WCPanelIQ
PanelQMEMed-legalDenied

Fields, Todd

TODD FIELDS, Applicant vs. UNIFIRST CORPORATION, insured by ACE AMERICAN INSURANCE, administered by CORVEL, Defendants

ADJ number
ADJ12302753
Decision date
Jan 22, 2026
District office
Lodi
WCJ
—
Claim administrator
CorVel (administering for ACE American Insurance, insurer of UniFirst Corporation)
Commissioners
JOSE H. RAZO, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER, CRAIG L. SNELLINGS, COMMISSIONER

Injury / body parts: left knee, right hip, heart, internal organs, hypertension, sleep apnea

LC §5410LC §5803LC §5804LC §5407LC §4656LC §5813LC §5900LC §5909LC §5952LC §5407CCR §10421CCR §10961

Summary

Applicant Todd Fields sustained an industrial injury on February 20, 2018 to his left knee and right hip, resolved via a stipulated award of 33% permanent disability on October 31, 2022 based on PQME Dr. Sclafani's opinions. Within five years of injury (February 3, 2023), applicant filed a timely petition to reopen under Labor Code section 5410, alleging new and further disability, including a compensable consequence fall on January 8, 2023 worsening the left knee, and industrial hypertension caused by NSAID use. The WCJ found new and further disability and added hypertension as an industrial body part while deferring findings on the heart, internal organs, and sleep apnea. Defendant petitioned for reconsideration, arguing the WCJ misapplied section 5410, ignored settlement finality, misread Sarabi, and that applicant lacked substantial evidence and good cause under section 5803. The WCAB denied reconsideration, finding both a statutory basis under section 5410 and good cause under section 5803, supported by the substantial medical opinions of PQMEs Sclafani and Mahmoudi. The Board also admonished defense counsel for prior miscitations of legal authority but declined to issue sanctions because the offending petition was mooted.

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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