WCPanelIQ
PanelQMEMed-legalRemanded

Stierman, Michael

MICHAEL STIERMAN, Applicant vs. VILLAS ON THE GREEN; ZURICH NORTH AMERICA INSURANCE COMPANY, Defendants

ADJ number
ADJ12549416
Decision date
Apr 25, 2024
District office
Riverside
WCJ
—
Claim administrator
Zurich North America Insurance Company
Commissioners
JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: circulatory system, psyche

LC §4062.5LC §15LC §5313LC §5903LC §5952LC §5952(d)CCR §31.5CCR §10955

Summary

Defendant filed a Petition for Removal challenging a WCJ's F&O that vacated a replacement QME panel issued by the Administrative Director. The WCJ had found that defendant failed to establish the QME's reporting was untimely because defendant objected on the last day the report could be received, possibly causing the doctor not to issue the report. The WCAB treated the petition as one for reconsideration because the F&O was a hybrid decision containing a threshold finding of employment, but applied the removal standard since only interlocutory issues were challenged. The Board rejected defendant's argument that AD Rule 31.5(a)(12) exceeds the scope of Labor Code section 4062.5, holding the timely objection requirement is valid. However, the Board found the WCJ's decision was not supported by substantial evidence because it assumed the QME received the objection and was influenced by it. The Board rescinded the F&O and returned the matter to the trial level for further development of the record.

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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