WCPanelIQ
PanelQMERemanded

Villalpando, Abate

ABATE VILLALPANDO, Applicant vs. G BURGERS, EMPLOYERS PREFERRED INSURANCE COMPANY, STATE FARM ADMINISTERED BY SEDGWICK CMS; GOLDEN ROAD FOOD SERVICES DBA FRESH BROTHERS PIZZA, LIBERTY MUTUAL INSURANCE COMPANY; GARDEN FRESH RESTAURANTS DBA SOUPLANTATION, TRAVELERS INSURANCE COMPANY, Defendants

ADJ number
ADJ10620763
Decision date
Apr 22, 2024
District office
Santa Ana
WCJ
—
Claim administrator
Sedgwick CMS (administering State Farm); also Liberty Mutual Insurance Company; Travelers Insurance Company; Employers Preferred Insurance Company
Commissioners
CRAIG SNELLINGS, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: head, neck, back, psyche, headaches, internal system, sleep disorder

LC §5500.5LC §5903LC §5952LC §5313CCR §10955CCR §10787

Summary

Applicant Abate Villalpando alleged a cumulative trauma injury (head, neck, back, psyche, headaches, internal, and sleep disorder) during employment from February 1, 2016 to October 15, 2017 involving multiple employers and insurers. After applicant filed a Notice of Election under Labor Code section 5500.5(c) against G Burger insured by State Farm, the WCJ first denied and then deferred the election pending adjudication of injury AOE/COE. Applicant sought removal, arguing the order abrogated his statutory right to elect against one of successive employers/carriers. The Appeals Board granted removal, holding that a complete evidentiary record under Hamilton is necessary to evaluate the election in the first instance, and affirmed the Order but amended it to defer the election pending creation of an evidentiary record rather than pending AOE/COE determination. The Board further observed that requiring a judicial determination on AOE/COE or nature and extent as a prerequisite to election is inconsistent with the legislative intent of section 5500.5(c).

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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