadequacy. The WCJ found the stipulation inadequate, relied on Dr. Wickman's PTP reports (including a supplemental report clarifying a typo in the DRE category) as substantial medical evidence, awarded 25% PD, and granted applicant's later-retained attorney a 15% fee on the difference. Defendant petitioned for reconsideration challenging the 25% award and resulting attorney fee. The WCAB denied reconsideration, adopting the WCJ's report and holding that Dr. Wickman's opinion constituted substantial medical evidence.

Issues

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Holding

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