WCPanelIQ
PanelQMEMed-legalGranted

Espinoza, Roberto

ROBERTO ESPINOZA, Applicant vs. MARBORG INDUSTRIES; BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, Defendants

ADJ number
ADJ14300773
Decision date
Jun 23, 2024
District office
Oxnard
WCJ
—
Claim administrator
Berkshire Hathaway Homestate Insurance Company
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: left shoulder, right shoulder, neck, back, hips, knees, legs, wrists, arms, hernia, diabetes, cardiovascular system, hip

LC §4061LC §4062LC §4062.2LC §5701LC §5904LC §5906CCR §10517CCR §10955

Summary

Applicant Roberto Espinoza sought reconsideration of an April 9, 2024 Findings and Order denying his request for an additional QME panel in internal medicine in his continuous trauma claim (ADJ14300773) and specific injury claim (ADJ16390001). The WCJ had denied the panel based partly on a mistaken assumption that applicant's objection invoking the panel process under Labor Code section 4062(a) was untimely, and on the premise that applicant failed to obtain the QME's or treating physician's opinion that the internal medicine issues were beyond the orthopedic QME's specialty. The Board treated the petition under the removal standard since only an interlocutory issue was challenged, then found good cause existed for an additional internal medicine panel given applicant's testimony and existing medical records reflecting cardiovascular and diabetic conditions during the period of industrial exposure. The Board emphasized that placing form over substance was improper and that the WCJ has broad discretion to develop the record. The Board granted reconsideration, rescinded the April 9, 2024 order, and substituted a finding that applicant is entitled to an internal medicine QME panel in ADJ14300773, deferring all other issues.

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.