WCPanelIQ
PanelRemanded

Lazcano, Patricia

PATRICIA LAZCANO, Applicant vs. LUTHERAN HIGH SCHOOL ASSOCIATION; CYPRESS INSURANCE COMPANY; REDWOOD FIRE & CASUALTY COMPANY, both administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ13514659
Decision date
Mar 4, 2024
District office
Anaheim
WCJ
—
Claim administrator
Berkshire Hathaway Homestate Companies (administering Cypress Insurance Company and Redwood Fire & Casualty Company)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: low back, left shoulder, head, depression, neurological system, neck, right knee

LC §4600LC §5701LC §5705LC §5906CCR §9782CCR §9780.1

Summary

Applicant Patricia Lazcano sought reconsideration of a March 5, 2024 F&O finding that her retroactive predesignation of 'Optum/Evan Marlowe, MD' as her personal physician did not satisfy Labor Code section 4600(d). In a prior 2022 decision, the Board had held that where an employer fails to provide notice of the right to predesignate, the remedy is to allow the employee to retroactively designate a personal physician, provided all section 4600(d) conditions are met. The WCJ found Dr. Marlowe never treated applicant before her injury and that the record failed to establish that 'Optum' was a qualifying medical group or that it was the same entity as 'Optumcare Medical Group' (formerly Marathon Medical Group) where applicant treated with Dr. Frisch. The Board agreed the record was insufficient, granted reconsideration, rescinded the F&O, and returned the matter to the trial level to develop the record on whether Optum qualifies under section 4600(d)(2)(B).

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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