WCPanelIQ
PanelQMEMed-legalGranted

Nash, Laurie

LAURIE NASH, Applicant vs. B2B STAFFING SERVICES; NOVA CASUALTY COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT, Defendants

ADJ number
ADJ15545648
Decision date
May 12, 2024
District office
Santa Barbara
WCJ
—
Claim administrator
Sedgwick Claims Management (administering Nova Casualty Company)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: cervical spine, shoulders, left ankle, left knee

LC §139.2LC §4062.1LC §4062.2LC §4062.5LC §5904CCR §31.5CCR §38CCR §10600CCR §10955

Summary

Applicant Laurie Nash claimed a specific injury on October 2, 2021, and the parties obtained a neurology QME panel resulting in Dr. Martin Levine, who evaluated applicant on May 25, 2023 and issued a report bearing a proof of service dated June 22, 2023. Applicant's attorney sought a replacement QME panel under AD Rule 31.5(a)(12), claiming the report was not served until July 18, 2023 via defendant's counsel and that she had objected for lateness on July 13, 2023. The WCJ ordered a replacement panel, finding defendant failed to verify the proof of service with affirmative evidence. On reconsideration, the Board held that the WCJ misapplied the mailbox rule under Suon by improperly shifting the burden back to defendant after a valid proof of service established the service presumption. The Board found applicant's emails insufficient to rebut the presumption and concluded the report was timely served. The F&O was amended to deny the replacement panel request.

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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